Robillard P Y, De Caunes F, Alexander G R, Sergent M P
Department of Pediatrics and Neonatology, Pointe-à-Pitre Regional Hospital, Guadeloupe, French West Indies.
J Perinatol. 1992 Jun;12(2):115-9.
The Dubowitz assessment of gestational maturity was compared with the best obstetric estimate of gestational age based on date of last menstrual period (LMP) or ultrasonography performed early in the pregnancy or both. This study involved 384 low birthweight infants admitted to the neonatal tertiary center in Guadeloupe, French West Indies, during the period 1986 through 1988. The Dubowitz assessment exceeded the best obstetric estimation by an average of nearly 5 days. This overestimation by the Dubowitz method was observed at every gestational age and was greatest at gestational ages of less than 35 weeks. The physical characteristics of the postnatal assessment were in closer agreement with the best obstetric estimate than the neurological characteristics. These findings concur with other investigations that indicate that the Dubowitz postnatal assessment of gestational age overestimates the gestational age interval from date of LMP in low birthweight and preterm infants.
将基于末次月经日期（LMP）或妊娠早期进行的超声检查或两者结合得出的最佳产科孕周估计值与杜波维茨胎龄评估法进行了比较。本研究纳入了1986年至1988年期间入住法属西印度群岛瓜德罗普岛新生儿三级中心的384例低出生体重儿。杜波维茨评估法比最佳产科估计值平均超出近5天。在每个孕周均观察到杜波维茨方法的这种高估情况，且在孕周小于35周时最为明显。产后评估的身体特征比神经学特征与最佳产科估计值更为一致。这些发现与其他研究结果一致，表明杜波维茨产后胎龄评估法高估了低出生体重儿和早产儿从末次月经日期起的孕周间隔。
