{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T23:31:51Z","timestamp":1781566311747,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T00:00:00Z","timestamp":1436832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Health Research Board (HRB), Ireland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Maternal obesity represents a challenge in the sonographic (US) assessment of fetal weight, and is a recognized risk factor for adverse pregnancy outcome. The objective of this secondary analysis of data from the Prospective Observational Trial to Optimize Pediatric Health in fetal growth restriction (FGR) Study (PORTO) was to describe the effect of maternal obesity on the accuracy of US in determining the estimated fetal weight (EFW) and the perinatal outcome of pregnancies affected by FGR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2010 and 2012, 1,116 women with nonanomalous singleton pregnancies with an EFW in less than the tenth centile were recruited for the PORTO study. Maternal body mass index (BMI) was divided into five subcategories: normal (BMI\u2009&lt;\u200924.9 kg\/m<jats:sup>2<\/jats:sup>), overweight (25\u201329.9), obese class 1 (30\u201334.9), obese class 2 (35\u201339.9), and obese class 3 (&gt;40). The accuracy of the EFW was determined in women who delivered within 2 weeks of their last US scan. Perinatal outcomes were analyzed by BMI subcategory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 1,074 patients with complete records, 691 (64%) were of normal weight, 258 (24%) were overweight, 93 (9%) were in obese class 1, 32 (3%) were in obese class 2, and none were in obese class 3. Overall, the EFW determined prior to delivery was within 6% of the actual birth weight in all BMI subcategories. Overweight and obese women delivered more commonly by cesarean section and at earlier gestational ages than did women with a normal BMI (<jats:italic>p<\/jats:italic>\u2009=\u20090.0008), resulting in lower birth weights (<jats:italic>p<\/jats:italic>\u2009=\u20090.0031) and significantly increased composite perinatal morbidity (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and mortality (<jats:italic>p<\/jats:italic>\u2009=\u20090.0215) rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>US examination is reliable for assessing the weight of fetuses with FGR in overweight women. Maternal obesity, however, has a significant adverse effect on perinatal outcomes. Thus, health education should focus on awareness of this adverse effect, with optimization of prepregnancy weight as its main goal. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>J Clin Ultrasound<\/jats:italic> <jats:bold>44<\/jats:bold>:34\u201339, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcu.22273","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T16:57:07Z","timestamp":1436893027000},"page":"34-39","source":"Crossref","is-referenced-by-count":24,"title":["The effect of maternal obesity on sonographic fetal weight estimation and perinatal outcome in pregnancies complicated by fetal growth restriction"],"prefix":"10.1002","volume":"44","author":[{"given":"Fiona","family":"Cody","sequence":"first","affiliation":[{"name":"Rotunda Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Unterscheider","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Daly","sequence":"additional","affiliation":[{"name":"Coombe Women and Infants University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Geary","sequence":"additional","affiliation":[{"name":"Rotunda Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mairead M.","family":"Kennelly","sequence":"additional","affiliation":[{"name":"UCD Center for Human Reproduction Coombe Women and Infants University Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fionnuala M.","family":"McAuliffe","sequence":"additional","affiliation":[{"name":"UCD Obstetrics and Gynecology School of Medicine and Medical Science, National Maternity Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keelin","family":"O'Donoghue","sequence":"additional","affiliation":[{"name":"University College Cork, Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyson","family":"Hunter","sequence":"additional","affiliation":[{"name":"Royal Jubilee Maternity Hospital Belfast Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Morrison","sequence":"additional","affiliation":[{"name":"National University of Ireland Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard","family":"Burke","sequence":"additional","affiliation":[{"name":"Graduate Entry Medical School, University of Limerick Limerick Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Dicker","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth C.","family":"Tully","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fergal D.","family":"Malone","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Obesity: preventing and managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series No. 894. Geneva: World Health Organization;2000."},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists. Obesity in pregnancy. ACOG committee opinion no. 315. Obstet Gynecol2005;106:671.","DOI":"10.1097\/00006250-200509000-00054"},{"key":"e_1_2_6_4_1","unstructured":"The Health and Social Care Information Centre. Statistics on obesity physical activity and diet\u2013England 2013. Published online February 20 2013. Accessed April 2014."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00685.x"},{"key":"e_1_2_6_6_1","volume-title":"Survey of lifestyle, attitudes and nutrition in Ireland. Dietary habits of the Irish population. Department of Health and Children","author":"Harrington J","year":"2008"},{"key":"e_1_2_6_7_1","unstructured":"American College of Obstetricians and Gynecologists.Fetal growth restriction. Practice Bulletin no. 134.Washington DC:ACOG;2013."},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00096-A"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01249.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1061496"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30879-3"},{"issue":"1","key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.ajog.2012.10.193","article-title":"Optimizing the definition of intrauterine growth restriction: the multicenter prospective PORTO study","volume":"208","author":"Unterscheider J","year":"2013","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(85)90298-4"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.181.1.1887021"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1542\/peds.103.SE1.350","article-title":"The Vermont Oxford Network: evidence based quality improvement for neonatology","volume":"103","author":"Horbar JD","year":"1999","journal-title":"Pediatrics"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(88)90425-5"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7506"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjcu.22273","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.22273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T05:00:30Z","timestamp":1696395630000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.22273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,14]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1002\/jcu.22273"],"URL":"https:\/\/doi.org\/10.1002\/jcu.22273","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,14]]}}}