Accuracy of Third Trimester Ultrasound for Predicting Large-for-Gestational Age Newborn in Women with Gestational Diabetes Mellitus Article Swipe
Pornpimol Ruangvutilert
,
Thanapa Rekhawasin
,
Chayawat Phatihattakorn
,
Dittakarn Boriboonhirunsarn
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.33192/smj.2021.42
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.33192/smj.2021.42
Objective: To determine the accuracy of ultrasonography for predicting a large-for-gestational-age (LGA) newborn in women with gestational diabetes mellitus (GDM).Materials and Methods: Singleton pregnancy, diagnosed with GDM were recruited. They underwent ultrasonography at 32-36 weeks’ gestation for fetal biometry. Biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL). Estimated fetal weight (EFW) was derived from these 4 parameters by Hadlock formula. Delivery of an LGA newborn in women with the ultrasound finding of LGA fetus was the primary outcome.Results: Of 345 studied women, 107 (31%) had an LGA newborn. EFW of ≥ 90 th percentile at third trimester ultrasonography was found in 13 women, all of whom had an LGA newborn. It had a positive predictive value (PPV), specificity, sensitivity and negative predictive value (NPV) of 100%, 100%, 12.1% and 71.7% respectively to predict LGA at birth. Considering each fetal parameter individually, AC > 90 th percentile and HC > 90 th percentile had odds ratios (OR) with 95% confidence intervals of the newborn being LGA of 6.5 (3.3-12.8) and 2.0 (1.0-4.0) respectively while EFW > 85 th percentile had the highest OR of 9.3 (1.1-77.9). Lowering cutoff values of EFW to 80 th and 70 th percentile increased the sensitivity and NPV for prediction of LGA at birth while reducing the PPV and specificity slightly.Conclusion: EFW derived from the third trimester ultrasonography in GDM had high PPV and specificity with low to moderate sensitivity and NPV to predict an LGA newborn in GDM.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.33192/smj.2021.42
- https://he02.tci-thaijo.org/index.php/sirirajmedj/article/download/250294/170275
- OA Status
- diamond
- Cited By
- 1
- References
- 17
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3154987166
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3154987166Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.33192/smj.2021.42Digital Object Identifier
- Title
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Accuracy of Third Trimester Ultrasound for Predicting Large-for-Gestational Age Newborn in Women with Gestational Diabetes MellitusWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
-
2021-03-31Full publication date if available
- Authors
-
Pornpimol Ruangvutilert, Thanapa Rekhawasin, Chayawat Phatihattakorn, Dittakarn BoriboonhirunsarnList of authors in order
- Landing page
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https://doi.org/10.33192/smj.2021.42Publisher landing page
- PDF URL
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https://he02.tci-thaijo.org/index.php/sirirajmedj/article/download/250294/170275Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://he02.tci-thaijo.org/index.php/sirirajmedj/article/download/250294/170275Direct OA link when available
- Concepts
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Medicine, Percentile, Obstetrics, Gestational age, Confidence interval, Gestational diabetes, Odds ratio, Gestation, Birth weight, Fetus, Pregnancy, Ultrasound, Internal medicine, Radiology, Mathematics, Statistics, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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17Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| publication_year | 2021 |
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| abstract_inverted_index.70 | 199 |
| abstract_inverted_index.80 | 196 |
| abstract_inverted_index.85 | 180 |
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