Corresponding Author

Hala Mohammed Abu zeid

Subject Area

Obstetrics & Gynaecology

Article Type

Original Study


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.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.