Fetal ultrasound parameters: Reference values for a local perspective
- PMID: 33100681
- PMCID: PMC7546290
- DOI: 10.4103/ijri.IJRI_287_19
Fetal ultrasound parameters: Reference values for a local perspective
Abstract
Background: Fetal biometry, with the help of ultrasonography (USG) provides the most reliable and important information about fetal growth and well-being. Frequently used parameters for fetal measurements by this method are the biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL). These fetal dimensions depend upon the racial demographic characteristics, nutrition, genetics and many more environmental factors of a particular population.
Aims: The purpose of the present investigation was to define and analyze these fetal biometric parameters in our local population and to compare them with the given norms.
Methods: This cross-sectional study with convenience sampling was conducted on a total of 425 fetuses with a period of gestation between 18 to 38 weeks. Descriptive statistics was used to calculate the mean with standard deviation and 95% confidence interval (CI) for each fetal parameter in each gestational week.
Results: Mean of BPD and FL in our population are similar to the mean values given by Hadlock throughout the pregnancy, except near the end of the third trimester where our population shows a slightly lower range of mean values. HC and AC fall below the lower range of Hadlock as early as 24 weeks of pregnancy.
Conclusions: Fetal biometric parameters in the studied population are at the lower range of established nomograms by Hadlock on white fetuses, more so with the progression of pregnancy.
Keywords: Fetal-biometry; Hadlock standard reference charts; gestational age; ultrasound.
Copyright: © 2020 Indian Journal of Radiology and Imaging.
Conflict of interest statement
There are no conflicts of interest.
Figures
References
-
- Hadlock FP, Deter RL, Harrist RB, Park SK. Estimating fetal age: Computer-assisted analysis of multiple fetal growth parameters. Radiology. 1984;152(Suppl 2):497–501. - PubMed
-
- Babuta S, Chauhan S, Garg R, Bagarhatta M. Assessment of fetal gestational age in different trimesters from ultrasonographic measurements of various fetal biometric parameters. J Anat Soc India. 2013;62(Suppl 1):40–6.
-
- Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal biparietal diameter: A critical re-evaluation of the relation to menstrual age by means of real time ultrasound. J Ultrasound Med. 1982;1(Suppl 3):97–104. - PubMed
-
- Hadlock FP, Deter RL, Harrist RB. Fetal head circumference: Accuracy of real time ultrasound measurements at term. Perinat Neonatol. 1982;6:97–100.
-
- Hadlock FP, Deter RL, Harrist RB, Park SK. Fetal abdominal circumference as a predictor of menstrual age. AJR Am J Roentgenol. 1982;139(Suppl 2):367–70. - PubMed