PMID- 28099750
OWN - NLM
STAT- MEDLINE
DCOM- 20170824
LR  - 20170824
IS  - 1879-3479 (Electronic)
IS  - 0020-7292 (Linking)
VI  - 137
IP  - 1
DP  - 2017 Apr
TI  - Intrapartum fetal head circumference and estimated fetal weight as predictors of 
      operative delivery.
PG  - 34-39
LID - 10.1002/ijgo.12098 [doi]
AB  - OBJECTIVE: To assess intrapartum sonographic measurements of fetal head
      circumference (HC) and estimated fetal weight (EFW) to predict operative
      delivery. METHODS: In a prospective study, 200 spontaneously parturient
      primiparous women aged 20-30 years were enrolled at a teaching hospital in Cairo,
      Egypt, between October 2, 2015, and January 28, 2016. HC and EFW were measured by
      transabdominal ultrasonography. After delivery, the association between type of
      delivery and ultrasonography findings was assessed. RESULTS: Intrapartum HC and
      EFW were significantly higher among women with operative delivery (n=76) than
      among those with normal vaginal delivery (n=124; P<0.001 for both). Intrapartum
      HC of 36.8 cm or more was associated with an increased risk of operative delivery
      (relative risk [RR] 2.87, 95% CI 1.87-4.41), as was EFW of 3920 g or more (RR
      3.69, 95% CI 2.13-6.40). The area under the receiver operating characteristic
      curve was 0.807 and 0.748 for HC and EFW, respectively (P<0.001 for both). At
      36.8-cm cutoff, HC had 44.7% sensitivity, 91.9% specificity, 77.3% positive
      predictive value (PPV), and 73.1% negative predictive value (NPV). At 3920-g
      cutoff, EFW had 68.4% sensitivity, 82.3% specificity, 70.3% PPV, and 81.0% NPV.
      Intrapartum HC and EFW were directly correlated with second-stage duration
      (P=0.005 and 0.002, respectively). CONCLUSION: Intrapartum HC and EFW seem to be 
      good predictors of operative delivery.
CI  - (c) 2017 International Federation of Gynecology and Obstetrics.
FAU - Rabei, Noha H
AU  - Rabei NH
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, 
      Cairo, Egypt.
FAU - El-Helaly, Amr M
AU  - El-Helaly AM
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, 
      Cairo, Egypt.
FAU - Farag, Amr H
AU  - Farag AH
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, 
      Cairo, Egypt.
FAU - El-Naggar, Ahmed K
AU  - El-Naggar AK
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, 
      Cairo, Egypt.
FAU - Etman, Mohamed K
AU  - Etman MK
AD  - Special Care Unit of Fetus, Ain Shams University, Cairo, Egypt.
FAU - El-Moteily, Moataz M
AU  - El-Moteily MM
AD  - Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University, 
      Cairo, Egypt.
LA  - eng
PT  - Journal Article
DEP - 20170202
PL  - United States
TA  - Int J Gynaecol Obstet
JT  - International journal of gynaecology and obstetrics: the official organ of the
      International Federation of Gynaecology and Obstetrics
JID - 0210174
SB  - IM
MH  - Adult
MH  - *Cephalometry
MH  - Delivery, Obstetric/*adverse effects
MH  - Female
MH  - Fetal Development
MH  - Fetal Weight/*physiology
MH  - Head/anatomy & histology/diagnostic imaging/*embryology
MH  - Humans
MH  - Predictive Value of Tests
MH  - Pregnancy
MH  - Prospective Studies
MH  - ROC Curve
MH  - Risk Factors
MH  - Statistics, Nonparametric
MH  - Ultrasonography, Prenatal
MH  - Young Adult
OTO - NOTNLM
OT  - Delivery
OT  - Estimated fetal weight
OT  - Head circumference
OT  - Operative delivery
OT  - Predictors
EDAT- 2017/01/19 06:00
MHDA- 2017/08/25 06:00
CRDT- 2017/01/19 06:00
PHST- 2016/09/08 00:00 [received]
PHST- 2016/11/21 00:00 [revised]
PHST- 2017/01/09 00:00 [accepted]
PHST- 2017/01/19 06:00 [pubmed]
PHST- 2017/08/25 06:00 [medline]
PHST- 2017/01/19 06:00 [entrez]
AID - 10.1002/ijgo.12098 [doi]
PST - ppublish
SO  - Int J Gynaecol Obstet. 2017 Apr;137(1):34-39. doi: 10.1002/ijgo.12098. Epub 2017 
      Feb 2.