European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 148, Issue 2 , Pages 118-120, February 2010

Are there sex differences in Fetal Abdominal Subcutaneous Tissue (FAST) measurements?

UCD School of Medicine and Medical Science, Coombe Women and Infants University Hospital, Dublin 8, Ireland

Received 7 May 2009; received in revised form 23 September 2009; accepted 6 October 2009. published online 26 October 2009.

Abstract 

Objective

To determine if Fetal Abdominal Subcutaneous Tissue (FAST) measurements using antenatal ultrasound differ between male and female fetuses.

Study design

Women who had an ultrasound examination for fetal growth between 20 and 40 weeks gestation were studied. Women with diabetes mellitus were excluded. The fetal anterior abdominal subcutaneous tissue was measured on the anterior abdominal wall in millimetres anterior to the margins of the ribs, using magnification at the level of the abdominal circumference. The fetal sex was recorded after delivery.

Results

A total of 557 fetuses were measured, 290 male and 267 female. The FAST measurements increased with gestational age. The FAST increased at the same rate for both male and female fetuses and at any given week there was no sex difference.

Conclusions

The increased fat composition in females reported after birth was not found in abdominal wall subcutaneous fat measurements using ultrasound during pregnancy. Antenatal centile charts for FAST do not need to be based on sex.

Keywords: Fetal Abdominal Subcutaneous Thickness (FAST), Sex differences, Fetal adiposity, Fetal body composition, Subcutaneous tissue

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PII: S0301-2115(09)00595-8

doi:10.1016/j.ejogrb.2009.10.003

European Journal of Obstetrics & Gynecology and Reproductive Biology
Volume 148, Issue 2 , Pages 118-120, February 2010