Vol 79, No 11 (2008)
ARTICLES
Fetal biometry between 20-42 weeks of gestation for Polish population
Saemundur Gudmundsson, Pelle Lindquist, Grzegorz H. Bręborowicz, Andrzej Tretyn, Marek Pietryga, Mariusz Dubiel, Maciej Krajewski
Vol 79, No 11 (2008)
ARTICLES
Abstract
Abstract Objective: Ultrasound estimating of fetal weight is one of the most frequent examinations during pregnancy. Hitherto, foreign fetometry curves have mostly been used in Poland as there are no national available reference charts that are based on ultrasound fetal biometry. The aim of the present study was to construct new charts based on ultrasound fetometry reference for Polish population. Study design: A group of 959 healthy volunteers with uncomplicated singleton pregnancy joined in a cross-sectional study. The study was designed prospectively to evaluate normal reference charts for fetal ultrasound measurements and estimated fetal weight. Four biometric parameters were studied: biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL). Estimated fetal weight (EFW) was calculated using Hadlock et al. formula from 1985. Results: In the course of normal pregnancy an acceleration of growth rate was seen, but with a slight decline at the end of pregnancy. Reference curves for mean, 90th and 95th percentile were constructed for BPD, HC, AC and FL. Estimated fetal weight curves were outlined for both boys and girls. Conclusion: Reference charts for Polish population are similar to foreign curves. Less variation was seen in comparison with national charts based on postnatal weight. Ultrasound method seems to be better than birthweight curves especially in preterm pregnancies. This will improve the diagnosis of a small for gestational age newborn.
Abstract
Abstract Objective: Ultrasound estimating of fetal weight is one of the most frequent examinations during pregnancy. Hitherto, foreign fetometry curves have mostly been used in Poland as there are no national available reference charts that are based on ultrasound fetal biometry. The aim of the present study was to construct new charts based on ultrasound fetometry reference for Polish population. Study design: A group of 959 healthy volunteers with uncomplicated singleton pregnancy joined in a cross-sectional study. The study was designed prospectively to evaluate normal reference charts for fetal ultrasound measurements and estimated fetal weight. Four biometric parameters were studied: biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL). Estimated fetal weight (EFW) was calculated using Hadlock et al. formula from 1985. Results: In the course of normal pregnancy an acceleration of growth rate was seen, but with a slight decline at the end of pregnancy. Reference curves for mean, 90th and 95th percentile were constructed for BPD, HC, AC and FL. Estimated fetal weight curves were outlined for both boys and girls. Conclusion: Reference charts for Polish population are similar to foreign curves. Less variation was seen in comparison with national charts based on postnatal weight. Ultrasound method seems to be better than birthweight curves especially in preterm pregnancies. This will improve the diagnosis of a small for gestational age newborn.
Keywords
pregnancy, ultrasonography, fetal weight, fetal biometry
Title
Fetal biometry between 20-42 weeks of gestation for Polish population
Journal
Ginekologia Polska
Issue
Vol 79, No 11 (2008)
Page views
1572
Article views/downloads
3315
Bibliographic record
Ginekol Pol 2008;79(11).
Keywords
pregnancy
ultrasonography
fetal weight
fetal biometry
Authors
Saemundur Gudmundsson
Pelle Lindquist
Grzegorz H. Bręborowicz
Andrzej Tretyn
Marek Pietryga
Mariusz Dubiel
Maciej Krajewski