Title: A comparative Study of Sonographic Parameters with Neonatal Ponderal index as a predictor of IUGR
Authors: Dr Simi A, Dr Sapna Devi. D P
DOI: https://dx.doi.org/10.18535/jmscr/v7i10.130
Abstract
Background: Intrauterine growth restriction is one of the commonest problems which increases the perinatal morbidity. The diagnosis of impaired fetal growth is still a challenge as the standards of fetal measurements of growth ,both clinical and ultrasonographic parameters vary depending on the race and geographic location
Materials and Methods: This is a prospective study conducted at SAT hospital Thiruvanthapuram. Cases fulfilling the inclusion criteria were included in the study over a period of 6 months. Clinical and ultrasound parameters at the time of detection of IUGR was noted. These patients were followed up till delivery. At the time of delivery the neonatal ponderal index was calculated.
Results: Among the sonographic parameters abdominal circumference and estimated fetal weight was found to be highly sensitive in predicting IUGR. .
Conclusions- Serial USS follow-up of abdominal circumference and estimated fetal weight can help obstetricians in early detection of IUGR before asking for costly investigations like Doppler, thus making checkups cost effective.
Keywords: IUGR, Abdominal circumference, sonographic estimated fetal weight, neonatal ponderal index.
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