Experience on our clinical service suggested that the real-time ultrasonically measured fetal biparietal diameter (BPD) might not accurately estimate gestational age in the preterm pregnancy complicated by premature rupture of membranes (PROM). Of 2510 consecutive pregnancies for which the BPD could
Analysis of biparietal diameter as an accurate indicator of gestational age
β Scribed by Alfred B. Kurtz; Ronald J. Wapner; Robert J. Kurtz; D. David Dershaw; Carl S. Rubin; Catherine Cole-Beuglet; Barry B. Goldberg
- Book ID
- 102887693
- Publisher
- John Wiley and Sons
- Year
- 1980
- Tongue
- English
- Weight
- 615 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0091-2751
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
To date, there have been 25 studies attempting to correlate biparietal diameter and gestational age; of these, 17 meet specific criteria and thus are included in this evaluation. Although all studies have shown an increase in biparietal diameter with advancing gestational age, between 17 wk and term there is a discrepancy of approximately 3 wk. In this evaluation the charts are compared and the variations analyzed. An ideal table is constructed by combining the mean gestational age, calculated from a statistical analysis, and the variation at each millimeter point, determined by comparison of all the studies. It is hoped that this new 90% composite table, which consists of a range of gestational ages in weeks for each biparietal diameter, will not only provide more realistic indications of fetal age but also will serve as a reminder to sonographers, obstetricians, and patients of the relative accuracy and variations of biparietal diameter measurements.
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