ABSTRACT

Background: Out of many gynecological issues Intrauterine growth restriction (IUGR) is the most common one especially in the females of reproductive age. Objective(s): Main objective of the study is to evaluate the accuracy of ultra-sonographic determination of TCD/AC vs HC/AC and to determine more sensitive and specific measure for the determination of IUGR. Methodology: For the current study (N=405) females with singleton pregnancy having gestational age between 18-35 weeks and carrying fetuses with no congenital anomaly were substituted. All of the samples were obtained after getting informed consent at Government Haji Abdul Qayyum Teaching Hospital Sahiwal. Ultra-sonographic determination of BPD, FL, TCD, AC, HC and EFW were measured and subjected to analysis for the findings. Results: Findings of the study show that among all of the measures determination of ratio TCD/AC most significant as it shows the area under curve (AUC) to be about 0.911 which is significantly higher as compared to that AUC for of HC/AC (0.652). Moreover, specificity and sensitivity of the ratio remained significantly higher for TCD/AC (88%, 69%) respectively as compared to all other gynecological measures. It shows that the best cut-off value of TCD/AC ratio is 14.3%. Conclusion(s): Study concludes on the basis of analysis of the measures obtained from the pregnant females that ratio of TCD/AC was more accurate as compared to the ratio of HC/AC. As signified by the literature the said ratio is far more helpful in the determination of IUGR in early stages in pregnant females. Keywords: Intrauterine growth restriction (IUGR), Trans-cerebellar Diameter (TCD), Femur Length (FL), Biparietal Diameter (BPD)
Publication date: 01/02/2020

https://ijbpas.com/pdf/2020/February/MS_IJBPAS_2020_4952.pdf

Download PDF
https://doi.org/10.31032/IJBPAS/2020/9.2.4952