CORRELATION BETWEEN FETAL BIOMETRY AND FETAL TRANSVERSE CEREBELLAR DIAMETER IN DETERMINATION OF GESTATIONAL AGE FROM THE 15TH WEEK OF GESTATION TO TERM IN HEALTHY WOMEN WITH UNCOMPLICATED PREGNANCY

Amanjeet Kaur, Amita Kumari, Yadav Suman, Kaur Parasdeep
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Abstract

Objectives: The present study was conducted as an attempt to determine a correlation between the transverse cerebellar diameter (TCD) and the gestational age (GA) as determined by the last menstrual period (LMP) and other sonographic parameters such as biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL) in healthy women with uncomplicated pregnancy between the 15th week of gestation to term, to derive normogram for estimating the GA of the fetus from ultrasonographically measured transverse cerebellar diameter. Methods: This prospective study was conducted on 1040 healthy women with uncomplicated pregnancy between the 15th week of gestation to term. Correlation between the GA by LMP with GA by other ultrasound parameters was done using Karl Pearson’s correlation(r). Results: This study demonstrated that throughout 15–40 weeks, TCD showed a strong correlation with clinical GA with a correlation coefficient (r) of 0.967 and a statistically significant correlation. Correlation coefficients between TCD and BPD, TCD and HC, TCD and AC, and TCD and FL being 0.987, 0.987, 0.986, and 0.988, respectively, indicated statistically significant and very strong correlation. Normogram of TCD showed that there was a linear relationship between cerebellar growth and gestational age. Conclusion: TCD can be used as a reliable parameter for the determination of GA.
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健康无并发症妊娠妇女从妊娠 15 周到足月期间胎儿生物测量和胎儿小脑横径在确定胎龄中的相关性
研究目的本研究试图确定小脑横径(TCD)与由末次月经(LMP)确定的孕龄(GA)以及其他声像图参数(如双顶径(BPD)、头围(HC)、腹围(AC)和股骨长(FL))之间的相关性、研究人员对妊娠 15 周至足月的无并发症健康妊娠妇女的头围(HC)、腹围(AC)和股骨长(FL)进行了分析,以得出根据超声测量的小脑横径推算胎儿胎龄的标准图。研究方法这项前瞻性研究针对 1040 名妊娠 15 周至足月的无并发症健康孕妇。使用卡尔-皮尔逊相关性(r)对 LMP 的胎儿性别与其他超声参数的胎儿性别进行了相关性分析:该研究表明,在整个 15-40 周期间,TCD 与临床妊娠结局有很强的相关性,相关系数(r)为 0.967,具有统计学意义。TCD与BPD、TCD与HC、TCD与AC、TCD与FL之间的相关系数分别为0.987、0.987、0.986和0.988,表明在统计学上有显著和非常强的相关性。TCD的标准图显示,小脑发育与胎龄之间存在线性关系:结论:TCD可作为确定胎龄的可靠参数。
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