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dc.contributor.authorSmith, Gordonen
dc.contributor.authorNakimuli, Annetteeen
dc.date.accessioned2020-02-28T00:30:22Z
dc.date.available2020-02-28T00:30:22Z
dc.date.issued2020-04en
dc.identifier.issn2214-109X
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/302821
dc.description.abstractGestational age is one of the most important features of a pregnancy when making clinical decisions. In particular, decision-making around delivery, such as timing pre-labour caesarean section and induction of labour, is crucially informed by knowledge of gestational age. Over-estimation of gestational age may lead to iatrogenic prematurity and under-estimation of gestational age may expose the fetus to the higher risks of stillbirth post-term. Consequently, in high income countries (HIC), most women are offered an ultrasound scan at the end of the first trimester of pregnancy, when gestational age can most accurately be assessed using measurement of the crown rump length. Delivering this service requires that women are identified as being pregnant at an early stage, are appropriately referred and that ultrasound is available at scale. Obstacles to delivering include issues of geography, economics, society and healthcare capacity. These obstacles are frequently greatest and co-existing in low income countries (LIC). Consequently, women will commonly present in advanced pregnancy in the absence of early pregnancy gestational dating using ultrasound. For example, in Uganda, only 29% of women had their first antenatal visit during the first trimester of pregnancy.
dc.format.mediumPrinten
dc.languageengen
dc.publisherElsevier
dc.rightsAll rights reserved
dc.subjectHumansen
dc.subjectCohort Studiesen
dc.subjectProspective Studiesen
dc.subjectBiometryen
dc.subjectGestational Ageen
dc.subjectPregnancyen
dc.subjectDeveloping Countriesen
dc.subjectInfant, Newbornen
dc.subjectFemaleen
dc.subjectInfant Healthen
dc.titleUltrasound estimation of gestational age in late pregnancy in low-income countries: made to measure or off-the-peg?en
dc.typeArticle
prism.endingPagee463
prism.issueIdentifier4en
prism.publicationDate2020en
prism.publicationNameThe Lancet. Global healthen
prism.startingPagee462
prism.volume8en
dc.identifier.doi10.17863/CAM.49895
dcterms.dateAccepted2020-02-24en
rioxxterms.versionofrecord10.1016/s2214-109x(20)30081-4en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-04en
dc.contributor.orcidSmith, Gordon [0000-0003-2124-0997]
dc.identifier.eissn2214-109X
rioxxterms.typeJournal Article/Reviewen
rioxxterms.freetoread.startdate2023-02-27


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