Fetal biometrics and maternal variables as predictors of deviations in trophic status at birth
Keywords:
biometrics, ultrasonography, low weight newborn, fetal macrosomia.Abstract
Introduction: During pregnancy several factors can interact on the developing organism. Part of prenatal care focuses on detecting deviations in fetal growth.Objective: Describe the primary fetal biometric variables and the association of maternal diseases with the trophic condition of the newborn.
Method: A quantitative, observational, analytical and retrospective study was carried out, with a population of 5432 and a sample of 4131 pregnant women, selected by non-probabilistic, intentional sampling, by criteria. The data were obtained from the registry of genetic consultations from January 2013 to October 2018. For statistical analysis, the Kruskal Wallis test, the Dunn-Bonferroni post hoc test, chi-square and Cramer's V were used.
Results: The increase in the medians of the biometric variables prevailed, according to the trophic condition and gestational week, the statistical significance predominated, as did the significant differences in all the two-to-two contrasts carried out. Pregnant women of adequate weight predominated in each condition at birth, small newborns were related to hypertensive disorders during pregnancy, vaginal sepsis and diabetes mellitus, while large newborns predominated in mothers with altered glycemia and anemia.
Conclusions: Biometric measurements and fetal weight estimation formulas can warn of deviations in fetal growth and trophic condition at birth. Maternal variables were related to the trophic condition of the newborn.
Downloads
References
2. Álvarez Guerra-González E, Sarasa-Muñoz N, Cañizares Luna O, Ramírez Mesa C, Orozco Muñoz C, Artiles Santana A. Biometría fetal: capacidad predictiva para los nacimientos pequeños según su edad gestacional. Medicentro Electrónica. 2017 [acceso: 20/02/ 2022];21(2):112-117. Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/view/2142
3. Álvarez-Guerra González E, Hernández Díaz D, Sarasa Muñoz NL, Barreto Fiu EE, Limas Pérez Y, Cañizares Luna O. Biometría fetal: capacidad predictiva para los nacimientos grandes para la edad gestacional. Revista Archivo Médico de Camagüey. 2017 [ acceso: 20/02/2022]; 21(6):695-702. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552017000600003
4. Borrego Gutierrez D,Álvarez Guerra-González E, Sarasa-Muñoz N, Vazquez Rivero D, Diaz Gattorno C, Silverio Ruiz L. Referencias locales de valores de variables biométricas fetales por trimestre de gestación. Medicentro Electrónica. 2022 [acceso: 20/06/2022]; 26(2):273-285. Disponible en: http://medicentro.sld.cu/index.php/medicentro/article/view/3467
5. Álvarez-Guerra González E, Sarasa-Muñoz N, Cañizares Luna O, Ramírez Mesa C, Orozco Muñoz C, Artiles Santana A. Variables maternas relacionadas con la condición trófica al nacer. Medicentro Electrónica. 2022 [acceso: 10/07/2022];26(3):657-68. Disponible en: http://www.medicentro.sld.cu/index.php/medicentro/article/view/3790
6. Vázquez Rivero D, Sarasa Muñoz NL, Álvarez Guerra González E, Vila Bormey MA, Borrego Gutiérrez D, Silverio Ruiz L. La salud gestacional y su relación con la restricción del crecimiento intrauterino. Medicentro Electrónica. 2022 [ acceso: 01/07/2022]; 26(2):258-68. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1029-30432022000200258&script=sci_arttext&tlng=en
7. Vázquez-Rivero D, Sarasa Muñoz NL, Álvarez-Guerra-González E, Vilas-Bormey MA, Borrego-Gutiérrez D, Alfonso-Águila B. Variables maternas metabólicas y mixtas, su relación con la restricción del crecimiento uterino. Revista Archivo Médico de Camagüey. 2021 [ acceso: 20/02/2022]; 25(6):873-9. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1025-02552021000600006&script=sci_abstract&tlng=en
