caa a22 4500 445309687 CHVBK 20180317142625.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-011-1888-8 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1888-8 Role of fetal abdominal circumference as a prognostic parameter of perinatal complications [Elektronische Daten] [Sven Kehl, Joachim Brade, Ulrike Schmidt, Sebastian Berlit, Michael Bohlmann, Marc Sütterlin, Jörn Siemer, Amadeus Hornemann] Objective: To evaluate the potential of fetal abdominal circumference (AC) measurement as predictor of perinatal complications in term newborns. Materials and methods: This prospective study included 324 consecutive term pregnancies within a 6-month period between February and August 2009. Inclusion criteria were a singleton pregnancy with at least 37weeks of gestation, vertex presentation, absence of structural or chromosomal disorders and complete ultrasound examination within 3days of delivery. Patients with elective caesarean sections were excluded. Vaginal deliveries were assessed with regard to the impact of fetal AC on the mode of delivery, the neonatal outcome (pH, base excess, APGAR score at 5min) and the incidence of perineal injuries. When appropriate, U tests and χ 2 tests were performed for group comparisons. Results: Complete data were obtained for 258 patients. Sixty-six patients were excluded because they underwent elective caesarean section. Only 12 of the 30 fetuses with an AC ≥36.0cm weighed more than 4,000g. There was no significant difference in relation to incidence of surgical delivery (instrumental delivery, P=0.754 and caesarean section, P=0.405), the neonatal outcome (pH, P=0.527; base excess, P=0.146; APGAR score at 5min, P=0.552), and the occurrence of perineal injuries (2nd and 3rd degree, P=0.951). Conclusion: The results of the study could not demonstrate a significant relationship between AC ≥36.0cm and perinatal complications. For this, measuring the fetal AC is of no help in finding the correct clinical management. Springer-Verlag, 2011 Macrosomia nationallicence Abdominal circumference nationallicence Measurement nationallicence Peripartal complications nationallicence Kehl Sven Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Brade Joachim Department of Biostatistics, Mannheim University Hospital, Mannheim, Germany aut Schmidt Ulrike Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Berlit Sebastian Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Bohlmann Michael Department of Obstetrics and Gynecology, Luebeck University Hospital, Lübeck, Germany aut Sütterlin Marc Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Siemer Jörn Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Hornemann Amadeus Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1345-1349 0932-0067 284:6<1345 2011 284 404 https://doi.org/10.1007/s00404-011-1888-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1888-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kehl Sven Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Brade Joachim Department of Biostatistics, Mannheim University Hospital, Mannheim, Germany aut NATIONALLICENCE 700 1- Schmidt Ulrike Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Berlit Sebastian Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Bohlmann Michael Department of Obstetrics and Gynecology, Luebeck University Hospital, Lübeck, Germany aut NATIONALLICENCE 700 1- Sütterlin Marc Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Siemer Jörn Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 700 1- Hornemann Amadeus Department of Obstetrics and Gynecology, Mannheim University Hospital, Universitätsfrauenklinik, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1345-1349 0932-0067 284:6<1345 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer