Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study

Abstract We aimed to study the association between three different methods of assessing the amount of amniotic fluid (subjective method (SM), deepest vertical pocket (DVP) and amniotic fluid index (AFI)) and estimated fetal weight (EFW) (in percentile or Z-score) after adjustment on maternal-fetal p...

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Autores principales: Florent Fuchs, Safa Aouinti, Manel Souaied, Valentin Keller, Marie-Christine Picot, Nicolas Fries, Jean-Marc Ayoubi, Olivier Picone
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Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/c1a66582ebab4e2599dda6fef93ab0bb
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spelling oai:doaj.org-article:c1a66582ebab4e2599dda6fef93ab0bb2021-12-02T15:07:44ZAssociation between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study10.1038/s41598-018-25497-32045-2322https://doaj.org/article/c1a66582ebab4e2599dda6fef93ab0bb2018-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-25497-3https://doaj.org/toc/2045-2322Abstract We aimed to study the association between three different methods of assessing the amount of amniotic fluid (subjective method (SM), deepest vertical pocket (DVP) and amniotic fluid index (AFI)) and estimated fetal weight (EFW) (in percentile or Z-score) after adjustment on maternal-fetal parameters. We performed a nationwide cross-sectional study through the French network of obstetric sonographers using the “flash” study method and including low-risk singleton pregnancies from 18–40 weeks. Crude and adjusted odds ratio were computed after stratification upon 2nd and 3rd trimester of pregnancy. 1667 ultrasound scans performed by 65 operators were included. Only Z-score of EFW was significantly associated with SM in both trimesters. For DVP and AFI, Z-score of EFW and male fetal gender was significantly associated with them in 2nd trimester. In the 3rd trimester, both Z-score of EFW and large (LGA) or small for gestational age (SGA) fetus were significantly associated with AFI. and DVP. Overweight woman and class I obesity women were also significantly associated with DVP modification. In conclusion, all three methods of amniotic fluid evaluation are significantly associated to estimated fetal weight. DVP and AFI appeared equivalent except that maternal-fetal factors seemed to have a higher impact in DVP than AFI.Florent FuchsSafa AouintiManel SouaiedValentin KellerMarie-Christine PicotNicolas FriesJean-Marc AyoubiOlivier PiconeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-11 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Florent Fuchs
Safa Aouinti
Manel Souaied
Valentin Keller
Marie-Christine Picot
Nicolas Fries
Jean-Marc Ayoubi
Olivier Picone
Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
description Abstract We aimed to study the association between three different methods of assessing the amount of amniotic fluid (subjective method (SM), deepest vertical pocket (DVP) and amniotic fluid index (AFI)) and estimated fetal weight (EFW) (in percentile or Z-score) after adjustment on maternal-fetal parameters. We performed a nationwide cross-sectional study through the French network of obstetric sonographers using the “flash” study method and including low-risk singleton pregnancies from 18–40 weeks. Crude and adjusted odds ratio were computed after stratification upon 2nd and 3rd trimester of pregnancy. 1667 ultrasound scans performed by 65 operators were included. Only Z-score of EFW was significantly associated with SM in both trimesters. For DVP and AFI, Z-score of EFW and male fetal gender was significantly associated with them in 2nd trimester. In the 3rd trimester, both Z-score of EFW and large (LGA) or small for gestational age (SGA) fetus were significantly associated with AFI. and DVP. Overweight woman and class I obesity women were also significantly associated with DVP modification. In conclusion, all three methods of amniotic fluid evaluation are significantly associated to estimated fetal weight. DVP and AFI appeared equivalent except that maternal-fetal factors seemed to have a higher impact in DVP than AFI.
format article
author Florent Fuchs
Safa Aouinti
Manel Souaied
Valentin Keller
Marie-Christine Picot
Nicolas Fries
Jean-Marc Ayoubi
Olivier Picone
author_facet Florent Fuchs
Safa Aouinti
Manel Souaied
Valentin Keller
Marie-Christine Picot
Nicolas Fries
Jean-Marc Ayoubi
Olivier Picone
author_sort Florent Fuchs
title Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
title_short Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
title_full Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
title_fullStr Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
title_full_unstemmed Association between amniotic fluid evaluation and fetal biometry: a prospective French “Flash” study
title_sort association between amniotic fluid evaluation and fetal biometry: a prospective french “flash” study
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/c1a66582ebab4e2599dda6fef93ab0bb
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