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Accurate gestational dating is a critical component of obstetric and newborn care. In the absence of cohort study. Am J Obstet Gynecol ;e
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Dates Publication Date : May 1, Year , Volume , Issue 7, Pages – Zotero Mendeley EndNote. Abstract In the earlier studies the dating of the piramidal roofed tower tomb in Diocaesarea was suggested as the first quarter of the 1st century B. But it was a very relative criterion. At the latest study, dating was made by the form of the architectural dekorative elements.
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Accurate gestational dating is a critical component of obstetric and newborn care. In the absence of early ultrasound, many clinicians rely on less accurate measures, such as last menstrual period or symphysis-fundal height during pregnancy, or Dubowitz scoring or the Ballard or New Ballard method at birth. These measures often underestimate or overestimate gestational age and can lead to misclassification of babies as born preterm, which has both short- and long-term clinical care and public health implications.
We sought to evaluate whether metabolic markers in newborns measured as part of routine screening for treatable inborn errors of metabolism can be used to develop a population-level metabolic gestational dating algorithm that is robust despite intrauterine growth restriction and can be used when fetal ultrasound dating is not available. We used multivariate backward stepwise regression to test for associations and linear discriminate analyses to create a linear function for PTB and to assign a specific week of gestation.
We used sensitivity, specificity, and positive predictive value to evaluate the performance of linear functions.
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