The preferred timing of second-trimester obstetric sonography based on maternal body mass index

Michael E. Lantz, Christian A. Chisholm

Research output: Contribution to journalArticle

Abstract

Objective. To determine the preferred timing of sonographic screening of fetal anatomy based on the maternal body mass index (BMI). Methods. We abstracted the sonographic reports of 2303 gravidas undergoing routine fetal anatomic screening between 15 and 24 weeks' gestation to determine the completeness of the study. Height and weight information was available on 1444 patients. The maternal BMI (weight [kilograms]/height [square meters]) was categorized as underweight (<19.8), normal weight (19.8-26.0), overweight (26.1-29.0), and obese (>29.0). Completion rates were compared by χ2 analysis. Multiple logistic regression was used to evaluate for independent predictors of a completed study. Results. Except for underweight women, completion rates for all BMI categories were significantly higher when the sonographic examinations were performed between 18 weeks and 19 weeks 6 days compared with those performed between 15 weeks and 17 weeks 6 days. Body mass index, estimated gestational age, and black race were independent predictors of a completed study. Conclusions. Except in underweight women, the 18- to 20-week interval appears to be superior to the 15- to 18-week interval when performing sonographic screening of the fetal anatomy.

Original languageEnglish (US)
Pages (from-to)1019-1022
Number of pages4
JournalJournal of Ultrasound in Medicine
Volume23
Issue number8
DOIs
StatePublished - Aug 2004

Keywords

  • Estimated gestational age
  • Fetal anatomy
  • Maternal body mass index
  • Prenatal sonography

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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