Ultrasonographic estimation of gestation age and growth pattern of foetuses in second trimester of pregnancy by multiple growth parameters
Keywords:
gestational age, fetus, ultrasonography, maternal age, pregnancyAbstract
Background and Aim- Fetal biometry rely on racial segment attributes, sustenance, hereditary qualities, and a lot more on ecological elements of a specific populace. Therefore, this study aimed to assess various fetal parameter and to establish a regression equation to predict the gestational age (GA) of pregnant women among the population of Western Maharashtra. Methodology- A descriptive, prospective study was conducted on 420 pregnant women in their second trimester (i.e. 14 to 27 weeks of gestation). Thirty women from each week of gestation were studied by ultrasonography for estimation of GA of the fetus. Various parameters such as biparietal diameter (BPD), femur length (FL), head circumference (HC), and abdominal circumference (AC) were studied and compared to the normal standards for GA, based on the initial sonogram from first trimester. Result-. Maximum (3.75 mm) and minimum (1.41 mm) increase in BPD was seen in 21-22 and 26 - 27 weeks, respectively. Maximum (4.50 mm) and minimum (0.42 mm) increase in FL was seen in 19 - 20 and 26 - 27 weeks, respectively.
Downloads
References
Naidu K, Fredlund KL. Gestational Age Assessment. InStatPearls [Internet] 2018 Oct 27. StatPearls Publishing. Available from- https://www.ncbi.nlm.nih.gov/books/NBK526000/
Papageorghiou AT, Kemp B, Stones W, Ohuma EO, Kennedy SH, Purwar M, Salomon LJ, Altman DG, Noble JA, Bertino E, Gravett MG. Ultrasound‐based gestational‐age estimation in late pregnancy. Ultrasound Obstet Gynecol. 2016;48(6):719-26.
Milner J, Arezina J. The accuracy of ultrasound estimation of fetal weight in comparison to birth weight: a systematic review. Ultrasound. 2018;26(1):32-41.
Aggarwal N, Sharma GL. Fetal ultrasound parameters: Reference values for a local perspective. Indian J Radiol Imaging. 2020;30(2):149-55.
Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal biparietal diameter: A critical re-evaluation of the relation to menstrual age by means of real time ultrasound. J Ultrasound Med 1982;1(Suppl 3):97-104
Hadlock FP, Deter RL, Harrist RB. Fetal head circumference: Accuracy of real time ultrasound measurements at term. Perinat Neonatol 1982;6:97-100.
Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal abdominal circumference as a predictor of menstrual age. Am J Roentgenol 1982;139(Suppl 2):367-70.
Hadlock FP, Harrist RB, Deter RL, Park SK. Fetal femur length as a predictor of menstrual age: Sonographically measured. Am J Roentgenol 1982;138(Suppl 5):875-8.
Mani S. Guidelines for ultrasound owners and owners of clinics, diagnostic centres, nursing homes and hospitals. Indian J Radiol Imaging. 2012;22(2):125.
Shih SL, Lee YJ, Huang FY, Chen A, Huang JK, Tsai YS. Radiological evaluation of bone growth in neonates born at gestational ages between 26 and 41 weeks: Cross-sectional study. Early Hum Dev. 2005;81(8):683-8.
Hadlock FP, Deter RL, Harrist RB, and Park SK. Estimating fetal age: computer- assisted analysis of multiple fetal growth parameters. Radiology.1984.152,497-501.
Yoon I,SlesingerL,Radiation Exposure In Pregnancy.StatatPearls Publishing, Treasure Island (FL), [Internet] 2019 Available from: https://www.ncbi.nlm.nih.gov/books/NBK551690/
Anderson J, Ghaffarian KR. Early Pregnancy Diagnosis. InStatPearls [Internet] 2020. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556135/
Madan A, Holland S, Humbert JE, Benitz WE. Racial differences in birth weight of term infants in a northern California population. J Perinat. 2002;22(Suppl 3):230–5.
Kinare AS, Chinchwadkar MC, Natekar AS, Coyaji KJ, Wills AK, Joglekar CV, et al. Patterns of fetal growth in a rural Indian cohort and comparison with a Western European population: Data from the Pune maternal nutrition study. J Ultrasound Med. 2010;29(Suppl 2):215–23
Kumar V, Tikkas R, Ramteke S, Shrivastava J. Assessment of gestational age using anthropometric parameter: An observational study in India. Int J Pediatr. 2017;4(11):672-80.
Thawani R, Dewan P, Faridi MM, Arora SK, Kumar R. Estimation of gestational age, using neonatal anthropometry: a cross-sectional study in India. J Health PopulNutr. 2013;31(4):523.
MacGregor S, Sabbagha R. Assessment of Gestational Age by Ultrasound Glob. libr. women's med 2008:1756-2228
Hussein R, Gameraddin MB, Malik BH, Yousef M, Turki Q. Evaluation of gestational age by fetal occipitofrontal diameter in second and third trimesters of pregnancy in Sudanese women. Trop J Obstet Gynaecol. 2018;35(1):63-7.
Yadav R, Bhatnagar P, Gunjan, et al. Gestational age assessment in newborns using regression equation of anthropometric parameters singly or in combination. Int J Biomed Res. 2016;7(8):600–5.
Tiruneh C. Estimation of Gestational Age Using Neonatal Anatomical Anthropometric Parameters in Dessie Referral Hospital, Northeast Ethiopia. Risk ManagHealthc Policy. 2020;13:3021-9.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








