AN OBSERVATIONAL STUDY FOR EARLY DETECTION OF INTRAUTERINE GROWTH RESTRICTION IN PREGNANCY USING ULTRASONOGRAPHY AS A TOOL IN FIRST TRIMESTER
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 53
Abstract
BACKGROUND In a country like India, Intrauterine Growth Restriction (IUGR) is a serious problem by engulfing a major expenditure for health by increasing mortality as well as day-to-day morbidity. My intention of this study is to find out IUGR in early trimester upto 13 weeks of pregnancy, so that we can implement any corrective measures so that rate of IUGR will be minimal and also its adverse consequences. MATERIALS AND METHODS 1120 patients were chosen from an Institute of Infertility Clinic of Kolkata who were free of any medical or surgical problem and conceived by In-Vitro Fertilisation (IVF) due to unexplained infertility having singleton pregnancy. Patient was chosen from IVF, so that exact date of conception can be found to rule out the fallacy of calculating the period of gestation on the basis of menstrual history of patient, which was sometimes approximated. Out of 1120 patients 725 had no clinical pregnancies, rest had undergone ultrasonography. A serial Ultrasonography was done every month and the parameter of crown rump length, femur length, abdominal circumference, head circumference, estimated foetal weight and period of gestation was recorded along with the Amniotic Fluid Index and birth weight (all were delivered by Caesarean Section at 34 - 35 weeks). RESULTS Out of 395 patients, 65 had midterm pregnancy loss; 2 patients delivered IUGR babies, one having history of Oligohydramnios with Oesophageal Atresia and another having Antepartum Haemorrhage with low-lying placenta with anaemia. Four patients were in accordance with normal variant in early trimester become IUGR due to Gestational Diabetes Mellitus (Controlled), Chronic Hypertension. Four patients delivered mild IUGR babies suffering from Nutritional Deficiency because of Morning Sickness (Pyridoxine given) and Hyperprolactinaemia (Bromocriptine given along with amino acid supplement), and 275 patients have positive correlation among CRL and birth weight. Rest 45 mothers had negative correlation having normal CRL, but low birth weight. CONCLUSION Although out of 55 LBW deliveries author found positive correlations only in 10, most of the cases has got negative correlations making the study inconclusive with the hope of scope for further study on adverse effect of procedure of assisted reproductive technique
Authors and Affiliations
Debjani Roy
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- EP ID EP220265
- DOI 10.14260/Jemds/2017/867
- Views 95
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