Influence of different methods for calculating gestational age at birth on prematurity and small for gestational age proportions: a systematic review with meta-analysis

Página do item simplificado
dc.creatorGabriela Luiza Nogueira Vitral
dc.creatorRoberta Maia de Castro Romanelli
dc.creatorTiago Alves Leonel
dc.creatorJuliano de Souza Gaspar
dc.creatorRegina Amélia Lopes Pessoa de Aguiar
dc.creatorZilma Silveira Nogueira Reis
dc.date.accessioned2025-02-11T20:07:50Z
dc.date.accessioned2025-09-09T00:15:36Z
dc.date.available2025-02-11T20:07:50Z
dc.date.issued2023-02-11
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s12884-023-05411-0
dc.identifier.issn1471-2393
dc.identifier.urihttps://hdl.handle.net/1843/79918
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBMC Pregnancy and Childbirth
dc.rightsAcesso Aberto
dc.subjectUltrassom
dc.subjectTrabalho de parto prematuro
dc.subjectMaturidade fetal
dc.subjectGravidez
dc.subject.otherGestational age
dc.subject.otherPrematurity
dc.subject.otherUltrasound
dc.subject.otherLast menstrual period
dc.titleInfluence of different methods for calculating gestational age at birth on prematurity and small for gestational age proportions: a systematic review with meta-analysis
dc.typeArtigo de periódico
local.citation.epage14
local.citation.spage1
local.citation.volume23
local.description.resumoBackground Recognizing premature newborns and small-for-gestational-age (SGA) is essential for providing care and supporting public policies. This systematic review aims to identify the influence of the last menstrual period (LMP) compared to ultrasonography (USG) before 24 weeks of gestation references on prematurity and SGA proportions at birth. Methods Systematic review with meta-analysis followed the recommendations of the PRISMA Statement. PubMed, BVS, LILACS, Scopus-Elsevier, Embase-Elsevier, and Web-of-Science were searched (10–30-2022). The research question was: (P) newborns, (E) USG for estimating GA, (C) LMP for estimating GA, and (O) prematurity and SGA rates for both methods. Independent reviewers screened the articles and extracted the absolute number of preterm and SGA infants, reference standards, design, countries, and bias. Prematurity was birth before 37 weeks of gestation, and SGA was the birth weight below the p10 on the growth curve. The quality of the studies was assessed using the New-Castle-Ottawa Scale. The difference between proportions estimated the size effect in a meta-analysis of prevalence. Results Among the 642 articles, 20 were included for data extraction and synthesis. The prematurity proportions ranged from 1.8 to 33.6% by USG and varied from 3.4 to 16.5% by the LMP. The pooled risk difference of prematurity proportions revealed an overestimation of the preterm birth of 2% in favor of LMP, with low certainty: 0.02 (95%CI: 0.01 to 0.03); I2 97%). Subgroup analysis of USG biometry (eight articles) showed homogeneity for a null risk difference between prematurity proportions when crown-rump length was the reference: 0.00 (95%CI: -0.001 to 0.000; I2: 0%); for biparietal diameter, risk difference was 0.00 (95%CI: -0.001 to 0.000; I2: 41%). Only one report showed the SGA proportions of 32% by the USG and 38% by the LMP. Conclusions LMP-based GA, compared to a USG reference, has little or no effect on prematurity proportions considering the high heterogeneity among studies. Few data (one study) remained unclear the influence of such references on SGA proportions. Results reinforced the importance of qualified GA to mitigate the impact on perinatal statistics.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.departmentMED - DEPARTAMENTO DE PEDIATRIA
local.publisher.initialsUFMG
local.url.externahttps://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-023-05411-0

Arquivos

Pacote original

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
Influence of different methods for calculating gestational age at birth on prematurity and small for gestational age proportions a systematic review with meta-analysis.pdf
Tamanho:
1.29 MB
Formato:
Adobe Portable Document Format
Baixar

Licença do pacote

Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
License.txt
Tamanho:
1.99 KB
Formato:
Plain Text
Descrição:
Baixar

Coleções

Artigo de Periódico

Logo UFMG