Differing fetal growth patterns in pregnancies complicated by preterm labor

Scott N. Macgregor*, Rudy E. Sabbagha, Ralph K. Tamura, Bruce W. Pielet, Seth L. Feigenbaum

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

Previous studies have demonstrated diminished ultrasonic fetal growth parameters in women delivering preterm. In this study, we tested the following hypothesis: In pregnancies complicated by spontaneous preterm labor, 1) unsuccessful tocolysis is likely to be associated with diminished fetal growth, and 2) successful tocolysis is likely to occur when fetal growth is normal. Ultrasound examinations were performed in 78 pregnancies complicated by preterm labor before 35 weeks gestation. Tocolysis was attempted unless contraindicated or unless cervical dilatation was advanced (4 cm or greater). Pregnancies delivering before 36 weeks gestation were compared with those delivering after this gestational age. Among the 48 pregnancies delivered before 36 weeks gestation, a significantly greater proportion had ultrasonic growth parameters lower than normal values at corresponding gestational ages. In contrast, those pregnancies that had successful tocolysis and delivered near term demonstrated a normal distribution of ultrasound growth parameters. In pregnancies complicated by preterm labor, ultrasonic documentation of diminished fetal growth may identify the subgroup at increased risk for preterm delivery.

Original languageEnglish (US)
Pages (from-to)834-837
Number of pages4
JournalObstetrics and gynecology
Volume72
Issue number6
DOIs
StatePublished - Dec 1988

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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