Keywords
Fetal growth retardation
Fetal macrosomia
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Abstract
Objective: To evaluate the evolution of uterine height, considering maternal pathologies. Methods: A total of 1,002 pregnant women were studied. Data from anamnesis and physical examination were used. The uterine heights were measured and grouped at weekly intervals, according to the Assis GP curve, 2021. The patients were divided into 4 groups, according to the pathology: group 1 - patients with diseases that occur with placental vascular alterations, group 2 - low-risk pregnant women, group 3 - patients with metabolic pathologies and group 4 - patients with other pathologies that do not represent metabolic or vascular damage. The data were entered into a spreadsheet and p<0.05 was considered. Results: A total of 1002 pregnant women were studied, with a mean age of 26.1 + 7.39 years, with a mean of 2.21 + 1.54 pregnancies and 1.0 + 1.31 deliveries and 0.2 + 0.1 abortions. There was an association between the evolution of uterine height and maternal pathology, so that group 1 had the lowest mean uterine height and group 3 had the highest mean in all intervals evaluated (p<0.001), when compared with the group of low-risk pregnant women. Conclusion: The uterine height curve is useful for guiding general practitioners with difficulty in accessing complementary exams.
References
ABREU E, et al. Intrauterine growth retardation: concept and epidemiology. In: KURJAK, S. Textbook of perinatal medicine. London: Parthenon, 2000; 1162-1170.
ASSIS GP, et al. Associação entre a altura uterina e o peso fetal nas gestantes de baixo risco. Revista Eletrônica Acervo Saúde, 2021; 13(6): 7848.
BARINI R. Avaliação da curva de crescimento da altura uterina como método para estimar o peso fetal. Tese de Doutorado (Doutorado em Tocoginecologia) - Universidade Estadual de Campinas, Campinas, 1989; 126.
BASSO NAS, et al. Symphysis-Fundal Height Curve in Pregnancies Complicated by Maternal Hyperglycemia: Comparison with Curves of Nondiabetic Pregnant Women. Biomed Res Int, 2020; 1: 1908764.
BELIZÁN J, et al. Diagnosis of intrauterine growth retardation by a simple clinical method: measurement of uterine height. Am J Obstet Gynecol, 1978; 131: 643-6.
COELHO ALL, et al. A evolução da altura uterina em gestantes com crescimento intrauterino restrito. Revista Eletrônica Acervo Saúde, 2023; 23(7): 12691.
COUTO LCS, et al. Curva de altura uterina: comparação entre gestantes diabéticas com bom controle glicêmico e gestantes não diabéticas. Revista Eletrônica Acervo Saúde, 2022; 15(7): 10674.
CROCKART IC, et al. Classification of intrauterine growth restriction at 34-38 weeks’gestation with machine learning models. Inform Med Unlocked, 2021; 23: 100533.
FALEIROS GQA, et al. Diabetes mellitus gestacional: o controle glicêmico como elemento de controle de peso fetal. Revista Eletrônica Acervo Saúde, 2021; 13(5): 7413.
FRANCIS EC, et al. Refining the diagnosis of gestational diabetes mellitus: a systematic review and meta-analysis. Commun Med (Lond), 2023; 13(1): 185.
FREIRE DMC, et al. Curva da altura uterina por idade gestacional em gestantes de baixo risco. Rev Bras Ginecol Obstet, 2006; 28(1): 3-9.
GIOULEKA S, et al. Fetal Growth Restriction: A Comprehensive Review of Major Guidelines. Obstet Gynecol Surv, 2023; 78(11): 690-708.
GOTO E. Symphysis-fundal height to identify large-for-gestational-age and macrosomia: a meta-analysis. J Obstet Gynaecol, 2020; 40(7): 929-935.
MARTINELLI S, et al. Proposta de Nova Curva de Altura Uterina para Gestações entre a 20ª e a 42ª Semana. Rev. Bras. Ginecol. Obstet, 2001; 23(4): 235-41
MOREIRA NETO AR, et al. Etiologia da restrição de crescimento intrauterino (RCIU). Com. Ciências Saúde, 2011; 22(1): 21-30.
QUARANTA P, et al. Prediction of small-for-dates infants by measurement of symphysial-fundal-height. Br J Obstet Gynaecol, 1981; 88: 115-9.
RESNIK R. Intrauterine growth restriction. Obstetrics and Gynecology, 2002; 99 (3): 490-6.
TAYLOR P, et al. Symphysial-fundal height from 12 weeks' gestation. Aust N Z J Obstet Gynaecol, 1984; 24: 189-91.
VILLAR J e BELIZAN JM. The evolution of the methods used in the diagnosis of intrauterine growth retardation. Obstetrics and Gynecology Survey, 1986; 41(4): 187-1999.
WHELAN R, et al. Measurement of symphysis fundal height for gestational age estimation in low-to-middle-income countries: A systematic review and meta-analysis. PLoS One, 2022; 25; 17(8): 272718.