Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Fetus”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,009 records · Page 56Linked to original sources
PubMed1988

Ultrasonic growth parameters in fetuses of mothers with primary addiction to cocaine.

Sixty-seven women with primary addiction to cocaine were evaluated during their pregnancies by multiple ultrasound studies. Ultrasonic parameters included biparietal diameter, femur length, abdominal circumference, and head circumference. These values were compared with ultrasonic growth parameters in nonaddicted fetuses. Head and abdominal circumference data were used to evaluate the fetuses according to growth pattern. With this system of scoring, subtleties of asymmetric versus symmetric intrauterine growth retardation become apparent. In addition, birth weights of addicted infants were compared with birth weights of nonaddicted infants. The results suggest that, although statistically significant differences in birth weights cannot be demonstrated, abnormal growth of the addicted fetuses does occur. Addicted fetuses show a greater proportion of biparietal diameter and abdominal circumference values below the 50th and 25th percentiles than nonaddicted fetuses, and addicted fetuses more frequently exhibit intrauterine growth retardation patterns. These data suggest that it is fruitful to study these infants with near-normal size but with abnormal intrauterine growth patterns.

Birth Weight↗
PubMed1990

The development of hydrops fetalis in the ovine fetus after lymphatic ligation or lymphatic excision.

Sixteen ovine fetuses underwent either ligation or excision of the left thoracic, left cervical, and left brachiocephalic lymphatic ducts. Our purpose was to test the hypothesis that interruption of lymphatic flow would lead to hydropic changes in the ovine fetus. Of the 11 animals in the group that underwent ligation, hydrops developed in 1. All five of the fetuses that underwent excision of these major lymphatic ducts were hydropic at the time of autopsy (3 to 7 days), with 62 to 502 ml of free fluid collected from the thoracic and abdominal cavities. The mean edema fluid total protein concentration in the hydropic fetuses was 2.6 gm/dl. This value was 71% to 94% of that found in the plasma, suggesting that the fetus is capable of producing new plasma proteins at a high rate. The observation that lymphatic excision led to hydropic changes in the ovine fetus, whereas ligation did not consistently produce hydrops, suggests that fetal lymph vessels may be capable of very rapid regrowth over short distances. Thus lymphatic excision, but not ligation, produces an animal model for the study of hydrops fetalis.

Analysis of Variance↗
PubMed1993

Tissue-specific mosaicism among fetuses with prenatally diagnosed diaphragmatic hernia.

OBJECTIVE: Our purpose was to determine if cytogenetic discrepancies between fetal blood and amniotic fluid are present in fetuses with prenatally diagnosed diaphragmatic hernia. STUDY DESIGN: Chromosome analysis was performed on 15 fetuses with prenatally diagnosed diaphragmatic hernia. Fourteen had both amniotic fluid and fetal blood studies. One fetus had an amniocentesis followed by postnatal skin and peripheral lymphocyte chromosome analysis. RESULTS: In one fetus with a normal karyotype on fetal blood, amniotic fluid mosaicism for a supernumerary isochromosome 12p was identified. Another fetus had normal amniotic fluid chromosome analysis but was diagnosed with mosaic isochromosome 12p on skin biopsy after birth. Concordant aneuploidy in both fetal blood and amniocytes was found in five pregnancies (three with trisomy 18, one with an unbalanced translocation, and one with mosaic supernumerary isochromosome 12p). Eight fetuses had normal karyotypes. CONCLUSION: Because diaphragmatic hernia is a common component of mosaic isochromosome 12p syndrome and this chromosome abnormality is predominantly found in fibroblasts but not lymphocytes, an amniocentesis may be more accurate than fetal blood sampling in defining the true fetal chromosome status when diaphragmatic hernia is detected prenatally.

Adult↗
PubMed1988

Neurohypophysial hormones of the 1-month-old bovine fetus: absence of vasotocin during mammal development.

The neurohypophysial hormones of the 1-month-old bovine fetus have been identified by their positions in ion-exchange chromatography and their retention times in high-pressure reverse-phase partition chromatography. Arginine vasopressin and oxytocin have been recognized. The molar ratio vasopressin/oxytocin in neurohypophysis is about 6 in the 1-month-old fetus compared with 4 in the 3-month-old fetus, 2.7 in the 7-month-old fetus and 1 in the adult. Vasotocin is virtually absent even in the early fetus (less than 0.1% of arginine vasopressin). The occurrence of a vasotocin gene expressed in the fetus but silent in the adult appears unlikely.

