gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

The newly proposed an ultrasound scoring system for early prediction of intrauterine growth restriction in high-risk pregnancy : A prospective cohort study


Author(s): Ali A. Bendary* and Mohamed E. El Hodiby

Aim: Early prediction of fetuses at risk for fetal growth restriction (FGR) may help physicians perform proper antenatal treatment and in decide proper timing for intervention, leading to better perinatal outcome. We attempted to assess the value of using ultrasonography scoring system as well as Doppler angiography for early screening of FGR in high-risk pregnancies.

Methods: Study target were 200 pregnant women attending the University Hospital, who were observed throughout pregnancy till delivery. CCC, CRL, placental length, PT, uterine artery Doppler and placental shape were examined.

Results: Significant differences were observed in earlier stage ultrasound parameter between FGR (-) vs. (+) fetuses. An ultrasound scoring system included parameters as follows: CCC, CRL, PT, placental length, PT, placental length/PT ratio, uterine artery Doppler, and placental morphology. This scoring system was proposed to help differentiating fetuses at high- vs. low-risk for developing FGR. At cut off value? 4, there is high sensitivity, specificity, positive predictive value and negative predictive value for detecting fetuses for FGR.

Conclusion: The present scoring system may be of some use in predicting later occurrence of FGR. Further validating study is needed.