Under diagnosis of fetal growth restriction by the new growth curves of the Chilean Ministry of Health

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dc.article.number27
dc.contributor.authorCarvajal, Jorge A.
dc.contributor.authorVera P G, Claudio
dc.contributor.authorVargas, Paula, I
dc.contributor.authorJordan U, Felipe
dc.contributor.authorPatillo G, Alejandro
dc.contributor.authorOyarzun E, Enrique
dc.date.accessioned2024-04-15T08:00:31Z
dc.date.available2024-04-15T08:00:31Z
dc.date.issued2007
dc.description.abstractBackground: Fetal growth restriction (FGR) is associated with increased risk of perinatal morbidity or death, Nationwide implementation of new fetal growth charts, requires a lower fetal weight for the diagnosis of FGR, compared to previous ones. This may lead to an under diagnosis of FGR in a large proportion of neonates. Aim: To compare the morbidity, mortality and anthropometry of neonates with FGR, diagnosed by MINSAL and Juez curves, with normal weight newborns in the same period (2000-2004). Material and methods. Revision of medical records of all births occurring in a maternity hospital between 2000 and 2004. The number of neonatal deaths, and the presence of hyperbilirubinemia, polyglobulia, hypoglycemia and hypotbermia, were compared among children classified to be below percentile 10 of fetal growth according to both growth charts. Results. FGR was diagnosed in 4,4% (502/11.289) and 9% (1.029/11.289) of newborns by MINSAL and Juez curves respectively. Compared to normal weight controls, the 527 newborns without FGR according to AHNSAL curves, but below percentile 10 of Juez curves, bad an odds ratio (OR) for polyglobulina of 8.14 (95016 confidence, intervals (G): 1.01-65-34), an OR for neonatal hypoglycemia of 5.10 (95% CT 1.11-23.39) and an OR for a ponderal index below 10(th) percentile of 10.98 (95% CI- 6.84-17.64). Conclusions: Newborns without a diagnosis of FGR by MINSAL curves but below 10(th) percentile by Juez curves, have neonatal outcomes suggesting a true FGR. Juez curves should be maintained as a standard for the evaluation of fetal growth, in our population (Rev Med Chile 2007- 135.- 436-42).
dc.description.funderCentre for Social Conflict and Cohesion Studies (COES)
dc.description.funderAlberto Hurtado University
dc.description.funderFONDECYT
dc.description.funderANID
dc.format.extent7 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1093/bja/83.5.813
dc.identifier.eissn0717-6163
dc.identifier.isbn978-1-58603-917-2
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:17554451
dc.identifier.scopusidSCOPUS_ID:85173068015
dc.identifier.urihttps://doi.org/10.1093/bja/83.5.813
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/85094
dc.identifier.wosidWOS:000247022900004
dc.information.autorucFacultad de Medicina; Vargas Innocenti, Paula Andrea; S/I; 15597
dc.issue.numero4
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final442
dc.pagina.inicio436
dc.publisherWiley
dc.relation.ispartof10th International Docomomo Conference, SEP 13-20, 2008, Rotterdam, NETHERLANDS
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsregistro bibliográfico
dc.subjectfetal development
dc.subjectfetal viability
dc.subjectperinatal care
dc.subjectperinatal mortality
dc.subjectINTRAUTERINE GROWTH
dc.subjectRETARDATION
dc.subject.ddc520
dc.subject.deweyAstronomíaes_ES
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titleUnder diagnosis of fetal growth restriction by the new growth curves of the Chilean Ministry of Health
dc.typeartículo
dc.volumen135
sipa.codpersvinculados15597
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga WOS-SCOPUS;15-04-2024
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