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العنوان
The use of Placental Thickness during Pregnancy by Abdominal U/S as Predictor for Neonatal Outcome/
المؤلف
Gaballah,Hyam Said
هيئة الاعداد
باحث / هيام سعيد جاب الله
مشرف / مجدي حسن كليب
مشرف / محمد محمود سالمان
تاريخ النشر
2020
عدد الصفحات
123.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
29/2/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics & Gynaecology
الفهرس
Only 14 pages are availabe for public view

from 123

from 123

Abstract

Background: The placenta is a transient organ of pregnancy which functions as a critical interface between the mother and the fetus. Filled with maternal blood spaces, which allows transfer of nutrients and drugs to the fetus, it has respiratory, nutritive and excretory functions.
Objectives: The aim of the work is to assess the accuracy of placental thickness in predicting birth weight and neonatal outcome (Apgar score) in normal pregnant women.
Patients and Methods: This prospective observational study was conducted at Ain Shams University Maternity Hospital at pre labor unit and included Ninty normal pregnant women at term who had admitted for elective cesarean section. The women were on the average 27.30 years old ± 4.68 years with an average of gestational age of 38.68 wks ± 0.63 wks taking in consideration that the cases had accurate gestational dating for singleton viable pregnancy and excluding Multiple pregnancy, Pregnant women with placenta previa.
Results: The results show there were highly statistically significant positive relation between placental thickness by U/S and fetal weight by U/S and neonatal weight with p-value < 0.01. There was no statistically significant relation between placental thickness by U/S and Apgar score at 1 and 5 min, NICU admission and cause of NICU admission with p-value = 0.916, 0.105, 0.610 and 0.659 respectively. There was no statistically significant relation between placental thickness by U/S and anthropometric measures, RBS and blood pressure of the studied patients while BMI showed highly statistically significant positive relation with placental thickness with p-value = 0.007.
Conclusion: There is strong correlation between placental thickness and actual neonatal weight, as thin placenta associated with higher incidence of low birth weight and thick placenta associated with increased birth weight.