Animals↗
PubMed1987

Cardiovascular dynamics in relation to presentation and postural changes in normal fetuses.

The role of fetal cardiovascular function in the reduced intrauterine growth rate of breech pregnancy was studied in fetuses with different presentations. Hemodynamic responses to postural changes were also investigated in fetuses in horizontal and vertical positions. Thirty-one normal pregnancies, with 15 fetuses presenting by the breech and 16 fetuses by the vertex, were included in the study. Diameter pulse waves from the fetal descending aorta were measured using equipment combining real-time ultrasound imaging with phase-locked echo-tracking. No differences in basal pulse wave parameters were demonstrated between breech and vertex fetuses nor did any differences appear when maternal posture was changed from horizontal to upright or vice versa. The present observations suggest that fetal circulatory factors are less likely to be a primary cause of the reduced intrauterine growth in breech presentation. Tilting of the fetus in late gestation seems to produce neither a redistribution of its blood volume nor secondary adaptations to an orthostatic challenge. The hydrostatic effect of amniotic fluid presumably precludes the requirement of fetal circulatory adaptation to postural changes.

Adult↗
PubMed1990

Prenatal diagnosis of sex in bovine fetuses by amniocentesis.

The sex of 1, 056 bovine fetuses was diagnosed by cytogenetic analysis of amniotic cells collected surgically from cows made pregnant as a result of embryo transfer. The fetuses ranged in gestational age from 7 to 22 wk at the time of amniocentesis. Amniotic cells were cultured for 5 to 30 d to obtain a sufficient number of cells for cytogenetic analysis. The growth rate of 819 samples was examined in detail. On average, amniotic cells from pregnancies that were 7 or 8 wks old required about 13 d to reach a cell concentration sufficient for analysis, whereas those from pregnancies that were 10 wk old or more required only 10 d or less to reach that concentration. Final disposition of 325 pregnancies subjected to amniocentesis was unequivocally confirmed. Of these, the sex of 302 fetuses (93%) was determined with a male: female ratio of 51:49. The gender of 213 of 220 fetuses (96.8%) was correctly dignosed, as verified by examination of either 33 intentionally induced abortuses or of 187 live calves. Thirteen percent (29) of 216 pregnancies that were allowed to proceed to term ended in spontaneous abortion, a rate only about 5% higher than that reported to occur normally in embryo transfer pregnancies. The remaining 53 pregnancies were induced to abort, but it was not possible to recover and verify the sex of those fetuses. The capability to diagnose fetal sex in utero yielded other useful information as well. For example, the sex ratio of 1,056 fetuses during development from 7 to 15+ wk of gestation was found to be the same (51:49) as it was at calving. Finally, amniocentesis to determine prenatal sex provides time to alter the sex ratio of a calf crop. It may ultimately prove valuable as an adjunct to genetic engineering of cattle to identify presumptive transgenic calves in utero.

Journal Article↗
PubMed1993

Use of real-time ultrasound to identify multiple fetuses in beef cattle.

To examine the feasibility of producing multiple births in beef cattle by means of superovulation, realtime ultrasound was used to identify cows carrying multiple fetuses. Three replicates of the superovulation experiment were conducted with groups of 52, 25 and 89 purebred Angus cows, respectively. Both uterine horns of cows from Replicate 1 were examined via the rectum using ultrasound at averages of 43 (range = 30 to 68 days), 51 (range = 38 to 76 days) and 126 (range = 113 to 151 days) days after AI. Cows in Replicate 2 were examined in the same fashion at averages of 55 and 97 days post insemination. In Replicate 3 the number of fetuses was estimated on a single date (average number of days post insemination = 49 days). Across the 3 replicates, the number of fetuses was most accurately assessed at an average of between 49 and 55 days post insemination. In most instances for which comparability between ultrasound estimations and calving results was low, the lack of correspondence was likely due to embryo mortality in cows identified as carrying multiple fetuses. For all 3 replicates combined, only 1 cow diagnosed with a single fetus produced multiple calves at birth when the diagnoses were conducted at 49 to 55 days post insemination. Real-time ultrasound can be used to accurately identify open cows and to differentiate between cows carrying single or multiple fetuses.

Journal Article↗
PubMed1992

Infection of bovine fetuses at 120 days' gestation with virulent and avirulent strains of bluetongue virus serotype 11.

