Imperial College London
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Professor Christoph Lees, MD FRCOG

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Professor of Obstetrics
 
 
 
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Contact

 

+44 (0)20 7594 5770c.lees

 
 
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Assistant

 

Ms Hazel Blackman +44 (0)20 7594 2104

 
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Location

 

Queen Charlottes and Chelsea HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Galjaard:2019:10.1186/s13293-019-0261-7,
author = {Galjaard, S and Ameye, L and Lees, CC and Pexsters, A and Bourne, T and Timmerman, D and Devlieger, R},
doi = {10.1186/s13293-019-0261-7},
journal = {Biology of Sex Differences},
title = {Sex differences in fetal growth and immediate birth outcomes in a low-risk Caucasian population},
url = {http://dx.doi.org/10.1186/s13293-019-0261-7},
volume = {10},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundAccording to the WHO Multicentre Growth Reference Study Group recommendations, boys and girls have different growth trajectories after birth. Our aim was to develop gender-specific fetal growth curves in a low-risk population and to compare immediate birth outcomes.MethodsFirst, second, and third trimester fetal ultrasound examinations were conducted between 2002 and 2012. The data was selected using the following criteria: routine examinations in uncomplicated singleton pregnancies, Caucasian ethnicity, and confirmation of gestational age by a crown-rump length (CRL) measurement in the first trimester. Generalized Additive Model for Location, Scale and Shape (GAMLSS) was used to align the time frames of the longitudinal fetal measurements, corresponding with the methods of the postnatal growth curves of the WHO MGRS Group.ResultsA total of 27,680 complete scans were selected from the astraia© ultrasound database representing 12,368 pregnancies. Gender-specific fetal growth curves for biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL) were derived. The HC and BPD were significantly larger in boys compared to girls from 20 weeks of gestation onwards (p < 0.001) equating to a 3-day difference at 20–24 weeks. Boys were significantly heavier, longer, and had greater head circumference than girls (p < 0.001) at birth. The Apgar score at 1 min (p = 0.01) and arterial cord pH (p < 0.001) were lower in boys.ConclusionsThese longitudinal fetal growth curves for the first time allow integration with neonatal and pediatric WHO gender-specific growth curves. Boys exceed head growth halfway of the pregnancy, and immediate birth outcomes are worse in boys than girls. Gender difference in intrauterine growth is sufficiently distinct to have a clinically important effect on fetal weight estimation but also on the second trimester d
AU  - Galjaard,S
AU  - Ameye,L
AU  - Lees,CC
AU  - Pexsters,A
AU  - Bourne,T
AU  - Timmerman,D
AU  - Devlieger,R
DO  - 10.1186/s13293-019-0261-7
PY  - 2019///
SN  - 2042-6410
TI  - Sex differences in fetal growth and immediate birth outcomes in a low-risk Caucasian population
T2  - Biology of Sex Differences
UR  - http://dx.doi.org/10.1186/s13293-019-0261-7
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000485074700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bsd.biomedcentral.com/articles/10.1186/s13293-019-0261-7
UR  - http://hdl.handle.net/10044/1/73749
VL  - 10
ER  -
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