EVALUATION OF FETAL WEIGHT SONOGRAPHICALLY USING AREA OF WHARTON'S JELLY AND MORPHOLOGY OF UMBILICAL CORD
DOI:
https://doi.org/10.22159/ajpcr.2017.v10i10.20037Keywords:
Gestational age, Fetal weight, NilAbstract
Objective: To establish a sonographic relationship between Area of Wharton's Jelly (AWJ) and umbilical cord morphometry with the birth weight of the fetus in low-risk pregnancies from 13 to 40 weeks.
Methods: A total of 800 singleton pregnant females were subjected for routine sonographic evaluation. The umbilical cord length, diameter, and AWJ were determined. The gestational age and fetal weight were determined using usual fetal parameters. Umbilical cord morphometry along with Area of Wharton Jelly can be utilized as other parameters to increase the accuracy of fetal weight.
Results: In our study, the umbilical cord diameter at birth showed statistically significant positive correlation with birth weight (R=0.167; p<0.001). Umbilical cord length, diameter, and Area of Wharton Jelly showed statistically significant positive correlation with birth weight (p<0.001).
Conclusion: Using statistical analysis, a positive correlation was established between estimated fetal weight and fetal age with umbilical cord morphometry and AWJ.
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Masuda M, Tohno S, Tohno Y, Minami T, Moriwake Y, Yamada M, et al. Element content of human umbilical artery and vein in umbilical cord. Biol Trace Elem Res 1999;69(3):235-40.
Baergen RN, Malicki D, Behling C, Benirschke K. Morbidity, mortality and placental pathology in excessively long umbilical cords: Retrospective study. Pediatr Dev Pathol 2001;4:144-53.
Goynumer G, Ozdemir A, Wetherilt L, Durukan B, Yayla M. Umbilical cord thickness in the first and early second trimesters and perinatal outcome. J Perinat Med 2008;36(6):523-6.
Collins JH. Umbilical cord accidents: Human studies. Semin Perinatol 2002;26(1):79-82.
Standring S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 40th ed. London, UK: Churchill Livingstone, Elsevier; 2008. p. 176-7, 1302.
Carter AM, Mess A. Evolution of the placenta in Eutherian mammals. Placenta 2007;28(4):259-62.
Lyall F, Kaufmann P. In: Kingdom J, Baker P, editors. The Uteroplacental Circulation: Extravillous Trophoblast in Intrauterine Growth Restriction Aetiology and Management. Ch. 6. London: Springer; 2000. p. 89-129.
Rossant J, Cross JC. Placental development: Lessons from mouse mutants. Nat Rev Genet 2001;2(7):538-48.
Wildman DE, Chen C, Erez O, Grossman LI, Goodman M, Romero R. Evolution of the mammalian placenta revealed by phylogenetic analysis. Proc Natl Acad Sci USA 2006;103:3203-8.
Islam M. Morphometry of the placenta and umbilical cord in hypertensive Tripuri population. J Evol Med Dent Sci 2013;2(33):6322-7.
Barbieri C, Cecatti JG, Surita FG, Marussi EF, Costa JV. Sonographic measurement of the umbilical cord area and the diameters of its vessels during pregnancy. J Obstet Gynaecol 2012;32(3):230-6.
Petekkaya E, Deniz M, Yildiz E. Analysis of the relationship between umbilical cord placental morphology and anthropometric measurements of the new-born. Pak J Med Sci 2011;27(3):569-73.
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