PLACENTAL THICKNESS AS PREDICTOR OF FETAL WEIGHT IN SECOND AND THIRD TRIMESTER IN SINGLETON PREGNANCIES

Authors

  • Paarth Vaish 1Department of Radiology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India
  • Latha V kharka 2Department of Obstetrics and Gynaecology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.
  • Srabanti Pal 2Department of Obstetrics and Gynaecology, Sikkim Manipal Institute of Medical Sciences, Gangtok, Sikkim, India.

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i5.47919

Keywords:

Placental Thickness, Gestational Age, Fetal weight, Biometry, Ultrasound, Placental thickness

Abstract

Objectives: The aim of the study was to find out correlation between placental thickness and fetal weight in singleton pregnancies.

 Methods: One hundred and twenty patients with singleton pregnancies between 14 and 42weeks of gestation were included in this study on the basis of a predefined inclusion and exclusion criteria. Gestational age and fetal weight were determined by biometry. Placental thickness was measured at the level of cord insertion. Correlation between placental thickness and fetal weight was assessed using Pearsons coefficient. p<0.05 was taken as statistically significant.

Results: The mean age of the studied cases was found to be 26.12±6.38 years. The mean gestational age of studied cases was found to be 28.62±9.12 years. In majority of the cases (46.67%), placenta was anterior in location followed by posterior (31.67%). In 14 (11.67%) cases, placenta was found to be fundal. In 3 cases (2.50%), placenta was found to be covering internal Os (Placenta Previa). The mean placental thickness varied from 13.32 mm (at 12 weeks) to 36.34 mm (42 weeks). The thickness gradually increased from 13.32 mm to reach a nadir of 37.22 at 38 weeks after which there was slight decline in placental thickness. The analysis of correlation between placental thickness and fetal weight showed that there was a strong correlation between mean placental thickness and fetal weight from 14 weeks till 37 weeks of gestation.

Conclusion: There is a positive correlation between placental thickness and fetal weight in second and third trimester of singleton pregnancies.

Downloads

Download data is not yet available.

References

Burton GJ, Fowden AL. The placenta: A multifaceted, transient organ.Philos Trans R Soc Lond B Biol Sci 2015;370:201400662. Elsayes KM, Trout AT, Friedkin AM, Liu PS, Bude RO, Platt JF, et al. Imaging of the placenta: A multimodality pictorial review. Radiographics 2009;29:1371-91.

Masselli G, Gualdi G. MR imaging of the placenta: What a radiologist should know. Abdom Imaging 2013;38:573-87.

Adu-Bredu TK, Rijken MJ, Nieto-Calvache AJ, Stefanovic V, Aryananda RA, Fox KA, et al. A simple guide to ultrasound screening

for placenta accreta spectrum for improving detection and optimizing management in resource limited settings. Int J Gynaecol Obstet

;160:732-41.

Wu M, Shao G, Zhang F, Ruan Z, Xu P, Ding H. Estimation of fetal weight by ultrasonic examination. Int J Clin Exp Med 2015;8:540-5.

Schanler RJ, Shulman RJ, Prestridge LL. Parenteral nutrient needs of very low birth weight infants. J Pediatr 1994;125:961-8.

Faschingbauer F, Geipel A, Gembruch U, Voigt F, Dammer U, Beckmann MW, et al. Sonographic weight estimation in fetuses with

congenital diaphragmatic hernia. Ultraschall Med 2013;34:573-9.

Nagpal K, Mittal P, Grover SB. Role of ultrasonographic placental thickness in prediction of fetal outcome: A prospective Indian study.

J Obstet Gynaecol India 2018;68:349-54.

Karahanoglu E, Altinboga O, Akpinar F, Gultekin IB, Ozdemirci S, Akyol A, et al. The effect of the amniotic fluid index on the

accuracy of ultrasonographic-estimated fetal weight. Ultrasound Q 2017;33:148-52.

Shinde GR, Kshirsagar N, Laddad M, Shivade V. Ultrasonographic placental thickness versus fetal outcome: A prospective study in

Southern India. Caspian J Intern Med 2021;12:562-7.

Suseela AV, Satyavani BV, Devi GR. Placental thickness and its ultrasonographic correlation with estimated fetal weight. IAIM

;7:23-8.

Agwuna KK, Eze CU, Ukoha PO, Umeh UA. Relationship between sonographic placental thickness and gestational age in normal singleton fetuses in Enugu, Southeast Nigeria. Ann Med Health Sci Res

;6:335-40.

Balla EA, Ahmed MS, Ayad CE, Auod M. Prediction of fetal growth by measuring the placental thickness using ultrasonography. J Gynecol Obstet 2014;2:26-31.

Ahmed FA, Ibrahim RM, Farouk AM, Aboushady RM. Assessment of placental thickness as a predictor of gestational age and fetal weight in second and third trimester of pregnancy. Int J Reprod Contracept Obstet

Gynecol 2023;12 1-7.

Ahn KH, Lee JH, Cho GJ, Hong SC, Oh MJ, Kim MJ. Placental thickness-to-estimated foetal weight ratios and small-for-gestationalage

infants at delivery. J Obstet Gynaecol 2017;37:883-7.

Published

07-05-2023

How to Cite

Vaish, P. ., L. V. kharka, and S. . Pal. “PLACENTAL THICKNESS AS PREDICTOR OF FETAL WEIGHT IN SECOND AND THIRD TRIMESTER IN SINGLETON PREGNANCIES”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 5, May 2023, pp. 218-21, doi:10.22159/ajpcr.2023.v16i5.47919.

Issue

Section

Original Article(s)