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Cited by 124Preterm Birth and ChorioamnionitisPregnancy and preeclampsia studiesBirth, Development, and Health

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Impairment of growth in fetuses destined to deliver preterm

Bukowski, Radek, Gahn, David, Denning, Jennifer, Saade, George·2001·American Journal of Obstetrics and Gynecology
DOI 10.1067/mob.2001.115865
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Abstract

Objective The objective of this study was to test the hypothesis that fetuses destined to deliver preterm do not reach their individual growth potential.Study design In a case control design, data on 44 preterm deliveries at < or =34 weeks were compared with data on a control group of next consecutive term deliveries. Criteria for inclusion were dating by ultrasonography at <20 weeks and no medical or obstetric complications. For each fetus, GROW v.2 software was used to generate an individual optimal growth curve and to calculate the percentile of achieved growth potential for birth weight based on 6 independent factors (maternal weight, height, parity, ethnicity, fetal sex, and gestational age) identified as determining fetal weight from multivariate logistic regression analysis of 40,000 uncomplicated term pregnancies. Birth weight percentiles based on standard norms were also calculated for each fetus.Results The number of fetuses with birth weight below the 5th, 10th, and 25th percentile of their growth potential was significantly higher in the preterm group (10, 13, and 18) compared with that in the control group (2, 2, and 6; P <.008, P <.001, and P <.008, respectively). There were no significant differences in variables defining growth potential between the case and control groups. The number of fetuses below the 5th and 10th percentile based on standard birth weight norms was not significantly different between preterm and term pregnancies (3 vs 1 and 5 vs 2; P =.37 and P =.27). Among preterm deliveries, those preceded by preterm premature rupture of the membranes had significantly fewer fetuses >75th percentile of their growth potential (2 vs 8; P =.025). Fetuses with lower gestational ages at preterm delivery achieved lower median percentiles of their growth potential.Conclusion A significant proportion of fetuses destined to deliver preterm do not reach their individual growth potential compared with those delivered at term. This finding challenges our concept of preterm delivery and management strategy aimed at tocolysis.

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Metadata

Authors
Bukowski, R., Gahn, D., Denning, J., & Saade, G.
Affiliations
The University of Texas Medical Branch at Galveston (US)
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2001-08
Volume
185
Issue
2
Pages
463-467
ISSN
0002-9378 (ISSN-L)
DOI
10.1067/mob.2001.115865
OpenAlex
W1994096983
Cited by
124
References
26
Citations by year
2026: 1 · 2025: 6 · 2023: 1 · 2022: 1 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 2 · 2013: 9 · 2012: 8
FWCI
5.07
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Preterm Birth and Chorioamnionitis
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
preterm birth, fetal growth potential, fetal growth restriction, birth weight percentiles, preterm premature rupture of membranes, gestational age at delivery, tocolysis, term versus preterm comparison
MeSH terms
Birth Weight, Female, Embryonic and Fetal Development, Fetal Growth Retardation, Premature Rupture of Fetal Membranes, Gestational Age, Humans, Infant, Newborn, Infant, Premature, Obstetric Labor, Premature, Male, Pregnancy, Case-Control Studies

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