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fetal Thigh Circumference versus fetal Abdominal Subcutaneous Tissue Thickness in Prediction of fetal weight in Term Pregnant Women

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1580-1594页

作者： Mohamed El-Mandooh Aya Hassan Sarah Safwat Department of Obstetrics and Gynecology Faculty of Medicine Ain Shams University Cairo Egypt Faculty of Medicine Alexandria University Alexandria Egypt

Background: fetal weight estimation by ultrasound is an important factor in obstetrics;it is directly related to the gestational age which helps to plan the mode of delivery and labor management. Objective: to compare between fetal thigh circumference (TC) and abdominal subcutaneous tissue thickness (SCT) in estimating birthweight in term pregnant women. Patients and Methods: This prospective cohort study was conducted at outpatient clinic or emergency room, Obstetrics and Gynecology Department, Faculty of Medicine, Ain Shams University Maternity Hospitals from March 2022 until May 2023. During this study, 100 term pregnant females with gestational age 37 - 40 weeks attended El Demerdash Maternity Hospital and scheduled for delivery either at outpatient clinic or emergency room were enrolled, after consenting each of them. Basic fetal biometry was performed by an expert and professional medical personnel to ensure the accuracy of examination results. fetal abdominal subcutaneous thickness and fetal thigh circumference were measured for assessment of gestational age and correlated with actual fetal body weight. In the current study, three formulas;Hadlock, Vintzileos’ and SCT formula were correlated with actual fetal body weight after birth. Results: The present study revealed that TC formula is closer to the actual birth weight, followed by Hadlock formula, while the SCT formula is the furthest from it. Conclusion: To increase the accuracy of birth estimations, regular ultrasound examinations should include fetal thigh circumference measurement.

关键词： fetal Thigh Circumference fetal Abdominal Subcutaneous Thickness fetal weight Term Pregnancy

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Assessment of Used Formulae for Sonographic Estimation of fetal weight in Sudanese Population

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Open Journal of Radiology 2016年第2期6卷 113-120页

作者： Caroline Edward Ayad Ahmed Abdelrahim Mohammed Ibrahim Mohamed Elfadil Mohamed Garelnabi Bushra Hussein Ahmed Elsafi Ahmed Abdalla Mohammed Ahmed Elshiekh Saleem College of Medical Radiological Science Sudan University of Science and Technology Khartoum Sudan Faculty of Radiology Science and Medical Imaging Alzaiem Alazhari University Khartoum Sudan College of Medical Radiological Science and Nuclear Medicine The National Rabat University Khartoum Sudan

The objective of this study is to assess commonly used formulae (Sheppard, Campbell, Hadlock I, II, III, and IV) for estimation of fetal weight in Sudanese population. A descriptive cross-sectional study was conducted at Saudi Hospital-Khartoum-Sudan;from December 2015 to April 2016. The study included 225 singleton pregnancies. The fetal biometry—Biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL) and actual birth weights (ABW) were taken. Statistical analysis showed significant results at p ≤ 0.005. Results showed that the significant highest positive correlation between the ABW and the EFW/Kg was seen in the Hadlock I, III and IV equations having an equal values (0.951) followed by Hadlock II (0.946), Sheppard (0.872) and lastly Campbell (-0.925) with significant high degree of negative correlation. The new established equation EFWFLHCAC is the best formula identified in our study to predict Sudanese babies weight ranged between 1.86 Kg to 3.987 Kg.

关键词： Ultrasonography fetal weight Gestational Age

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New Sudanese Reference Chart of fetal Bi-ometry and weight Using Ultrasonography

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Open Journal of Radiology 2016年第2期6卷 131-139页

作者： Caroline Edward Ayad Ahmed Abdelrahim Mohammed Ibrahim Mohammed Elfadil Mohammed GarElnabi Bushra Hussein Ahmed Elsafi Ahmed Abdalla Mohammed Ahmed Elshiekh Saleem College of Medical Radiological Science Sudan University of Science and Technology Khartoum Sudan Faculty of Radiology Science and Medical Imaging Alzaiem Alazhari University Khartoum Sudan College of Medical Radiological Science and Nuclear Medicine The National Rabat University Khartoum Sudan

