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Risk of operative delivery for intrapartum fetal compromise in small-for-gestational-age fetuses at term: an internally validated prediction model
Date
2018-01-01
Author
Kalafat, Erkan
Morales-Rosello, Jose
Thilaganathan, Basky
Tahera, Fathema
Khalil, Asma
Metadata
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BACKGROUND: Small-for-gestational-age fetuses are at an increased risk of intrapartum fetal compromise requiring operative delivery. Factors associated with the risk of intrapartum fetal compromise are yet to be established, and a comprehensive model accounting for both the antenatal and intrapartum variables is lacking.
Subject Keywords
Obstetrics and Gynaecology
URI
https://hdl.handle.net/11511/68052
Journal
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
DOI
https://doi.org/10.1016/j.ajog.2017.10.022
Collections
Department of Statistics, Article
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Objective: Small for gestational age (SGA) fetuses are at increased risk of admission to the neonatal unit, even at term. We aimed to develop and validate a predictive model for the risk of prolonged neonatal unit admission in suspected SGA fetuses at term. Methods: A single-center cohort study of singleton pregnancies with SGA fetus, defined as estimated fetal weight (EFW) less than the 10th centile, at term. The variables included known risk factors for neonatal unit admissions: maternal characteristics, ...
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Risk of operative delivery for intrapartum fetal compromise in small-for-gestational-age fetuses at term: external validation of the IRIS algorithm
Kalafat, Erkan; Morales-Rosello, Jose; Scarinci, Elisa; Thilaganathan, Basky; Khalil, Asma (Informa UK Limited, 2020-08-01)
Objectives:Small-for-gestational-age fetuses (SGA) are at high risk of intrapartum fetal compromise requiring operative delivery. In a recent study, we developed a model using a combination of three antenatal (gestational age at delivery, parity, cerebroplacental ratio) and three intrapartum (epidural use, labor induction and augmentation using oxytocin) variables for the prediction of operative delivery due to presumed fetal compromise in SGA fetuses - the Individual RIsk aSsessment (IRIS) prediction model...
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Objective Identification of the fetus at risk of intrapartum compromise has many benefits. Impaired maternal cardiovascular function is associated with placental hypoperfusion predisposing to intrapartum fetal distress. The aim of this study was to assess the predictive accuracy of maternal hemodynamics for the risk of operative delivery due to presumed fetal compromise in women undergoing induction of labor (IOL). Methods In this prospective cohort study, patients were recruited between November 2018 and J...
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E. Kalafat, J. Morales-Rosello, B. Thilaganathan, F. Tahera, and A. Khalil, “Risk of operative delivery for intrapartum fetal compromise in small-for-gestational-age fetuses at term: an internally validated prediction model,”
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
, pp. 0–0, 2018, Accessed: 00, 2020. [Online]. Available: https://hdl.handle.net/11511/68052.