Bluetongue virus infection in sheep and cattle during fetal development causes neuropathology. Two strains of bluetongue virus serotype 11 designated as UC-2 and UC-8 have different virulence patterns in newborn mice. These viruses have distinctly different electropherotype patterns on polyacrylamide gel electrophoresis indicating a genetic difference in these two viruses of the same serotype. Four bovine fetuses each were inoculated intramuscularly with either UC-2 or UC-8, and one fetus was inoculated with placebo. The inoculation was made intramuscularly through the uterine wall at 120 days' gestation, and the bovine fetuses were recovered by cesarean section 12 or 20 days after inoculation. Fetal blood was collected for virus isolation and serology. Virus was reisolated from brain, blood, lung and liver. Both strains, UC-2 and UC-8, cause severe lesions in the 120 day fetuses. The encephalomalacic lesions occurred earlier and were more severe in fetuses inoculated with UC-8 as compared to those inoculated with UC-2. The subtle differences observed in the fetuses inoculated with the two different strains suggest that there is a difference in pathogenic potential of the two viruses. These differences do not appear to be completely dependent upon the host species.

Animals↗
PubMed1989

Changes in vascular resistance in the umbilical and middle cerebral arteries in the human intrauterine growth-retarded fetus, measured with pulsed Doppler ultrasound.

To assess how different cardiotocographic (CTG) findings are related to changes in vascular resistance, 256 normal and 37 growth retarded (IUGR) fetuses from 27 to 41 weeks of gestation were studied. Immediately following CTG monitoring, pulsed Doppler was used to identify flow velocity waveforms in both the middle cerebral artery (MCA) and the umbilical artery (UA), and from these the Resistance Indices (RIs) in both arteries (RIMCA and RIUA) were calculated. Of the 37 growth retarded fetuses, 25 had normal CTG findings. Although only 3 (12.0%) of these fetuses had low RIMCA, 12 (48.0%) had high RIUA, statistically different (P less than 0.01) from normal fetuses. In 11 of 12 (91.7%) growth retarded fetuses with an abnormal CTG, there were low RIMCA values, significantly more (P less than 0.01) than in those with a normal CTG. As for RIUA, all 12 IUGR fetuses with an abnormal CTG had high RIUA values (100%), a much higher proportion (P less than 0.01) than was found in the normal CTG group. These results mean that intrauterine fetal growth retardation per se is associated with a chronic increase in the RI value in the umbilical artery. By contrast, cerebral vascular resistance appears to decrease in compromised conditions, as indicated by abnormal CTG findings.

Blood Flow Velocity↗
PubMed1995

Blood levels of vasoactive intestinal polypeptide in normal and growth retarded fetuses: relationship with acid-base and haemodynamic status.

The objectives of this study were (1) to detect vasoactive intestinal polypeptide in fetal blood obtained by cordocentesis (2) to examine possible changes in growth retarded fetuses and to establish relationships between its levels and fetal blood acid-base status as well as fetal haemodynamics as assessed by Doppler ultrasonography. Vasoactive intestinal polypeptide was measured in umbilical vein blood obtained at cordocentesis in 12 growth retarded fetuses and in 13 control fetuses. Umbilical vein pH and PO2 values were determined in all the cases. Before the procedure, Doppler indices were calculated from umbilical artery, middle cerebral artery, renal artery, cardiac outflow tracts and inferior vena cava. Simple and multiple stepwise regression analysis were performed to examine the relationships between Doppler indices, acid-base status and vasoactive intestinal polypeptide levels. In control fetuses, vasoactive intestinal polypeptide was always detectable in cord blood and its levels did not change with gestational age. In growth retarded fetuses, vasoactive intestinal polypeptide levels were higher and significantly related to umbilical vein PO2 levels, Pulsatility Index in umbilical artery, middle cerebral artery and renal artery, while no relationship was found with umbilical vein pH, cardiac and venous Doppler indices. Stepwise multiple regression demonstrated middle cerebral artery Pulsatility Index to be the best explanatory variable for vasoactive intestinal polypeptide levels. In conclusion, vasoactive intestinal polypeptide blood levels are increased in growth retarded fetuses and this increase is inversely related to the Doppler measured impedance to flow in middle cerebral artery.

Acid-Base Equilibrium↗
PubMed2004

Number of ovarian follicles in human fetuses with the 45,X karyotype.

