Assessment of Gestational Age by Ultrasound | GLOWM
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Gravid females with single live fetus with no complication i. Regular menstrual cycles, known date of last menstrual period. Previous live normal neonates in multipara. All scans were performed by a single ultrasonologist on one ultrasound machine; a 3.
From the ultrasound reports biparietal diameter measurement was taken and tabulated then analyzed according to the last menstrual period and BPD in ultrasound.
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Results The study was conducted in 53 women who came for ultrasonography in the third trimester. The maternal age was between 20 - 36 years with a mean maternal age of In 36 - 38 weeks the increase in FL. The relationship between all patients has different in gestational age by US and LMP calculation was shown in Figure 9.
Discussion Gestational age, synonymous with menstrual age, is defined in weeks beginning from the first day of the LMP Figure 4.
Accurate determination of gestational age is fundamental to obstetric care and is important in a variety of situations.
Clinicians may choose to incorporate sonographic measurements into their final estimate of gestational age, as prior research suggests that the use of LMP to determine gestational age can be inaccurate  and that even a single second trimester sonogram may be more reliable .
The present study showed that Multiple parameters were found to be slightly superior to BPD alone in the estimation of fetal age . It is more challenging to measure the fetal AC than the other parameters.
Of all the fetal biometric parameters, this measurement has the most variability as it is somewhat dependent on fetal growth factors and body position   . Femur length varies somewhat with ethnicity. Short femurs are commonly a normal variant, however this finding may also indicate fetal growth restriction, aneuploidy, and when severely shortened skeletal dysplasias .
The accurate dating of pregnancy is critically important for pregnancy management from the first trimester delivery, and is particularly necessary for determining viability in premature labour and in post-dates deliveries .
In my study the almost of patients have US measurement parallel or have a little different to LMP measurement until 29 weeks.
The largest difference was after 29 weeks. This means that the accuracy of BPD measurement is less effective. That ultrasonic fetal femur length was more accurate than the biparietal diameter in predicting gestational age in the third trimester.
We agree with them that the BPD after 30 weeks should not be measured alone. We have to take more than one measurement beside the biparietal diameter to avoid the wrong gestational age. Conclusion In conclusion, the present study concluded that the main method to follow fetus growth in third trimester not biparietal diameter measurement only. Rich man now, including sexual impulsivity are in which takes the borderline: Start meeting, unfortunately i am share click here planet rock datingplanet rock datingplanet rock datingplanet rock datingplanet rock datingplanet rock datingplanet rock dating, diagnosis of.
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