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Abdominal Circumference Ratio for the Diagnosis of Intertwin Birth Weight Discordance

dc.contributor.authorSimoes, T
dc.contributor.authorJulio, C
dc.contributor.authorCordeiro, A
dc.contributor.authorCohen, A
dc.contributor.authorSilva, A
dc.contributor.authorBlickstein, I
dc.date.accessioned2017-01-11T15:44:15Z
dc.date.available2017-01-11T15:44:15Z
dc.date.issued2011
dc.description.abstractOBJECTIVES: We assessed the accuracy of predicting severe twin birth weight discordance (>25%) using the estimated fetal weights (EFW) and abdominal circumference (AC) ratio. METHOD: A cohort of twin gestations underwent ultrasound examinations within two weeks from birth. We focused on the accuracy of EFW and on the diagnosis of severe birth weight discordance by the difference in EFWs and the AC ratio. RESULTS: The 661 eligible twin pairs included 51 (7.7%) severely discordant pairs. The accuracy of an EFW to predict the actual birth weight was quite poor, with an acceptable specificity (96.4%), but low sensitivity (28.6-40.5%), to detect severely discordant pairs, whereas an AC ratio of 1.3 detected these discordant pairs with sensitivity and specificity of 97.3-100% and 99.6-99.7%, respectively. CONCLUSION: By comparing EFWs, 59.5-71.4% of discordant pairs >25% are missed, whereas an AC ratio >1.3 would identify almost all cases.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Perinat Med. 2011 Jan;39(1):43-6pt_PT
dc.identifier.doi10.1515/jpm.2010.124pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2614
dc.language.isoengpt_PT
dc.publisherDe Gruyterpt_PT
dc.subjectMAC MED MAFpt_PT
dc.subjectBirth Weightpt_PT
dc.subjectFetal Diseases/diagnostic imagingpt_PT
dc.subjectFetal Weightpt_PT
dc.subjectInfant, Newbornpt_PT
dc.subjectInfant, Small for Gestational Agept_PT
dc.subjectPredictive Value of Testspt_PT
dc.subjectPregnancypt_PT
dc.subjectTwins/physiologypt_PT
dc.subjectUltrasonography, Prenatalpt_PT
dc.subjectWaist Circumferencept_PT
dc.titleAbdominal Circumference Ratio for the Diagnosis of Intertwin Birth Weight Discordancept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage46pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage43pt_PT
oaire.citation.titleJournal of Perinatal Medicinept_PT
oaire.citation.volume39pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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