Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Emam, Ahmed Shahat; El-Bassioune, Walaa Mohammed; Emam, Abdelrahman Ali Hassan; Oun, Abd Elraouf Mohammad

doi:10.21608/ijma.2020.22101.1078

Cited by 3 publications

(9 citation statements)

References 21 publications

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“…Our results agree with the study of Adeyekun and Ikubor [12], as they reported that study subjects were 29.1 ± 4.9 years. The mean maternal height was 1.6 ± 0.5 m and 71. kg/m 2 [1]. These results matched with the results of our study.…”

Section: Discussionsupporting

confidence: 92%

“…The thickness of the placenta is closely linked to fetal development and can play a role in the perinatal outcome. The placenta is about 3 cm thick and 15-25 cm in diameter [1].…”

Section: Discussionmentioning

confidence: 99%

“…There was a significant increase in perinatal mortality and morbidity in women carrying thick placentas, which was connected to more excellent rates of fetal abnormalities, more IUGR, and more term newborns with a wide range of gestational ages [15]. Prenatal detection of IUGR is critical for a better perinatal outcome [1,11].…”

Section: Discussionmentioning

confidence: 99%

“…Intrauterine growth restriction (IUGR) is described as a fetus with a birth weight that is significantly lower than the tenth percentile (the lower limit of average weight) for the gestational age [1]. IUGR may be caused by various maternal or fetal factors, with the placenta being one of the most common causes of growth restriction.…”

Section: Introductionmentioning

confidence: 99%

“…The most vital element is the placenta. Unfortunately, it is often ignored [1][2][3]. The standard weight of the placenta at term in a normal pregnancy is approximately 1/5th of the fetal weight [4].…”

Section: Introductionmentioning

confidence: 99%

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The Ability of Ultrasound Sonography (USG) to Detect Intrauterine Growth Restriction (IUGR) in the Third Trimester of Pregnancy With the Gold Standard of IUGR (Parameters by USG Hadlock) as a Diagnostic Criterion

Rafique¹,

Awan²,

Iqbal³

et al. 2021

Cureus

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To investigate the diagnostic accuracy of the placental thickness measured by ultrasound sonography test (USG) in detecting intrauterine growth restriction (IUGR) babies in the third trimester of pregnancy, keeping IUGR (by parameters using Hadlock) as the gold standard. Methods and materialsThis cross-sectional study was conducted at the radiology department of KRL Hospital from August 5, 2020, to October 25, 2021. Informed written consent was also obtained from each patient, and the hospital's ethical committee approved the study. Three hundred and sixty-two (N=362) pregnant women patients knowing of their last menstrual period, age group 20-35 years, BMI usual, and 24 weeks gestation were included. The patient's complete history was taken by clinical examination and then ultrasound was carried out to measure the placental thickness. At 24, 32, and 36 weeks, the thickness of the placenta was assessed. The Hadlock method was used to compute the predicted fetal weight by measuring biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL) on the GC Logiq P/6 three-dimensional machine (GE, Tampa, FL). SPSS v 23 (IBM Corp., Armonk, NY) was used to calculate the mean and standard deviation from the collected data. ResultsA total of 362 patients who presented in the radiology department for antenatal ultrasound in the third trimester were recruited in our study. The mean age was 27. 26 ± 4.21 years (20-35 years). In our study, the mean placenta thickness at 24 gestation weeks was 24.55 ± 0.79 mm, at 32 gestation weeks was 31.84 ± 1.34 mm, and at 36 gestation weeks was 35.54 ± 2.78. Thus, ultrasound's sensitivity, specificity, positive predictive value, and negative predictive value to determine IUGR by placental thickness was 86.30%, 86.70%, 75%, and 92%, respectively. The diagnostic accuracy of ultrasound incorrectly estimating low placental thickness was 86.40%. ConclusionBetween 24 and 36 weeks of pregnancy, placental thickness rises almost linearly. As a result, measuring placental thickness and other factors is critical for estimating fetal age, particularly in the late second and early third trimesters, when the exact duration of pregnancy is uncertain. Placentas that were less than 29 mm thick at 32 weeks and 31 mm thick at 36 weeks were related to higher morbidity, lower Apgar scores, and more nursery admissions.

show abstract

Section: Discussionsupporting

confidence: 92%

“…The thickness of the placenta is closely linked to fetal development and can play a role in the perinatal outcome. The placenta is about 3 cm thick and 15-25 cm in diameter [1].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Ability of Ultrasound Sonography (USG) to Detect Intrauterine Growth Restriction (IUGR) in the Third Trimester of Pregnancy With the Gold Standard of IUGR (Parameters by USG Hadlock) as a Diagnostic Criterion

Rafique¹,

Awan²,

Iqbal³

et al. 2021

Cureus

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Ultrasound Assessment of Placental Thickness in The Last Two Trimesters of Normal Pregnancy and Its Relations with Fetal Outcome

2024

The Egyptian Journal of Hospital Medicine

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Diagnostic Accuracy Of Placental Thickness Measured By Ultrasonography In The Detection Of Intrauterine Growth Restricted (IUGR) Babies Keeping Actual Birth Weight As Gold Standard

Jabeen¹,

Farhan²,

Amjad³

et al. 2023

JRMC

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Objective: To determine the diagnostic accuracy of the placental thickness measured by ultrasound in detecting IUGR babies keeping actual birth weight as the gold standard. Methods: This cross-sectional validation study was conducted in the Department of Radiology P.O.F Hospital Wah Cantt. The data was gathered over a period of six months, from 06-19-2017 to 12-18-2017. A total of 125 patients were included in this study. All pregnant women were examined by the greyscale and Doppler ultrasonography using a color Doppler scanner with a 5.0 MHz convex probe. Placental thickness was measured as the distance between the echogenic line of the chorionic plate and the hypoechoic myometrium. The pregnant females were followed till childbirth and the weight of the baby at birth was recorded. Results: Patients ranged between 20-35 years of age. The average age of the study participants was 27.6±3.3 years, the mean gestational age was 34.2±3.0 weeks, the mean BMI was 23.5±1.3 (kg/m2), and the mean parity was 1.1±1.0. We found a sensitivity of 65.5%, specificity of 83.3%, Positive Predictive Value( PPV) of 98.7%, Negative Predictive Value (NPV) of 10.8%, and diagnostic accuracy of 66.4% for antenatal prediction of IUGR based on placental thickness measurement. Stratification for age and gestational age was also carried out. Conclusion: Placental thickness on ultrasonography can be used as a reliable marker for detecting IUGR babies with an accuracy of 6.4%.

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Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Cited by 3 publications

References 21 publications

The Ability of Ultrasound Sonography (USG) to Detect Intrauterine Growth Restriction (IUGR) in the Third Trimester of Pregnancy With the Gold Standard of IUGR (Parameters by USG Hadlock) as a Diagnostic Criterion

The Ability of Ultrasound Sonography (USG) to Detect Intrauterine Growth Restriction (IUGR) in the Third Trimester of Pregnancy With the Gold Standard of IUGR (Parameters by USG Hadlock) as a Diagnostic Criterion

Ultrasound Assessment of Placental Thickness in The Last Two Trimesters of Normal Pregnancy and Its Relations with Fetal Outcome

Diagnostic Accuracy Of Placental Thickness Measured By Ultrasonography In The Detection Of Intrauterine Growth Restricted (IUGR) Babies Keeping Actual Birth Weight As Gold Standard

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