Intrauterine growth patterns in rural Ethiopia compared with WHO and INTERGROWTH-21st growth standards: A community-based longitudinal study


Autoři: Meselech Roro aff001;  Wakgari Deressa aff003;  Bernt Lindtjørn aff001
Působiště autorů: Centre for International Health, University of Bergen, Bergen, Norway aff001;  Department of Reproductive Health and Health Service Management, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia aff002;  Department of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia aff003
Vyšlo v časopise: PLoS ONE 14(12)
Kategorie: Research Article
doi: 10.1371/journal.pone.0226881

Souhrn

Introduction

Children’s well-being is highly influenced by their fetal growth. Adequate intrauterine growth (IUG) is a basic feature of a healthy pregnancy. The aim of our study was to assess IUG patterns in a rural and drought-affected population in the Rift Valley area of the Adami Tullu district in Oromia, Ethiopia.

Methods

We conducted a longitudinal, community-based study of IUG patterns utilizing serial ultrasound measurements. Data were collected for 17 months, from July 2016 to November 2017. We included 675 singleton foetuses ≤ 24 weeks old, based on ultrasound-derived estimates of gestational age, and followed them until delivery. We obtained head circumference, biparietal diameter, abdominal circumference, femur length, and estimated fetal weight at 26, 30, and 36 weeks. Fetal weight was estimated using the Hadlock algorithm, and the 5th, 10th, 25th, 50th, 75th, 90th, and 95th centiles were developed from this model. We compared the biometric measurements and fetal weight data from our study to the World Health Organization (WHO) and INTERGROWTH-21st fetal growth reference standards.

Results

Distribution of the biometric measurements and estimated fetal weights in our study were similar to those for the WHO and INTERGROWTH-21st references. Most measurements were between -2 and +2 of the reference z-scores. Based on the smoothed percentiles, the 5th, 50th, and 95th percentiles of our study had similar distribution patterns to the WHO chart, and the 50th percentile had a similar pattern to the INTERGROWTH-21st chart.

Conclusions

Our study determined fetal growth patterns in a drought-affected rural community of Ethiopia using common ultrasound biometric measurements. We found similar IUG patterns to those indicated in the WHO and INTERGROWTH-21st fetal growth reference standards.

Klíčová slova:

Biometrics – Birth weight – Ethiopia – Charts – Labor and delivery – Malaria – Pregnancy – Ultrasound imaging


Zdroje

1. Gluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease. The New England journal of medicine. 2008;359(1):61–73. doi: 10.1056/NEJMra0708473 18596274

2. Barker DJ. Adult consequences of fetal growth restriction. Clinical obstetrics and gynecology. 2006;49(2):270–83. doi: 10.1097/00003081-200606000-00009 16721106

3. Lubchenco LO, Hansman C, Dressler M, Boyd E. Intrauterine growth as estimated from liveborn birthweight data at 24 to 42 weeks of gestation. Pediatrics. 1963;32:793–800. 14075621

4. Johnsen SL, Wilsgaard T, Rasmussen S, Sollien R, Kiserud T. Longitudinal reference charts for growth of the fetal head, abdomen and femur. European journal of obstetrics, gynecology, and reproductive biology. 2006;127(2):172–85. doi: 10.1016/j.ejogrb.2005.10.004 16289532

5. Snijders RJ, Nicolaides KH. Fetal biometry at 14–40 weeks' gestation. Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology. 1994;4(1):34–48.

6. Hadlock FP, Harrist RB, Martinez-Poyer J. In utero analysis of fetal growth: a sonographic weight standard. Radiology. 1991;181(1):129–33. doi: 10.1148/radiology.181.1.1887021 1887021

7. Owen P, Donnet ML, Ogston SA, Christie AD, Howie PW, Patel NB. Standards for ultrasound fetal growth velocity. British journal of obstetrics and gynaecology. 1996;103(1):60–9. doi: 10.1111/j.1471-0528.1996.tb09516.x 8608100

8. Zhang J, Merialdi M, Platt LD, Kramer MS. Defining normal and abnormal fetal growth: promises and challenges. American journal of obstetrics and gynecology. 2010;202(6):522–8. doi: 10.1016/j.ajog.2009.10.889 20074690

9. Kiserud T, Piaggio G, Carroli G, Widmer M, Carvalho J, Neerup Jensen L, et al. The World Health Organization Fetal Growth Charts: A Multinational Longitudinal Study of Ultrasound Biometric Measurements and Estimated Fetal Weight. PLoS medicine. 2017;14(1):e1002220. doi: 10.1371/journal.pmed.1002220 28118360

10. Papageorghiou AT, Ohuma EO, Altman DG, Todros T, Cheikh Ismail L, Lambert A, et al. International standards for fetal growth based on serial ultrasound measurements: the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Lancet. 2014;384(9946):869–79. doi: 10.1016/S0140-6736(14)61490-2 25209488

11. Sovio U, White IR, Dacey A, Pasupathy D, Smith GCS. Screening for fetal growth restriction with universal third trimester ultrasonography in nulliparous women in the Pregnancy Outcome Prediction (POP) study: a prospective cohort study. Lancet. 2015;386(10008):2089–97. doi: 10.1016/S0140-6736(15)00131-2 26360240

12. Salam RA, Syed B, Syed S, Das JK, Zagre NM, Rayco-Solon P, et al. Maternal nutrition: how is Eastern and Southern Africa faring and what needs to be done? African health sciences. 2015;15(2):532–45. doi: 10.4314/ahs.v15i2.28 26124800

13. Lausman A, Kingdom J, Maternal Fetal Medicine C. Intrauterine growth restriction: screening, diagnosis, and management. Journal of obstetrics and gynaecology Canada: JOGC = Journal d'obstetrique et gynecologie du Canada: JOGC. 2013;35(8):741–8. doi: 10.1016/S1701-2163(15)30865-3 24007710

14. Imdad A, Yakoob MY, Siddiqui S, Bhutta ZA. Screening and triage of intrauterine growth restriction (IUGR) in general population and high risk pregnancies: a systematic review with a focus on reduction of IUGR related stillbirths BMC Public Health. 2011 Apr;11 (Suppl 3:S1).

