Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 5 ( September-October, 2022 ) > List of Articles

ORIGINAL RESEARCH

Comparison of Ultrasonic Measurement of Fetal Kidney Length with Other Fetal Biometric Indices in Determining Gestational Age in Third Trimester in South Indian Population

Aaina Garg, Syed Habeebullah

Keywords : Crown-rump length, Dating pregnancy, Fetal kidney length, Gestational age, Observational study, Third trimester

Citation Information : Garg A, Habeebullah S. Comparison of Ultrasonic Measurement of Fetal Kidney Length with Other Fetal Biometric Indices in Determining Gestational Age in Third Trimester in South Indian Population. J South Asian Feder Obs Gynae 2022; 14 (5):587-591.

DOI: 10.5005/jp-journals-10006-2121

License: CC BY-NC 4.0

Published Online: 16-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To investigate the accuracy of fetal kidney length (FKL) in determining gestational age (GA) in the third trimester by ultrasound and comparing it with existing parameters. Materials and methods: This is an observational and comparative study conducted over a period of 1 year in the Department of Obstetrics and Gynecology of a tertiary care teaching hospital located in Puducherry, India. The study included pregnant women between 28 weeks and 34 weeks. All had a dating scan (DS) in the first trimester. The total study population was 100. All patients underwent a growth scan, and FKL was determined during the same. This value was compared with a normogram, and gestational age was determined. This was compared with the gold-standard gestational age derived from crown-rump length (CRL). The software used was MedCalc software. Results: The average FKL was positively correlated with CRL which was statistically significant (p <0.001). The Kappa analysis showed agreement of average FKL with CRL. Both sides of the kidney had comparable values, but the average length showed the best correlation to determine gestational age in the third trimester. Conclusion: The study showed that FKL is an accurate parameter to date pregnancy. It correlated well in combination with the other routinely used parameters for the estimation of gestational age in the third trimester. Clinical significance: The present study is one of the few studies conducted in the third trimester to date the pregnancy. It is applicable in low-resource settings where DS might not be available to accurately date the pregnancy.


HTML PDF Share
  1. Adiri CO, Anyanwu GE, Agwuna KK, et al. Use of fetal biometry in the assessment of gestational age in South East Nigeria: Femur length and biparietal diameter. Niger J Clin Pract 2015;18(4):477–482. DOI: 10.4103/1119-3077.151749.
  2. Assessment of Gestational Age by Ultrasound | GLOWM. Available from: http://www.glowm.com/section-view/heading/Assessment of Gestational Age by Ultrasound/item/206 [cited October 07, 2021].
  3. Committee Opinion No 700: Methods for estimating the due date. Obstet Gynecol 2017;129(5):e150–e154. PMID: 28426621.
  4. Bottomley C, Bourne T. Dating and growth in the first trimester. Best Pract Res Clin Obstet Gynaecol 2009;23(4):439–452. DOI: 10.1016/j.bpobgyn.2009.01.011.
  5. Hadlock FP, Deter RL, Harrist RB, et al. Fetal biparietal diameter: A critical re-evaluation of the relation to menstrual age by means of real-time ultrasound. J Ultrasound Med 1982;1(3):97–104. DOI: 10.7863/jum.1982.1.3.97.
  6. Toosi FS, Rezaie-Delui H. Evaluation of the normal fetal kidney length and its correlation with gestational age. Acta Med Iran 2013;51(5): 303–306. PMID: 23737313.
  7. Verburg BO, Steegers EAP, De Ridder M, et al. New charts for ultrasound dating of pregnancy and assessment of fetal growth: Longitudinal data from a population-based cohort study. Ultrasound Obstet Gynecol 2008;31(4):388–396. DOI: 10.1002/uog.5225.
  8. Shivalingaiah N, Sowmya K, Ananya R, et al. Fetal kidney length as a parameter for determination of gestational age in pregnancy. Int J Reprod Contracept Obstet Gynecol 2014;3:424–427.
  9. Bardhan J, Ghosh SK, Sarkar KN, et al. Fetal kidney length as a parameter for gestational age determination and its comparative evaluation with other fetal biometric indices. IAIM 2020;3(8): 36–44.
  10. Cohen HL, Cooper J, Eisenberg P, et al. Normal length of fetal kidneys: Sonographic study in 397 obstetric patients. AJR Am J Roentgenol 1991;157(3):545–548. DOI: 10.2214/ajr.157.3.1872242.
  11. Akram M, Farooqi U, Arif N, et al. Estimation of gestational age from fetal kidney length in the second and third trimester of pregnancy by ultrasonography. Saudi Pharm J 2019;5(3):222–229. DOI: 10.21276/sjmps.2019.5.3.10.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.