OBJECTIVE: To evaluate the numbers of ovarian follicles during fetal life in the gonads of human female fetuses with the 45,X karyotype (Turner syndrome, TS) and to compare them with those from age-matched 46,XX fetuses. DESIGN: Retrospective study. SETTING: An academic hospital. PATIENT(S): Ovarian samples from TS fetuses (aged 17-37 weeks), mainly obtained after induced abortion, and ovaries from eight control fetuses (matching gestational ages). INTERVENTION(S): Embedded blocks of ovaries were collected from anatomy-pathology departments of three university hospitals and were sectioned and stained with hematoxylin-eosin. MAIN OUTCOME MEASURE(S): Observation of primordial and growing follicles. RESULT(S): In the fetal ovaries of controls, numerous oogonia were observed at 18 weeks. Primordial follicles were present in all ovaries from 20 weeks' gestation onward, whereas preantral and antral follicles were observed from 26 weeks onwards. In ovaries from 45,X TS fetuses, oogonia were observed in some ovaries, but no primordial, preantral, or antral follicles were found, even in ovaries from the third trimester of gestation. CONCLUSION(S): Follicle formation and growth are severely reduced in ovaries from aborted 45,X TS fetuses.

Abortion, Induced↗
PubMed2006

Effect of nutrient restriction on the somatotropes and substance P-immunoreactive cells in the pituitary of the female ovine fetus.

The maternal environment affects fetal development and may influence the physiology of the adult. Fetal growth hormone (GH) is increased by maternal undernutrition but the mechanisms responsible are unknown. This study determined the effect of maternal undernutrition on the development of fetal pituitary somatotropes in the female. Ewes were grouped randomly into control (fed 100% of requirements) or nutrient restricted (fed 50%) from Days 28 to 78 of gestation. At Day 78, the ewes were killed and fetuses collected (Day 78 NR (nutrient restricted): n=6; Day 78C (control): n=6). Remaining ewes were realimented to 100% of nutritional requirements and were killed at Day 135 (Day 135 NR (nutrient restricted): n=6; Day 135 C (control): n=6). Somatotropes were visualized immunocytochemically and the size, mean density, total percentage and proportion colocalized with substance P were determined for each group. Nutrient restriction increased (p<0.01) the density of pituitary cells in Day 78 fetuses but this difference was no longer apparent by Day 135 after realimentation. The density and proportion of somatotropes were not different between treatment groups at Day 78 but were significantly (p<0.05) lower in the nutrient restricted Day 135 fetuses as compared to the Day 135 control animals. Somatotropes from restricted fetuses were significantly (p<0.001) larger at Day 78. Nutrient restriction increased the density (p<0.001) and percentage (p<0.05) of substance P-immunoreactive cells Day 135 fetuses. Similarly, the proportion of somatotropes that expressed substance P was significantly (p<0.05) increased by nutrient restriction in the Day 135 fetuses. Although nearly two thirds of substance P-immunoreactive cells co-expressed GH, there was no significant effect of treatment on this co-expression. Additional studies are required to determine if other components of the neuroendocrine GH axis are affected by this nutritional insult, if the alterations that we have observed, particularly in the tachykinin system, persist into adulthood and, importantly, what are the long-term consequences of an altered GH axis.

Animals↗
PubMed2004

Long-term hypoxia alters endocrine and physiologic responses to umbilical cord occlusion in the ovine fetus.

OBJECTIVE: This study was designed to determine the effect of umbilical cord occlusion (UCO) on fetal endocrine responses in the long-term hypoxemic (LTH) ovine fetus. METHODS: Pregnant ewes were maintained at high altitude (3820 m) from day 30 of gestation. Normoxic control and LTH fetuses were catheterized, and an inflatable occluder was placed on the umbilical cord at day 132 of gestation. In the LTH group, maternal oxygen tension was maintained at approximately 60 mmHg by nitrogen infusion through a maternal tracheal catheter. On day 137, two 5-minute UCOs were performed. On day 139, the study was repeated with a 10-minute UCO. RESULTS: Basal adrenocorticotropic hormone (ACTH) levels and peak responses to the first 5-minute UCO were not different between control and LTH fetuses (17.6 +/- 4.0 to 418.8 +/- 41.3 in controls, 25.7 +/- 4.0 to 530.0 +/- 93.0 pg/mL in LTH fetuses). A similar pattern was observed during the second UCO. Basal cortisol levels were similar in both groups. In response to UCO, a significant increase in cortisol was observed in both groups, but peak concentrations in the LTH group were significantly higher than those in the control group (23.9 +/- 4.8 versus 14.8 +/- 2.9 ng/mL, respectively, P <.05). The second occlusion also increased cortisol concentrations, but no differences were observed between groups. After the 10-minute UCO, the ACTH and cortisol responses were similar to the first 5-minute occlusion, with higher cortisol levels in the LTH fetuses. CONCLUSION: Despite similar ACTH responses to UCO, the cortisol response was greater in the LTH fetuses than in normoxic controls. LTH appears to result in enhanced adrenal sensitivity to a secondary stressor or altered cortisol metabolism.

