Ultrasonographic Assessment of Frequency of Maternal Hydronephrosis During Second and Third Trimster of Pregnancy

Saira  Jelany; Syed Muhammad Yousaf  Farooq; Fizza  Rauf; Muhammad  Uzair; Moeeza  Idrees; Maryam  Tariq; Amjad  Iqbal; Syed Amir  Gilani

doi:10.54393/pbmj.v5i1.268

Authors

Saira Jelany University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Syed Muhammad Yousaf Farooq University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Fizza Rauf University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Muhammad Uzair University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Moeeza Idrees University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Maryam Tariq University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Amjad Iqbal University Institute of Radiological Sciences and Medical Imaging Technology, Faculty of Allied Health Sciences the University of Lahore, Lahore Pakistan
Syed Amir Gilani Gilani Ultrasound Center, Ferozpur Road, Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i1.268

Keywords:

Ultrasound, Trimester, Maternal hydronephrosis.

Abstract

The increasing occurrence of maternal hydronephrosis is causing concern across the world. Hydronephrosis during pregnancy is graded by using sonographic techniques. Objective: On ultrasonography, determine the consistency of maternal hydronephrosis during the second and third trimesters of pregnancy. Methods: A descriptive study was done at the Gilani Ultrasound center. There were following variables; trimesters, a baby's weight and three grades of hydronephrosis (Mild, Moderate and Severe). The data was collected based on these variables (Right, left). Pregnant women with kidney disease and without kidney disease were preferred. Pregnant women of all ages who are in their second and third trimesters of pregnancy are included in this study. Pregnant women in their first trimester and people with kidney problems were not included in the study. Toshiba and XARIO ultrasound machines and convex probe were used. SPSS version 21.0 was used to analyze the data. Results: With the standard deviation of 4.26, minimum 18.00, maximum 41.00 and mean of 6.85 out of 139 pregnant females were included according to age in this study.68 (48.9%) out of 139 were without hydronephrosis and 71 (51.1%) were with hydronephrosis. Out of 139 pregnant females 18 (25.4%) had moderate hydronephrosis, 53 (74.6%) had mild hydronephrosis. According to laterality 2 (2.8%) pregnant females had bilateral hydronephrosis 20 (28.2%) had left sided hydronephrosis and 48 (67.6%) had right sided hydronephrosis. During 3^rd trimester 44 (62.0%) and during 2^nd trimester 27 (38.0%). According to fetal lie 11 (15.5%) were transverse and 60(84.5%) were longitudinal. According to fetal position 46 (64.8%) were cephalic and 25 (35.2%) were breech. Conclusion: According to the findings, hydronephrosis is more common in the third trimester than in the second trimester. Mild hydronephrosis is more common than moderate and severe hydronephrosis.

References

Peake SL, Roxburgh HB, Langlois SL. Ultrasonic assessment of hydronephrosis of pregnancy. Radiology. 1983 Jan;146(1):167-70.

https://doi.org/10.1148/radiology.146.1.6849041

Di Salvo DN. Sonographic imaging of maternal complications of pregnancy. Journal of Ultrasound in Medicine. 2003 Jan;22(1):69-89.

https://doi.org/10.7863/jum.2003.22.1.69

Zordani A, Bevilacqua L, Micali S. Hydronephrosis in Pregnancy. Practical Tips in Urology. 2017:9-15.

https://doi.org/10.1007/978-1-4471-4348-2_2

Coban S, Biyik I, Ustunyurt E, Keles I, Guzelsoy M, Demirci H. Is there a relationship between the grade of maternal hydronephrosis and birth weight of the babies?. The Journal of Maternal-Fetal & Neonatal Medicine. 2015 Jun 13;28(9):1053-6.

https://doi.org/10.3109/14767058.2014.942631

Alshoabi SAJPjoms. Association between grades of Hydronephrosis and detection of urinary stones by ultrasound imaging. 2018;34(4):955.

https://doi.org/10.12669/pjms.344.14602

Lee G, Schafer AI. GOLDMAN'S CECIL MEDICINE 24th. Philadelphia, PA: Elsevier Saunders; 2011

Batool A, Syed M, Mahmood S, Waris S, Faqih S, Manzoor I, et al. Sonographic Comparison of Segmental Artery Resistive Index With Severity of Hydronephrosis. 2020;3(1).

https://doi.org/10.31014/aior.1994.03.01.96

Patel K, Batura DJBJoHM. An overview of hydronephrosis in adults. 2020;81(1):1-8.

https://doi.org/10.12968/hmed.2019.0274

Mandal D, Saha MM, Pal DKJUA. Urological disorders and pregnancy: an overall experience. 2017;9(1):32.

https://doi.org/10.4103/0974-7796.198901

Farr A, Ott J, Kueronya V, Margreiter M, Javadli E, Einig S, et al. The association between maternal hydronephrosis and acute flank pain during pregnancy: a prospective pilot-study. 2017;30(20):2417-21.

https://doi.org/10.1080/14767058.2016.1252328

ŞİMŞİR A, Kizilay F, SEMERCİ MBJTjoms. Comparison of percutaneous nephrostomy and double J stent in symptomatic pregnancy hydronephrosis treatment. 2018;48(2):405-11.

https://doi.org/10.3906/sag-1711-5

Rasmussen PE, Nielsen FR. Hydronephrosis during pregnancy: a literature survey. European Journal of Obstetrics & Gynecology and Reproductive Biology. 1988 Mar 1;27(3):249-59

https://doi.org/10.1016/0028-2243(88)90130-X

Shindel AW, Cox MJ, Bullock TLJUN. Unintentional transurethral Foley catheterization of the right renal pelvis. 2008;28(1):48-9.

Abdelmaboud SO, Gameraddin MB, Ibrahim T, Alsayed AJIJMI. Sonographic evaluation of hydronephrosis and determination of the main causes among adults. 2015;3(1):1-5.

https://doi.org/10.11648/j.ijmi.20150301.11

Kumar PR. A Comparative Study of Plain Radiography, Ultrasound and Static MR Urography in Evaluation of Urinary Tract Pathologies. 2020.

Nuraj P, Hyseni NJAIM. The diagnosis of obstructive hydronephrosis with color doppler ultrasound. 2017;25(3):178.

https://doi.org/10.5455/aim.2017.25.178-181

Alshoabi SAJPjoms. Association between grades of Hydronephrosis and detection of urinary stones by ultrasound imaging. 2018;34(4):955.

https://doi.org/10.12669/pjms.344.14602

Woo J, Wan C, Ma HKJA, Obstetrics NZJo, Gynaecology. Pregnancy hydronephrosis-a longitudinal ultrasonic evaluation. 1984;24(1):9-13

https://doi.org/10.1111/j.1479-828X.1984.tb03313.x

Watson WJ, Brost BC. Maternal hydronephrosis in pregnancy: poor association with symptoms of flank pain. American journal of perinatology. 2006 Nov;23(08):463-6.

https://doi.org/10.1055/s-2006-954820

Anderson I, Jones G, Standen JJJotCAoR. Ultrasonographic assessment of hydronephrosis of pregnancy. 1983;34(1):29-31.

Siyal A, Abbasi A, Shaikh S, Shaikh FA. MATERNAL HYDRONEPHROSIS IN PREGNANCY: ULTRASONIC EVALUATION AFTER 30 WEEKS OF GESTATION. Medical Channel. 2010 Oct 1;16(4).