Background: Many centers in Sudan use the reference data for fetal biometry. The recently published population-based reference either overestimated or underestimated the weight of the fetuses. Objective: To establish a national reference for fetal biometry, and weight by gestational age for singleton fetuses in Sudan. Methods: Data were collected on all singleton live births documented in the data collection sheet done at Saudi Hospital from 2015 to 2016 (n = 225). Gestational age estimation was based on the last menstrual period and fetal ultrasound thereafter. fetal biometry and weight and other 6 fetal weight formulae were assessed. Reference data for fetal growth by gestational age were created. Results: New charts and reference equations are reported in Sudanese population for fetal biparietal diameter, head circumference, abdominal circumference and femur length and fetal weight. Conclusion: We advocate that these reference charts and equations for fetal biometry and weight might be valuable in the clinical use for appropriate ethnic Sudanese.

关键词： fetal Biometry fetal weight Gestational Age Ultrasonography

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Effect of Antenatal Depression on fetal Growth Outcomes at the Jos University Teaching Hospital Jos, Plateau State, Nigeria

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Open Journal of Psychiatry 2022年第4期12卷 336-344页

作者： Bwatyum Annah Gyang Umar Musa Agbir Terkura Michael Gyang Mark Davou Obindo James Taiwo Department of Psychiatry Jos University Teaching Hospital Jos Nigeria Department of Psychiatry Aminu Kano University Teaching Hospital Kano Nigeria Department of Psychiatry College of Health Sciences Benue State University Makurdi Nigeria Department of Family Medicine Jos University Teaching Hospital Jos Nigeria

Background: Depression is the most prevalent psychiatric disorder in pregnancy and it is associated with psychosocial and obstetric factors. Studies have shown that pregnancy does not prevent women from becoming depressed;rather, it may be a time when depression occurs for the first time in some women. Antenatal depression has been identified as a risk factor for post natal depression, adverse obstetric outcomes, poorer neonatal outcomes and higher growth retardation in infants. Purpose: This study aimed to determine the fetal growth outcomes among depressed pregnant women in their third trimester attending antenatal clinic at the Jos University Teaching Hospital (JUTH), Jos, Plateau State, Nigeria. Method: A prospective cohort study design was used to assess 514 women who consented to the study (256 cases and 258 controls). A socio-demographic questionnaire was given to the women to fill out the study entry. Edinburgh Post Natal Depression Scale (EPDS) was used to screen for depression and MINI neuropsychiatric interviews were used to diagnose depression in those women found to be at risk of depression using the EPDS. Ultrasonography was used to determine the fetal weight in the third trimester of pregnancy. The birth weight of the babies born to the women was obtained from the birth register in the labor ward and the fetal growth rate was calculated from the estimated fetal weight on ultrasound scan in late pregnancy and the birth weight of babies. Result: The mean fetal weight in the third trimester for non-depressed women was slightly higher than in depressed women though the difference was not statistically significant (P = 0.431). The difference in the mean calculated fetal growth rate for fetuses of non-depressed women in the third trimester was statistically significantly higher than in depressed women (p = 0.000). Depressed women also had babies with lower birth weight than non-depressed women and the difference was statistically significant (p = 0.00).

关键词： Depression Antenatal Depression fetal weight fetal Growth Rate Birth weight

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Role of Ultrasonography in Pregnancies Complicated by Gestational Diabetes: A Review

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Maternal-fetal Medicine 2019年第2期1卷 86-90页

作者： Sara S.Hamze Sinno Anwar H.Nassar Department of Obstetrics and Gynecology American University of Beirut Medical CenterBeirut 11072020Lebanon

This review is to better clarify the role of ultrasonography during pregnancies complicated with gestational diabetes mellitus(GDM).It will focus on the effect of GDM on pregnancy,and the use of ultrasound modality to estimate fetal size and accordingly the mode of *** will also shed light on how this technology can be used to improve our understanding of the pathophysiology of this diagnosis and hopefully improve the maternal-fetal outcome.

关键词： Ultrasonography Diabetes,gestational fetal weight

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