Adrenocorticotropic Hormone↗
PubMed2005

Hyaluronan content of Wharton's jelly in healthy and Down syndrome fetuses.

The mechanisms by which the excess genetic material of chromosome 21 results in the dysmorphologic features of Down syndrome (DS) are largely unknown. It has been found that the extracellular matrix of nuchal skin of DS fetuses exhibits an higher content of hyaluronan (HA) compared to that of euploid fetuses. Since HA plays a central role in many morphogenetic processes during embryogenesis, an alteration in its metabolism could be involved in the pathogenesis of several structural defects of DS. The extracellular matrix of umbilical cord (UC) is the mammalian tissue with one of the highest content of HA. Therefore we sought to explore the quantitative HA modifications during gestation, tissue distribution and HA metabolism in euploid and DS UCs. Euploid UCs (n=28) and UCs from DS fetuses (n=13) were obtained after termination of pregnancy, spontaneous abortion, or at delivery. Quantitative and molecular size analysis were performed using HPLC and FPLC. Tissue distribution was visualized by immunohistochemistry. Gene expression for HA synthases (HAS) and hyaluronidases (HYAL) were quantified by real-time PCR techniques and HYAL activity was detected by zymography. In euploid UC only HA of a molecular weight of 1700 kDA was present while in DS UC an additional lower weight HA molecule of 1100 kDA was found. Immunohistochemistry showed a larger amount of Wharton's jelly HA in DS UCs than in euploid UC. Real-time PCR analysis showed that HAS 2 and HYAL 2 were expressed at significant levels in all specimens. A higher expression of HAS 2 and a lower expression of HYAL 2 was found in the Wharton's jelly of DS fetuses compared to that of euploid fetuses at 14 weeks of gestation. On the contrary, at term HYAL 2 expression was higher in DS specimens than in those from euploid fetuses. Zymographic studies showed a similar behavior with a lower HYAL activity at early gestation and a higher HYAL activity at term gestation in DS UCs compared to euploid specimens. Therefore we can conclude that HA is more represented in DS UCs than in euploid UCs. A complex alteration of the HA metabolism characterized by an increased synthesis of lower weight HA molecules is a peculiarity of DS UCs.

Biotin↗
PubMed2006

Diagnostic survey of bovine abortion with special reference to Neospora caninum infection: importance, repeated abortion and concurrent infection in aborted fetuses in Southern Brazil.

The protozoa Neospora caninum is an important cause of bovine abortion world-wide. The objective of this survey was to determine the distribution pattern of infectious abortion in Southern Brazil with special reference to N. caninum infection. A total of 161 bovine aborted fetuses from 149 farms were analysed during a 1.5 year period. The cause of abortion was identified in 51.5% of cases. Overall, 23% (37/161) of the fetuses were considered to be infected with N. caninum. Bacterial infection accounted for 17.4% (28/161) of cases, fungal infection for 3.1% (5/161) of cases and viral aetiology for 1.8% (3/161). Six fetuses had concurrent infection with N. caninum and Leptospira spp. Data from 111 fetuses and the respective aborted cows were analysed to investigate the association between previous abortion and current N. caninum infection. The prevalence of N. caninum-infected fetuses from cows with and without a history of previous abortion was 44% (11/25) and 24.4% (21/86), respectively. Cows aborting a N. caninum-infected fetuses were 2.4 times more likely to have aborted previously than cows aborting for other reasons (95% CI of odds ratio=0.9-6.8, P=0.06).

Abortion, Veterinary↗
PubMed2000

Umbilical artery doppler screening for detection of the small fetus in need of antepartum surveillance.