15. Central Statistical Agency. Population Projection of Ethiopia for All Regions At Wereda Level from 2014–2017. Addis Ababa, Ethiopia; 2013.

16. Deressa W, Loha E, Balkew M, Hailu A, Gari T, Kenea O, et al. Combining long-lasting insecticidal nets and indoor residual spraying for malaria prevention in Ethiopia: study protocol for a cluster randomized controlled trial. Trials. 2016;17:20. doi: 10.1186/s13063-016-1154-2 26758744

17. WHO. Medical Eligibility Criteria for contraceptive use. 4ed ed2010.

18. Wado YD, Afework MF, Hindin MJ. Effects of maternal pregnancy intention, depressive symptoms and social support on risk of low birth weight: a prospective study from southwestern Ethiopia. PloS one. 2014;9(5):e96304. doi: 10.1371/journal.pone.0096304 24848269

19. World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. 2011.

20. The American Academy of Cardiology. High Blood Pressure (Hypertension) Signs, Causes, Diet, and Treatment. 2017.

21. Ververs MT, Antierens A, Sackl A, Staderini N, Captier V. Which anthropometric indicators identify a pregnant woman as acutely malnourished and predict adverse birth outcomes in the humanitarian context? PLoS currents. 2013;5.

22. Guidelines for the Management of Moderate Acute Malnutrition, in Ethiopia. Addis Ababa: Ministry of Agriculture and Rural Development; September 2012.

23. Lynch CD, Zhang J. The research implications of the selection of a gestational age estimation method. Paediatric and perinatal epidemiology. 2007;21 Suppl 2(Suppl. 2):86–96.

24. Hadlock FP, Deter RL, Harrist RB, Park SK. Estimating fetal age: computer-assisted analysis of multiple fetal growth parameters. Radiology. 1984;152(2):497–501. doi: 10.1148/radiology.152.2.6739822 6739822

25. Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK. Estimation of fetal weight with the use of head, body, and femur measurements—a prospective study. Am J Obstet Gynecol 1985;151(3):333–7. doi: 10.1016/0002-9378(85)90298-4 3881966

26. Trish C, Basky T. Obstetric Ultrasound: How, Why and When Third ed: Elsevier; 2004.

27. Onyango AW, Martorell R, Chumlea WC, Van den Broeck J, Araujo CL, Baerug A, et al. Reliability of anthropometric measurements in the WHO Multicentre Growth Reference Study. Acta Paediatr. 2006;95:38–46. doi: 10.1080/08035250500404085

28. Organization WH. International statistical classification of diseases and related health problems, tenth revision. 2nd ed: World Health Organization; 2004.

29. World Health Organization. Recommendations on interventions to improve preterm birth outcomes. Geneva, Switzerland2015 26447264]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK321160/.

30. Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal components analysis. Health policy and planning. 2006;21(6):459–68. doi: 10.1093/heapol/czl029 17030551

31. Kiserud T, Benachi A, Hecher K, Perez RG, Carvalho J, Piaggio G, et al. The World Health Organization fetal growth charts: concept, findings, interpretation, and application. American journal of obstetrics and gynecology. 2018;218(2S):S619–S29. doi: 10.1016/j.ajog.2017.12.010 29422204

32. IFRC. Ethiopia: Drought- Emergency plan of action operations update number 2(MDRET016): International Federation of Red Cross and Red Crescent Societes 31 August 2016:Accessed 2016 September 15; 5.

33. Schmiegelow C, Scheike T, Oesterholt M, Minja D, Pehrson C, Magistrado P, et al. Development of a fetal weight chart using serial trans-abdominal ultrasound in an East African population: a longitudinal observational study. PloS one. 2012;7(9):e44773. doi: 10.1371/journal.pone.0044773 23028617

34. Gari T, Loha E, Deressa W, Solomon T, Atsbeha H, Assegid M, et al. Anaemia among children in a drought affected community in south-central Ethiopia. PloS one. 2017;12(3):e0170898. doi: 10.1371/journal.pone.0170898 28291790

35. University of Oxford. International Fetal Growth Standards: Application. 2017.

36. Nyberg David A., McGahan John P., Pretorius Dolores H., Gianluigi Pilu. Diagnostic Imaging of Fetal Anomalies 530 Walnut Street, Philadelphia, PA 19106 USA: Lippincott Williams & Wilkins. 2003

37. Wong L, Paul E, KM Murday H, et al. Biparietal diameter measurements using the outer-to-outer versus outer-to-inner measurement: A question of pedantry? AJUM 2018;21 (3):161–8.


Článek vyšel v časopise

PLOS One


2019 Číslo 12