8. Limas Pérez Y, Álvarez-Guerra-González E, Sarasa Muñoz N, Cañizares Luna O, Artiles Santana A, Machaddo Díaz B. Efectividad de los indicadores antropométricos para el diagnóstico de restricción del crecimiento intrauterino. Revista Cubana de Obstetricia y Ginecología. 2019 [ acceso: 20/02/2022]; 45(1):37-46. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=91418
9. Montoya-Restrepo NE, Correa-Morales JC. Curvas de peso al nacer. Rev Salud Publ. 2007 [acceso: 04/11/2019]; 9:1-10. Disponible en: https://www.scielosp.org/article/rsap/2007.v9n1/1-10/
10. Díaz M, Montero M, Jiménez S, Wong I, Moreno V. Tablas antropométricas de la embarazada. Ganancia de peso gestacional La Habana: INHA, ICIMAF, MINSAP, UNICEF; 2010. [acceso: 04/11/2019]. Disponible en: https://www.unicef.org/cuba/informes/tablas-antropometricas-de-la-embarazada
11. AMM. Declaración de Helsinki de la AMM – Principios éticos para las investigaciones médicas en seres humanos. Brasil, Fortaleza: 64ª Asamblea General; 2013. [acceso: 04/11/2019]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
12. Aggarwal N, Sharma G. Fetal ultrasound parameters: Reference values for a local perspective. Indian Journal of Radiology and Imaging. 2020 [ acceso: 20/02/2022]; 30(02):149-54. Disponible en: https://www.thieme-connect.com/products/ejournals/html/10.4103/ijri.IJRI_287_19
13. Carmona Pertúz VJ, Torres Yepes GC, Quintero Pérez A. Estudio comparativo de biometría fetal realizada entre la población de madres gestantes que acuden al servicio de obstetricia del Hospital Militar Central y las tablas de Hadlock-Jeanty. Bogotá: Universidad Militar de Nueva Granada; 2016. [acceso: 20/02/2022]. Disponible en: https://repository.unimilitar.edu.co/handle/10654/7696
14. Savirón-Cornudella R, Esteban LM, Aznar-Gimeno R, Dieste-Pérez P, Pérez-López FR, Campillos JM, et al. Prediction of late-onset small for gestational age and fetal growth restriction by fetal biometry at 35 weeks and impact of ultrasound-delivery interval: Comparison of six fetal growth standards. Journal of Clinical Medicine . 2021 [acceso: 20/02/2022];10(13):2-17. Disponible en: https://www.mdpi.com/2077-0383/10/13/2984
15. Blue NR, Savabi M, Beddow ME, Katukuri VR, Fritts CM, Izquierdo LA, et al. The Hadlock method is superior to newer methods for the prediction of the birth weight percentile. Journal of Ultrasound in Medicine. 2019 [acceso: 20/02/2022]; 38(3):[aprox. 11 p.]. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1002/jum.14725
16. Limas Pérez Y, Hernandez Díaz D, Sarasa Muñoz NL, Cañizares Luna O, Álvarez-Guerra González E, Turiño Sarduy S. Indicadores antropométricos complementarios para la detección temprana de la restricción del crecimiento intrauterino. Medicentro. 2018 [acceso: 20/02/2022]; 22(3):238-45. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=82266
17. Borrego-Gutierrez D, Guerra-González EÁ, Sarasa-Muñoz NL, Vázquez-Rivero D, Alfonso-Águila B, Martínez-Cárdenas M. Longitud cráneo raquis: predictora del crecimiento fetal y de la condición trófica del recién nacido. Revista Archivo Médico de Camagüey. 2021 [ acceso: 20/02/2022]; 25(5):743-50. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552021000500009
18. Hernández Díaz Y, Álvarez-Guerra González E, Hernández Díaz D, Sarasa Muñoz NL, Limas Pérez Y, Cañizares Luna O. Componentes de constitución corporal materna relacionados con nacimientos grandes para la edad gestacional. Medicentro Electrónica. 2018 [ acceso: 20/02/2022]; 22(2):116-24. Disponible en: http://medicentro.sld.cu/index.php/medicentro/article/view/2672
Published
How to Cite
Issue
Section
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.