Fedorova M V, Kotov Iu B, Lukashenko S Iu, Alekseevskiĭ A V, Dub N V, Sichinava L G, Novikova S V, Klimenko P A
Akush Ginekol (Mosk). 1991 May(5):15-9.
The paper deals with early prediction of fetal growth retardation and its severity in a newborn from single ultrasound fetal biometric findings (biparietal head size, chest and belly diameters) at week 20 of pregnancy. The prediction was made by employing the developed varying standards for these parameters as percentile curves and tables. A stepwise prediction of fetal growth retardation was proposed for obstetric in- and outpatient settings, which was presented as an IBM personal computer dialogue program. The positive diagnostic value of fetal growth retardation prediction was found to be 69.7%, its negative value was 86.9%. The paper discusses whether therapeutic measures and pregnancy length affect the efficiency of its prediction and stresses that the prediction is valuable for individual well-grounded tactics for pregnancy management.
本文探讨了根据妊娠20周时单一超声胎儿生物测量结果(双顶径、胸围和腹径)对新生儿胎儿生长迟缓及其严重程度进行早期预测。通过将这些参数的不同标准制定为百分位数曲线和表格来进行预测。针对产科门诊和住院环境,提出了胎儿生长迟缓的逐步预测方法,并以IBM个人计算机对话程序的形式呈现。胎儿生长迟缓预测的阳性诊断价值为69.7%,阴性诊断价值为86.9%。本文讨论了治疗措施和妊娠时长是否会影响预测效率,并强调该预测对于基于个体情况的妊娠管理策略具有重要价值。