Serial thoracic versus abdominal circumference ratios for the prediction of pulmonary hypoplasia in premature rupture of the membranes remote from term

American Journal of Obstetrics and Gynecology
M D'AltonD Dudley

Abstract

The purpose of this study was to evaluate the fetal thoracic versus abdominal circumference ratio in the prediction of pulmonary hypoplasia after preterm premature rupture of the membranes. A standard curve of thoracic versus abdominal circumference ratio versus gestational age was derived from 120 uncomplicated pregnancies. Thoracic versus abdominal circumference ratio and amniotic fluid estimations were obtained serially in 16 women with premature rupture of the membranes at less than 26 weeks' gestation. An abnormal thoracic versus abdominal circumference ratio predicted lethal pulmonary hypoplasia in six infants. A progressive decline in thoracic versus abdominal circumference ratio was identified in all of these patients. Six of eight women with persistent oligohydramnios had abnormal thoracic versus abdominal circumference ratios and lethal pulmonary hypoplasia. Two surviving infants had restriction deformities and pulmonary complications. In the setting of premature rupture of the fetal membranes at less than 26 weeks, serial thoracic versus abdominal circumference ratio measurement is a reliable predictor of pulmonary hypoplasia. Persistent oligohydramnios is ominous because of the risk of restriction deformities and pu...Continue Reading

References

May 1, 1976·Archives of Disease in Childhood·M PerlmanM Hirsch
Sep 1, 1986·American Journal of Obstetrics and Gynecology·S N Beydoun, S Y Yasin

Citations

Feb 1, 1996·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·A F van HeijstB A Semmekrot
Mar 6, 2002·Indian Journal of Pediatrics·Bibhuti B DasPhilip F Giampietro
Jul 1, 1995·Obstetrics and Gynecology·S G CarrollK H Nicolaides
Sep 1, 1995·Obstetrics and Gynecology·M R LauriaR Romero
Jan 9, 2003·Obstetrics and Gynecology·B M Mercer
Mar 1, 1997·Obstetrics and Gynecology·S J CarlanW F O'Brien
Dec 16, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A BahmaieD J Maxwell
Feb 13, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J A Laudy, J W Wladimiroff
Jun 1, 1997·Clinical Obstetrics and Gynecology·Lyndon M Hill
Aug 27, 2004·Obstetrical & Gynecological Survey·Timothy P CanavanSteve Caritis
May 17, 2007·Journal of Perinatal Medicine·Edward Araujo JúniorAntonio Fernandes Moron
Nov 13, 2008·Journal of Perinatal Medicine·Ingrid Schwach Werneck BrittoTsutomu Aoki
Jan 10, 2009·Archives of Gynecology and Obstetrics·Ingrid Schwach Werneck BrittoTsutomu Aoki
Feb 14, 2008·European Radiology·M CannieS Dymarkowski
Feb 1, 1996·Seminars in Ultrasound, CT, and MR·R Sohaey, W J Zwiebel
Oct 19, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Chantal J M StewartH Wainwright
Jul 25, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Edward Araujo JúniorAntonio Fernandes Moron
Jan 15, 2005·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D MoeglinCFEF
Apr 28, 2012·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Paolo Cavoretto
Mar 1, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ingrid Schwach Werneck BrittoTsutomu Aoki
Apr 25, 2000·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·G RizzoC Romanini
Feb 5, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·M PrendergastA Greenough
Nov 23, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Luís F GonçalvesR Romero
Dec 2, 2016·Pediatric Radiology·Kathryn S MilksKeyanoosh Hosseinzadeh
Jul 28, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·Augustinus S P van TeeffelenBen W J Mol

Related Concepts

Related Feeds

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.