Doppler and birth weight Z score: predictors for adverse neonatal outcome in severe fetal compromise
2007

Doppler and Birth Weight Z Score: Predictors for Adverse Neonatal Outcome

Sample size: 46 publication Evidence: high

Author Information

Author(s): da Silva Fernanda C, de Sá Renato A Moreira, de Carvalho Paulo RN, Lopes Laudelino M

Primary Institution: Universidade Federal Fluminense, Niterói – Brazil

Hypothesis

Doppler and birth weight Z score index must be important to predict neonatal outcome.

Conclusion

Birth weight Z score is the strongest predictor of adverse neonatal outcome in severe placental insufficiencies.

Supporting Evidence

  • Birth weight Z score index showed the strongest association with neonatal outcomes.
  • There was no mortality for the group with normal birth weight Z score.
  • Backward stepwise logistic regression analysis was used to determine the optimal model for prediction.

Takeaway

This study found that a baby's weight compared to other babies of the same age is really important to know if they will be healthy or not when there are problems with the placenta.

Methodology

Consecutive premature fetuses with severe placental insufficiency were examined, and various Doppler measurements were taken to assess outcomes.

Limitations

The study was limited to a specific gestational age and may not be generalizable to all pregnancies.

Participant Demographics

All participants were singletons with normal anatomy, between 25 and 32 weeks gestation.

Statistical Information

P-Value

0.001

Confidence Interval

1.17-2.99

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1476-7120-5-15

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