Subject Area
Obstetrics & Gynaecology
Article Type
Original Study
Abstract
ABSTRACT Background: In handling of pregnancy with elevated risk, fetal lung maturity (FLM) prediction is crucial. Long bone epiphyseal ossification centers (OCs) are considered to be a helpful predictor of (FLM), moreover, they can precisely identified and assessed easily. Aim: This research is trying to find out whether there is an association between OCs identification and FLM. Methods: This prospective study was carried out at the Mansoura University Hospital outpatient obstetric clinic. The Obstetrics and Gynaecology division at Mansoura University Hospitals recruited 100 full-term pregnant women. The major OCs were detected via ultrasound (US) as egg-shaped echo-rich zones. They were measured from the outer to outer edges of the mediolateral surface in an axial plane. Results: There was significant association between fetal biometry, sum of 3 OCs and FLM. Neonatal outcome among the studied mothers, as 12.0% only admitted to Neonatal Intensive Care Unit (NICU). The sum of 3 OCs (Proximal humerus (PH), distal Femur (DF), Proximal Tibia (PT)) can be used for FLM with Cutoff point of 1.445 cm with accurancy, sensitivity and specificity of about 88%, 75.0% & 89.8% respectively. Conclusion: The current study demonstrated that US of fetal long bone OCs (femurtibia- humerus) could be used as a promising tool in predicting FLM in scheduled pregnant females for elective cesarean section (CS) with a high sensitivity, specificity and accuracy.
Recommended Citation
Abu zeid, Hala Mohammed; Sayed, Mohammed Tawfik; Zayed, Abdelhady; and Mohamed, Alhussein Ahmed
(2023)
"Ultrasound of Fetal Long Bone Ossification Centers as a Predictor of Fetal Lung Maturity in Pregnant Ladies Scheduled for Elective Cesarean Section,"
Mansoura Medical Journal: Vol. 52
:
Iss.
3
, Article 1.
Available at:
https://doi.org/10.58775/2735-3990.1393
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This work is licensed under a Creative Commons Attribution 4.0 International License.
