BACKGROUND: Intrauterine growth curves are considered an essential instrument in prenatal medicine for an appropriate auxological classification of fetuses and they have a great importance in clinical practice. Nowadays, in Italy a national curve published in 1975, is the most used. It Is based on birth weights of 8458 newborns from physiological pregnancies. The aim of the present study was to develop a modern fetal growth curve based on accurately selection of 35 240 physiological singleton Italian pregnancies with sure gestational age confirmed by ultrasound. METHODS: This is a retrospective analysis of 35,240 pregnancies from "A. Gemelli" University Hospital in Rome and "S. Anna" University Hospital in Turin from January 2001 to December 2006. Non-resident pregnant women or coming from other countries, women with diabetes, hypertensive disorders of pregnancy, multiple pregnancies, fetuses with major malformations and/or chromosomal disorders and stillborn fetuses were excluded. RESULTS: An increasing trend of median neonatal weight, in comparison with the previous Italian National Curve drawn up in 1975, was found. CONCLUSIONS: Combining data from two centers, a new fetal growth curve, in which the 10th and the 90th percentiles are clinically reliable, was performed, in order to have a better tool to evaluate the Italian fetal population. A trend towards an increase of birth weight was observed if compared to previous growth curve drawn up more than 30 years ago.

Ferrazzani, S., Degennaro, V. A., Di Stasio, E., Poppa, G., Moresi, S., Salvi, S., Lanzone, A., De Carolis, S., Development of a new fetal growth curve from a large sample of Italian population, <<MINERVA PEDIATRICA>>, 2017; 69 (4): 245-250. [doi:10.23736/S0026-4946.16.04258-4] [http://hdl.handle.net/10807/133981]

Development of a new fetal growth curve from a large sample of Italian population

Ferrazzani, Sergio;Degennaro, Valentina A.;Di Stasio, Enrico;Poppa, Giuseppina;Salvi, Silvia;Lanzone, Antonio;De Carolis, Sara
Ultimo
2017

Abstract

BACKGROUND: Intrauterine growth curves are considered an essential instrument in prenatal medicine for an appropriate auxological classification of fetuses and they have a great importance in clinical practice. Nowadays, in Italy a national curve published in 1975, is the most used. It Is based on birth weights of 8458 newborns from physiological pregnancies. The aim of the present study was to develop a modern fetal growth curve based on accurately selection of 35 240 physiological singleton Italian pregnancies with sure gestational age confirmed by ultrasound. METHODS: This is a retrospective analysis of 35,240 pregnancies from "A. Gemelli" University Hospital in Rome and "S. Anna" University Hospital in Turin from January 2001 to December 2006. Non-resident pregnant women or coming from other countries, women with diabetes, hypertensive disorders of pregnancy, multiple pregnancies, fetuses with major malformations and/or chromosomal disorders and stillborn fetuses were excluded. RESULTS: An increasing trend of median neonatal weight, in comparison with the previous Italian National Curve drawn up in 1975, was found. CONCLUSIONS: Combining data from two centers, a new fetal growth curve, in which the 10th and the 90th percentiles are clinically reliable, was performed, in order to have a better tool to evaluate the Italian fetal population. A trend towards an increase of birth weight was observed if compared to previous growth curve drawn up more than 30 years ago.
Inglese
Ferrazzani, S., Degennaro, V. A., Di Stasio, E., Poppa, G., Moresi, S., Salvi, S., Lanzone, A., De Carolis, S., Development of a new fetal growth curve from a large sample of Italian population, <<MINERVA PEDIATRICA>>, 2017; 69 (4): 245-250. [doi:10.23736/S0026-4946.16.04258-4] [http://hdl.handle.net/10807/133981]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/133981
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