Abstract

BackgroundIntrauterine growth restriction (IUGR) is associated with several medical complications before and after delivery. The aim of this study was to evaluate the concordance between the fetal ultrasonographic measurement of subcutaneous tissue thicknesses and the skinfold thicknesses assessment in intrauterine growth restricted newborns.MethodsWe designed an exploratory study. Fetal ultrasonographic measurement of subcutaneous tissue thicknesses, according to Bernstein's and Galan's method, and neonatal skinfold thicknesses were evaluated in 13 intrauterine growth restricted newborns within 4 hours before delivery and on the first day of life, respectively. Concordance between fetal and neonatal measurements was assessed using the Lin's correlation coefficient and the Bland-Altman method.ResultsThe data obtained by the measurements of neonatal skinfold thicknesses was significantly correlated with the prenatal measurements (Lin's coefficients, arm: 0.60; subscapular: 0.72; abdomen: 0.51). Bland-Altman analysis showed moderate agreement between the fetal ultrasonographic measurement of subcutaneous tissue thicknesses and the neonatal skinfold thicknesses assessment.ConclusionsThe present study provides preliminary evidence that fetal sonographic measurements may represent additional indices of intrauterine growth restriction.

Highlights

  • Intrauterine growth restriction (IUGR) is associated with several prenatal and postnatal complications and it increases the risks of cardiovascular and metabolic diseases in adulthood [1,2,3]

  • We designed an exploratory study to evaluate the concordance between the fetal ultrasonographic measurement of subcutaneous tissue thicknesses and the skinfold thicknesses assessment in intrauterine growth restricted newborns

  • Ultrasonographic subcutaneous tissue thicknesses, postnatal anthropometric parameters and skinfold thicknesses were assessed in all the mother-infant pairs enrolled in the study

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Summary

Introduction

Intrauterine growth restriction (IUGR) is associated with several prenatal and postnatal complications and it increases the risks of cardiovascular and metabolic diseases in adulthood [1,2,3]. Estimated fetal weight is commonly used as an index of fetal growth, this method presents some limitations [4]. We designed an exploratory study to evaluate the concordance between the fetal ultrasonographic measurement of subcutaneous tissue thicknesses and the skinfold thicknesses assessment in intrauterine growth restricted newborns. Intrauterine growth restriction (IUGR) is associated with several medical complications before and after delivery. The aim of this study was to evaluate the concordance between the fetal ultrasonographic measurement of subcutaneous tissue thicknesses and the skinfold thicknesses assessment in intrauterine growth restricted newborns

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