A COMPARATIVE STUDY TO DETERMINE THE GESTATIONAL AGE IN THIRD TRIMESTER USING MEAN FETAL LENGTH VERSUS MULTIPLE BIOMETRIC PARAMETERS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 27
Abstract
Reliable estimation of gestational age is important in providing appropriate obstetric care. The objective of the study was to compare the gestational age estimated by mean fetal kidney length and multiple biometric parameters (BPD, HC, AC & FL) with the actual gestational age derived from reliable last menstrual period. METHODS: A single third trimester ultrasound examination was done in a total of 100 well dated patients. Gestational age assessment was done by measuring multiple biometric parameters and mean fetal kidney length. RESULTS: Comparison of linear coefficient of mean fetal kidney length with gestational age demonstrated kidney length has high degree of correlation with an Intra class correlation coefficient of 0.860, which is the best of all the parameters in the overall third trimester. In the 38-41 weeks group, MKL (mean 38.272.523) in weeks) was close to actual period of gestation (39.260.867) in weeks. The other parameters in this sub group were more deviant and MKL had the best correlation. A very strong correlation was seen when mean fetal kidney length was added with multiple parameters (correlation co efficient r=.830). CONCLUSION: This study showed that ultrasonographic measurement of mean fetal kidney length is a reliable indicator of gestational age, in third trimester. Where there is discrepancy between the dates and the uterine size, it is better to include mean fetal kidney length in the multiple biometric parameters.
Authors and Affiliations
Joylene Diana D’Almeida, Anjum Ifthikar, Sujaya V. Rao
A CLINICAL COMPARATIVE STUDY OF INTRAPARTUM EPIDURAL ANALGESIA WITH INTRAMUSCULAR TRAMADOL WITH RESPECT TO MATERNAL AND PERINATAL OUTCOME
BACKGROUND AND OBJECTIVES: Labor pain is among the severest pains experienced by women. The need for analgesia to overcome pain in labor is highly requested by women today, being the best if facilities are available. But...
OUTCOME OF LABOUR FOLLOWING PREVIOUS CAESAREAN SECTION IN BRIMS HOSPITAL, BIDAR
There has been a significant increase in the number of primary caesarean section in recent times, and therefore, the number of women with a pregnancy after a prior caesarean section has also increased.1 The effective and...
ROLE OF MULTIPHASE CT IN DIFFERENTIATING PLEOMORPHIC ADENOMA FROM OTHER PAROTID NEOPLASMS
BACKGROUND Pleomorphic adenoma of parotid gland shows mild enhancement immediately after IV contrast injection. This property can be used in differentiating it from other parotid neoplasms. The aim of this study was to r...
MALIGNANT LESIONS OF MANDIBLE ON ORTHOPANTOMOGRAM- OUR EXPERIENCE
BACKGROUND Orthopantomography plays a great role to categorise the lesion according to its location and relationship with respect to tooth. It is simple and cost effective. Orthopantomography can provide clue regarding t...
CT MEASUREMENTS OF TWO CEREBROVENTRICULAR INDICES AND THEIR RELATION WITH AGE
BACKGROUND Cerebroventricular Indices are the relative measurements of the size of lateral ventricle to that of brain. A normal study of these indices are necessary in order to understand any changes in size of the ventr...