Rossi A, Vogrig E, Ganzitti L, Forzano L, Simoncini G, Romanello I, Ambrosini G, Marchesoni D. Prediction of large-for-gestation neonates with first-trimester maternal serum PAPP-A.
Minerva Ginecol 2014;
66:443-447. [PMID:
24743523]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM
The aim of this paper was to identify maternal/pregnancy characteristics, first trimester ultrasound parameters and biochemical indices which are significant independent predictors of large-for-gestational age (LGA) neonates.
METHODS
An Observational cross-sectional study was conducted at the Fetal Medicine Unit, Department of Obstetrics and Gynecology of the University of Udine (Italy). Seventy-two singleton pregnancies presenting for screening for chromosomal abnormalities by nuchal translucency and maternal serum biochemistry at 11-14 weeks. Linear regression was applied to develop first trimester prediction models for LGA.
RESULTS
Maternal height, parity, smoking, assisted conception and pregnancy-associated plasma protein-A were significant independent predictors of LGA. PAPP-A cut-off value expressed in MoM of 1.25 used for the study was chosen to obtain good sensitivity and specificity values.
CONCLUSION
Prediction for birthweight deviations (LGA) is feasible using data available at the routine 11-14 weeks' examination.
Collapse