Estimation of Gestational Age Using Ultrasound Scan

AUTHORS

Nazanin Farshchian 1 , * , Sh Iranfar 2 , M Rezaei 2

AUTHORS INFORMATION

1 Assistant Professor in Radiology, Kermanshah University of Medical Sciences‎, Iran

2 Iran

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 11 (1); e80906
Published Online: June 20, 2007
Article Type: Research Article
Received: November 27, 2005
Accepted: November 07, 2006

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Abstract

Introduction: Accurate estimation of gestational age (GA) early in pregnancy is necessary for obstetric care decisions and for determining fetal growth and other conditions that may need intervention or delivery. This study was aimed to compare menstrual versus ultrasound scan-based gestational age estimates of GA in Kermanshsh during 2004-2005.

Materials and Methods: A diagnostic study was done on 15 to 40 weeks pregnant women with reliable and regular menstrual period who referred to Motazedi Hospital of Kermanshah. At first GA history based on last menstrual period (LMP) was recorded by a Radiologist.  Then another Radiologist estimated GA based on Transverse Cerebella Diameter (TCD), Biparietal Diameter (PD) and Femur Length using ultrasound scan. The data were analyzed using descriptive and analytical statistics.

Results: The results showed that mothers age were between 17 to 40 years old.  48.7%of subjects were primi-gravida and 7.5% were five and over multi-gravida. GA results were 29.115.4, 28.935.3, 29.315.4 and 29.385.4 weeks based on TCD, BD, FL and LMP measurements respectively. The sensitivity of FL was more than other methods (86.9%) and Kappa coefficient agreement was 0.976.

Conclusion: This study confirmed that using femur length method in clinical ultrasound scan has more sensitivity and it is better to use for estimating GA.  Further study of standardization of femur length in Iranian fetus is highly recommended. 

Keywords

Transverse Cerebella Diameter Biparietal Diameter Femur Length Last Menstrual Period and Gestational Age

© 2007, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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