Epiphyseal Ossification Centers as Predictor of Fetal Lung Maturity By Ultrasound | ||||
| Al-Azhar International Medical Journal | ||||
| Article 20, Volume 3, Issue 6, June 2022, Page 121-127 PDF (483.74 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aimj.2022.110500.1716 | ||||
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| Authors | ||||
Mohammed A Seif Elnasr  1; Taher Mohammed Mostafa2; bassem ragab Abdel-Aziz3
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| 1obstetrics and gynecology, Faculty of Medicine, Al Azhar University,Cairo,Egypt | ||||
| 2Obstetrics and Gynecology Department - Faculty of Medicine – Al-Azhar University | ||||
| 3Lecturer of Obstetrics and Gynecology Faculty of medicine ,AL-Azhar University | ||||
| Abstract | ||||
| Background: Prediction of lung maturity is important in high-risk pregnancy management. The strongest predictor of lung maturity is gestational age. As a result, infants delivered at fewer than 39 weeks have much greater rates of neonatal morbidity than infants delivered at 39 weeks or longer gestation. Objective: Evaluate the distal femoral, proximal tibial, as well as proximal humeral ossification centres as predictive tools of the maturity of the fetal lung. Subjective: A sample of 100 pregnant women will be studied in an observational prospective study at the Obstetrics and Gynecology department, Al-Azhar University Hospitals, Sayed Jalal and Damanhour National Medical Institute. Results: The sensitivity, specificity and accuracy of epiphyseal ossification femoral in predict respiratory distress was 96.0%, 92.0% and 94.0% respectively at cut off value 3, the Epiphyseal Ossification tibia show in predict respiratory distress was 94.0%, 90.0% and 92.0% respectively at cut off value 7. The Epiphyseal Ossification humeral show in predict respiratory distress was 80.0%, 77.0% and 79.0% respectively at cut off value 3.0. Finally the Epiphyseal Ossification Femoral + tibia show sensitivity, specificity and accuracy 100.0% at cut off value 16.0 Conclusion: The ossification centres of the distal femoral, proximal tibial, as well as proximal humeral bones have a good predictive value for the maturity of the fetal lung. | ||||
| Keywords | ||||
| EpiphyseaL; Ossification Centers; Fetal Lung Maturity; Ultrasound | ||||
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