Startseite Three-dimensional ultrasound first trimester fetal volume measurement and its relation to pregnancy outcome
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Three-dimensional ultrasound first trimester fetal volume measurement and its relation to pregnancy outcome

  • Haitham A. Torky EMAIL logo , Asem A. Moussa , Ali M. Ahmad , Osama Dief , Manar A. Eldesoouky und Ahmed S. El-Gayed
Veröffentlicht/Copyright: 7. Januar 2017
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 45 Heft 9

Abstract

Aim of work:

To determine whether fetal volume (FV) measured by three-dimensional (3D) ultrasound was able to detect fetuses at risk of low birth weight (primary outcome) and/or preterm labor (secondary outcome).

Methods:

One hundred pregnant women carrying a singleton living pregnancy who were sure of dates, and had a dating scan, with gestational age between 11 weeks and 13 weeks+6 days coming for routine first trimester nuchal translucency (NT) were examined by both two-dimensional (2D) and 3D ultrasound (Vocal System) for crown-rump length (CRL) and FV then followed up regularly every 4 weeks until 28 weeks then biweekly until 36 weeks then weekly until delivery both clinically and by ultrasound biometry.

Findings:

Eighty-seven cases had a normal outcome, while the remaining 13 cases had either preterm labor (four cases) or low-birth weight (nine cases). FV positively correlated with CRL (P=0.026), gestational age in weeks (P=0.002), neonatal body weight in grams (P=0.018) and neonatal body length at birth (P=0.04). A mean FV of 8.3 mm3 was association with neonatal complications (P=0.045). A cut-off point of 9 mm3 for FV was associated with 100% sensitivity for detection of the date of birth, while a cut-off point of 9.15 mm3 for FV was associated 100% sensitivity for detection of neonatal birth weight.

Conclusion:

3D assessment of FV in the first trimester provides an accurate method for predicting pregnancy outcome namely low birth weight and neonatal complications, however, it is a better positive predictor than a negative one.

Keywords: 3D ultrasound; fetal volume; pregnancy outcome
Corresponding author: Dr. Haitham A. Torky, Department of Obstetrics and Gynecology, October 6th University, Cairo, Egypt, Tel.: +201001230161, Fax: +20225240066

Acknowledgment

Authors declare that they have neither conflict of interest nor received any financial support for this work.

Author’s statement

  1. Conflict of interest: Authors state no conflict of interest.

  2. Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

  3. Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

References

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Received: 2016-9-24
Accepted: 2016-11-30
Published Online: 2017-1-7
Published in Print: 2017-12-20

©2017 Walter de Gruyter GmbH, Berlin/Boston

Artikel in diesem Heft

  1. Frontmatter
  2. Corner of Academy
  3. Perinatal critical care and ethics in perinatal medicine: the role of the perinatologist
  4. Review articles
  5. The impact of psychological distress during pregnancy on the developing fetus: biological mechanisms and the potential benefits of mindfulness interventions
  6. Characteristics and management of mirror syndrome: a systematic review (1956–2016)
  7. Congenital pulmonary lymphangiectasia
  8. Original articles
  9. A definition of gentle ventilation in congenital diaphragmatic hernia: a survey of neonatologists and pediatric surgeons
  10. Three-dimensional ultrasound first trimester fetal volume measurement and its relation to pregnancy outcome
  11. Evidence of altered brain regulatory gene expression in tobacco-exposed fetuses
  12. Planned home birth and the association with neonatal hypoxic ischemic encephalopathy
  13. The impact of maternal obesity on completion of fetal anomaly screening
  14. The effect of fish oil supplementation on maternal and neonatal outcomes: a triple-blind, randomized controlled trial
  15. Letter to the Editor
  16. Respect for professors: an often underappreciated component of professionalism in medical education
  17. Congress Calendar
  18. Congress Calendar
https://doi.org/10.1515/jpm-2016-0315
Schlagwörter für diesen Artikel
3D ultrasound; fetal volume; pregnancy outcome

Artikel in diesem Heft

  1. Frontmatter
  2. Corner of Academy
  3. Perinatal critical care and ethics in perinatal medicine: the role of the perinatologist
  4. Review articles
  5. The impact of psychological distress during pregnancy on the developing fetus: biological mechanisms and the potential benefits of mindfulness interventions
  6. Characteristics and management of mirror syndrome: a systematic review (1956–2016)
  7. Congenital pulmonary lymphangiectasia
  8. Original articles
  9. A definition of gentle ventilation in congenital diaphragmatic hernia: a survey of neonatologists and pediatric surgeons
  10. Three-dimensional ultrasound first trimester fetal volume measurement and its relation to pregnancy outcome
  11. Evidence of altered brain regulatory gene expression in tobacco-exposed fetuses
  12. Planned home birth and the association with neonatal hypoxic ischemic encephalopathy
  13. The impact of maternal obesity on completion of fetal anomaly screening
  14. The effect of fish oil supplementation on maternal and neonatal outcomes: a triple-blind, randomized controlled trial
  15. Letter to the Editor
  16. Respect for professors: an often underappreciated component of professionalism in medical education
  17. Congress Calendar
  18. Congress Calendar
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