OBJECTIVE: Our goal was to test the hypothesis that umbilical artery Doppler velocimetry identifies fetuses who are small for gestational age and in need of antenatal surveillance. STUDY DESIGN: Three hundred eight fetuses with either an ultrasonographic weight estimate <10th percentile for gestational age or an abdominal circumference <2.5th percentile for gestational age or both of these had an umbilical artery Doppler measurement of the systolic/diastolic ratio. A systolic/diastolic ratio >90th percentile for gestation was considered abnormal. The incidences of a birth weight <10th percentile, fetal distress, and metabolic acidemia were recorded for both groups (normal vs abnormal umbilical artery Doppler). RESULTS: Only the umbilical artery systolic/diastolic ratio predicted perinatal outcome in the group of fetuses who were presumed to be small for gestational age. Those 138 fetuses with elevated umbilical artery systolic/diastolic ratios had lower umbilical artery and vein pH values at birth (artery, 7.23 +/- 0.08 vs 7.25 +/- 0.1; P <.02; vein, 7.31 +/- 0.01 vs 7.34 +/- 0.09; P =.01), an increased likelihood of fetal distress consistent with chronic hypoxemia (26.3% vs 8.6%; P <.0001), more admissions to the neonatal intensive care unit (40.7% vs 30.7%; P <.005), and a higher incidence of respiratory distress (66% vs 27.3%; P <.03). However, it is important that no fetus with a normal Doppler flow measurement was delivered with a metabolic acidemia associated with chronic hypoxemia. Further, the likelihood of a false-positive diagnosis of intrauterine growth restriction was increased in the group with a normal umbilical artery Doppler resistance. CONCLUSION: Antenatal surveillance may be unnecessary in fetuses with suspected intrauterine growth restriction if the umbilical artery systolic/diastolic ratio and amniotic fluid volume are normal, because the complications that occur are intrapartum. If these findings are confirmed in prospective trials, the cost implication of reducing the number of antenatal surveillance tests administered in this group of patients is great.

Abdomen↗
PubMed1987

Changes in intracardiac Doppler blood flow velocities in fetuses with absent umbilical artery diastolic flow.

Umbilical artery Doppler blood flow velocity studies were used to identify 14 fetuses with absent flow during diastole to determine the significance of absent umbilical artery diastolic flow. Outcomes of these fetuses were recorded, and the associated intracardiac Doppler changes were identified in 12 of them. Maximal and mean intracardiac flow velocities were measured, and volume flows through the right (tricuspid valve, pulmonary valve) and left (mitral valve, aortic valve) sides of the heart were compared. Ratios of intracardiac peak flow velocity in late diastole to peak flow velocity in early diastole were calculated. Eleven fetuses had intrauterine growth retardation, and four had multiple congenital anomalies. Fetuses with no diastolic flow in the umbilical artery had increased volume flow across the tricuspid and pulmonary valves compared with normal fetuses of similar weights. The ratio of right-sided to left-sided volume flow in the heart (2.15:1) was increased compared with values in normal fetuses (1.33:1, p less than 0.01). The ratio of late diastolic to early diastolic peak flow velocities across the mitral valve was decreased (p less than 0.01). Absent umbilical artery diastolic flow is associated with increased tricuspid and pulmonary valve volume flow and changes in mitral flow velocity patterns, which suggests that there are alterations in left ventricular function.

Abnormalities, Multiple↗
PubMed1999

Ultrasonographic measurement of liver length in the small-for-gestational-age fetus.

OBJECTIVE: Our purpose was to measure fetal liver size in small-for-gestational-age fetuses diagnosed by ultrasonography and to determine whether the small abdominal circumference used to diagnose small for gestational age is the result of a small liver. STUDY DESIGN: Ninety-eight pregnant women who were diagnosed as having a fetus that was small for gestational age were included. All had a fetal ultrasonographic measurement of abdominal circumference <10th percentile for gestational age. Measurements were made of the length of the right lobe of the fetal liver within 2 weeks of delivery. The liver length measurements were compared with data collected from a normal population that had been previously published by the authors. The group of fetuses with liver length measurements <10th percentile for gestational age were compared with those with liver length measurements within normal limits. RESULTS: Liver length measurements were >10th percentile in 80 fetuses (82%). Eighteen fetuses (18%) had small liver lengths, and this group had significantly smaller antenatal ultrasonographic measurements of head, abdomen, and femur. They were smaller at birth with smaller placentas and they had a higher perinatal mortality rate. CONCLUSION: The small abdominal circumference measurement that is the mainstay of ultrasonographic diagnosis of small for gestational age is thought to be a reflection of fetal liver size. This study questions that assumption. The majority of small-for-gestational-age fetuses in this small study did not have small liver lengths. The small abdominal circumference measurement may reflect a reduction in size of other intra-abdominal organs, reduced amounts of fat, or possibly an elevated diaphragm because of poor lung growth.

Case-Control Studies↗