الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Small for gestational age (SGA) is defined as an estimated fetal weight (EFW) or abdominal circumference (AC) less than the 10th centile. Aim of the Work: This study aims to evaluate the value of use of TCD in singleton gestations as a reliable predictor of GA in fetuses with SGA. Patients and Methods : Study design: This Cross-sectional study was conducted on 101 pregnant women clinically suspected to have SGA fetus in the special care center of the fetus, Ain Shams Maternity Hospital (Inpatient & Outpatient). The transcerebellar diameter, the biparietal diameter, the femur length and abdominal circumference were measured for determination of gestational age. Results: Table 4 shows: the table showed that TCD had the least discrepancy from dating by the LMP (only 2.02 weeks). All other measured parameters showed a discrepancy of more than 3 weeks. Conclusion: This study showed that transcerebellar diameter has an advantage in cases of growth restricted fetuses as it correlates well with gestational age compared to other growth parameters. TCD had the smallest SEest (±2.02weeks) whereas most of other measurements were consistently discrepant by more than 3 weeks. Recommendations: TCD is advised to be added as a routine measurement for the estimation of gestational age. Further studies to investigate its accuracy in estimation of GA in large of gestational age fetuses. Key words: SGA, abdominal circumference, TCG, EFW |