Am J Perinatol 1996; 13(8): 465-471
DOI: 10.1055/s-2007-994429
ORIGINAL ARTICLE

© 1996 by Thieme Medical Publishers, Inc.

Ultrasound Predictors of Neonatal Outcome in Intrauterine Growth Restriction

Sabrina D. Craigo, Michael L. Beach, Karen B. Harvey-Wilkes, Mary E. D'Alton
  • Division of Maternal Fetal Medicine, Tufts University School of Medicine, New England Medical Center, Boston, Massachusetts
Further Information

Publication History

Publication Date:
04 March 2008 (online)

ABSTRACT

Our purpose was to assess the value of commonly performed ultrasound parameters in predicting neonatal outcome of fetuses with intrauterine growth restriction (IUGR). One hundred twenty-seven patients were identified on ultrasound examination to have IUGR. Estimated weight percentile, amniotic fluid volume, umbilical artery Doppler velocimetry, and head circumference/abdominal circumference ratio were compared with neonatal outcome. Thirty infants had severely adverse courses. The degree of growth restriction was strongly associated with adverse outcome and neonatal death. Umbilical artery Doppler waveforms with absent or reverse end-diastolic flow were predictive of neonatal death, bronchopulmonary dysplasia (BPD), necrotizing enterocolitis (NEC), and adverse outcome in general. Oligohydramnios was predictive of adverse outcome and neonatal death. Logistic regression also showed that absent or reverse end-diastolic flow and oligohydramnios were independent predictors of adverse outcome. Ultrasound findings of low estimated weight percentile, absent or reverse end-diastolic umbilical blood flow, and oligohydramnios are independent predictors of adverse neonatal outcome of growth restricted fetuses.