新生儿出生时超声对胎儿体重的估计

Kamrun Nahar Sweety, Nasreen Haque, Nowshafreen Chowdhury, Razia Begum, Laila Nazneen Khan, Rumana Sultana, Naznin Rashid Shewly
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摘要

背景:超声介入分娩是高度敏感的,对胎儿健康的进一步检测至关重要。目的:本研究的目的是观察胎儿体重与新生儿出生体重的相关性。方法:这是一项横断面研究,对孟加拉国达卡萨里穆拉爵士医学院和米特福德医院妇产科分娩病房的患者进行了为期6个月的研究。选择正常妊娠、早期超声检查确认胎龄、单胎活胎、产前3天内超声检查妊娠剖面图的妇女。超声胎儿体重是通过测量胎儿的身体部位——双顶骨直径、腹围和股骨长度来估计的。为了测量股骨的长度,首先要做一个投影,显示其中一根长骨的横切面,然后在900的位置扫描以获得纵切面。结果:本研究共招募了100例患者。超声估计胎儿体重的平均值(±SD)为3074±534gm,范围为2100 ~ 4100 gm。新生儿出生体重的平均值(±SD)为2978±466 gm,范围为2500 ~ 3800 gm (p < 0.05)。超声估计胎儿体重小于3000 g与新生儿出生体重相关。在100例病例中,57例(57.0%)的超声估计胎儿体重小于3000g, 43例(43.0%)的超声估计胎儿体重大于3000g。57例超声检查小于3000 g的新生儿中,小于3000 g的有41例,大于或等于3000 g的有16例。结论:超声对胎儿体重的估计诊断有一定的价值,可作为孕妇术前鉴别的一种敏感、特异的影像学手段。孟加拉国国家神经科学研究所杂志,2023年1月;9(1):42-47
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Estimation of Foetal Weight by Ultrasonography and Neonate at Birth
Background: Ultrasonography intervention in delivery is highly sensitive and primary important for further tests of foetal well-being. Objective: The purpose of the present study was to observe the correlation of estimated foetal weight with neonatal birth weight. Methodology: This was a cross-sectional study on patients at the Labour Ward of Department of Obstetrics and Gynaecology at Sir Salimullah Medical College and Mitford Hospiptal, Dhaka, Bangladesh for six months. The women were selected who had normal pregnancy with early ultrasounographic examination for confirmation of gestational age, singleton live foetus, ultrasound examination for pregnancy profile done within 3 days before delivery. A sonographic foetal weight was estimated by using measurements of foetal body parts-biparietal diameter, abdominal circumference and femoral length. To measure the femur length, first a projection was made that shows a transverse section of one of the long bones, then scan at 900 to this to obtain a longitudinal section. Results: A total number of 100 patients were recruited for this study. The mean (±SD) sonographically estimated foetal weight was 3074±534gm with ranged from 2100 to 4100 gm. The mean (±SD) neonatal birth weight was 2978±466 gm with ranged from 2500 to 3800 gm (p<0.05). Sonographically estimated foetal weight less than 3000 g were correlated with neonatal birth weight. Out of the 100 cases 57(57.0%) cases had less than 3000 g estimated foetal weight and 43(43.0%) cases had 3000 g or more than 3000gm estimated foetal weight Sonographically. Among the 57 cases, which were less than 3000 g by Sonographically, 41 cases were less than 3000 g and 16 cases were found 3000 g or more than 3000 g in neonatal birth weight. Conclusion: Ultrasonography has definite value in the diagnosis of estimated foetal weight and can be regarded as a sensitive and specific imaging modality for pre-operative discrimination of the pregnant women. Journal of National Institute of Neurosciences Bangladesh, January 2023;9(1):42-47
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