德尔菲共识协议定义的小胎龄和生长受限胎儿的母亲休息改善胎儿生长。

IF 1.2 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-03-27 DOI:10.1002/jcu.23980

Greggory R DeVore, Bardo Polanco

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引用次数: 0

摘要

目的：目的是确定母亲左侧卧位休息是否会增加德尔菲共识分类为生长受限（FGR）或小胎龄（SGA）的胎儿的估计胎儿体重（EFW）。研究设计：这是一项回顾性观察研究，使用德尔菲共识将265例胎儿分类为FGR或SGA。在诊断为FGR或SGA后，患者被要求在醒着的时间内以左侧侧卧位休息2周。在产妇休息2周后测量EFW。结果：265例胎儿中，FGR占56% (148/265)，SGA占44%（117/265）。产妇休息后，EFW百分位数的中位数显著高于FGR诊断时（18比5.96）和SGA诊断时（19比7.39）。结论：在母亲休息2周后，生长受限或胎龄小的胎儿体重显著增加，从低于第10百分位增加到高于第10百分位。

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Maternal Rest Improves Fetal Growth in Small-For-Gestational Age and Growth Restricted Fetuses Defined by the Delphi Consensus Protocol.

Objective: The objective was to determine if maternal rest in the left lateral recumbent position increases the estimated fetal weight (EFW) in fetuses classified by the Delphi consensus as growth restricted (FGR) or small-for-gestational age (SGA).

Study design: This was a retrospective observational study of 265 fetuses classified as FGR or SGA using the Delphi consensus. After the diagnosis of FGR or SGA, the patient was asked to begin resting in the left lateral recumbent position during her waking hours for 2 weeks. The EFW was measured 2 weeks following maternal rest.

Results: Of the 265 fetuses, FGR was identified in 56% (148/265) and SGA in 44% (117/265). Following maternal rest, the median values for the EFW percentile were significantly greater than at the time of diagnosis of FGR (18 vs. 5.96) and SGA (19 vs. 7.39). Following maternal rest, the EFW increased from < 10th percentile (100%) to greater than the 10th percentile in 70% of FGR and 82% of SGA fetuses.

Conclusions: Fetuses with growth restriction or who were small-for-gestational age significantly increased their weight from below to above the 10th percentile following 2 weeks of maternal rest.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.