Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation
Abdo Saleh, H., Seksaka, M., Aqeelah, H., Abd Elrazik, A. (2022). Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation. EKB Journal Management System, 88(1), 2436-2442. doi: 10.21608/ejhm.2022.236806
Hend Salah Abdo Saleh; Mahmoud Attia Seksaka; Hanan Hamid Mohammed Aqeelah; Abd Elrazik Elsayed Abd Elrazik. "Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation". EKB Journal Management System, 88, 1, 2022, 2436-2442. doi: 10.21608/ejhm.2022.236806
Abdo Saleh, H., Seksaka, M., Aqeelah, H., Abd Elrazik, A. (2022). 'Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation', EKB Journal Management System, 88(1), pp. 2436-2442. doi: 10.21608/ejhm.2022.236806
Abdo Saleh, H., Seksaka, M., Aqeelah, H., Abd Elrazik, A. Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation. EKB Journal Management System, 2022; 88(1): 2436-2442. doi: 10.21608/ejhm.2022.236806

Study of the Accuracy of Ultrasonography in Predication of Fetal Growth Restriction at Thirty-two versus Thirty-six weeks of Gestation

The Egyptian Journal of Hospital Medicine
Article 25, Volume 88, Issue 1, July 2022, Page 2436-2442  XML PDF (772.93 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.236806
View on SCiNiTO View on SCiNiTO
Authors
Hend Salah Abdo Saleh; Mahmoud Attia Seksaka; Hanan Hamid Mohammed Aqeelah email ; Abd Elrazik Elsayed Abd Elrazik
Abstract
Background: In some countries, third-trimester ultrasound monitoring of foetal growth is a standard practice, increasing detection rates to 40-80%.
Objective: Evaluation of the effectiveness of standard third-trimester ultrasound examinations at 36 weeks' gestation with those at 32 weeks' gestation for detecting fetal growth restriction (FGR).
Patients and Methods: 132 women who meet the inclusion criteria. Biparietal diameter, head and abdominal circumferences, and length of the femur were used to calculate the estimated fetal weight (EFW). It was determined that an immediate Doppler assessment of the umbilical artery pulsatility index from a free-floating umbilical cord section was necessary when EFW was less than 10th centile by local standard. Automated pulse Doppler measurements were made. After delivery, neonates were assessed by pediatrician to assess fetal growth.
Results: There was a statistical significance increase in EFW at 36 weeks of gestation compared to values at week 32. All US parameters had significant validity in predication of fetal growth restriction (FGR) but with higher accuracy in differentiation than that assessed at 32 weeks of gestation, the most precise was abdominal circumference (AC with) 59.1% accuracy, 65.9% sensitivity and 48.3% specificity for negative cases, then 55.7% and 51.5% for FL and BPD respectively.
Conclusion: Detection of FGR and related perinatal and neonatal outcomes was more accurate when ultrasound was performed at 36 weeks' gestation than when it was performed at 32 weeks' gestation.
 
Keywords
Ultrasonography; Fetal growth restriction
Statistics
Article View: 404
PDF Download: 382