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Document Type

Original Article

Abstract

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' gynecological clinic. The patient was examined while laying on their back (dorsal supine). The ultrasound was only in 2 dimensions. Both the fetal size and the amount of amniotic fluid were measured. Results: Abortions were more common among those who had IUGR compared to those who did not (P 0.05). Maternal age, BMI, number of pregnancies, mode of delivery, gestational age at assessment, and gestational age at birth all showed no significant group variations (P > 0.05). Conclusion: Preferential preservation of cerebellar development compared to other cranial structures may explain why fetal TCD was less impacted than fetal HC in IUGR babies. The TCD/AC ratio aided in the detection of fetal growth abnormalities. This ratio remained consistent regardless of GA since it wasn't dependent on maternal age.

Keywords

Transcerebellar Diameter; Gestational Age; Intrauterine Growth Restriction.

Subject Area

Obstetrics and Gynecology

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