Association of Fetal Growth Rate in First Trimester and Being Large or Small for Gestational Age
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Creator Warangkana Wongmongkol
Title Association of Fetal Growth Rate in First Trimester and Being Large or Small for Gestational Age
Contributor Suttiphan Tatsaneeyapan, Sinart Prommas, Buppa Smanchat, Sravuth Sarapak
Publisher PIMDEE Co., Ltd.
Publication Year 2558
Journal Title Thai Journal of Obstetrics and Gynaecology
Journal Vol. 23
Journal No. 4
Page no. 196-201
Keyword Delta Crown Rump Length (delta CRLs), large for gestational age (LGA), small for gestational age (SGA), crown-rump length (CRL), ultrasound scans, birth weight
URL Website https://tci-thaijo.org/index.php/tjog/index
Website title www.tci-thaijo.org
ISSN 0857-6084
Abstract Objective:To evaluate the association of fetal growth rate in first trimester and fetal birth weight.Materials and Methods: The prospective cohort study was performed at the department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital, Bangkok, Thailand. Fetal growth rate was measured by ultrasound twice in first trimester. First Crown Rump Length (CRL) ultrasound was measured at first antenatal care (ANC) and second CRL ultrasound was at four weeks later. Delta CRLs was calculated and divided into 3 groups: larger than expected, smaller than expected and equal as expected. Patients were followed until delivery. Fetal birth weights were stratified and labeled as large for gestational age (LGA), small for gestational age (SGA) and appropriate for gestational age (AGA) by birth weight percentile at gestational age at delivery. Fetal growth rate in first trimester and fetal birth weight were analyzed.Result:114 pregnant women were recruited. 59 fetuses were equal as expected (51%), 43 fetuses were smaller than expected (38%) and 12 fetuses were larger than expected (11%). The delta CRLs were significantly associate to fetal birth weights (p < 0.005). Diabetic mellitus and hypertension were not significantly associated to fetal birth weights.Conclusion: Fetal growth rate in first trimester was significantly associated to fetal birth weight.
Thai Journal of Obstetrics and Gynaecology

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