Correlation of Sonographic Gestational Age with Fetal Kidney Length in Normal Pregnancy

Sonographic Gestational Age with Fetal Kidney Length in Normal Pregnancy

Authors

  • Areej Zamir University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Sadia Azam University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Abid Ali University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Rehan Afsar University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Aneeqa Khalid University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus
  • Waqar Mehmood Dar University Institute of Radiological and Medical Imaging Sciences, University of Lahore, Gujrat Campus

DOI:

https://doi.org/10.54393/pbmj.v5i6.532

Keywords:

Ultrasonography, Length of Fetal Kidney, Gestational Age

Abstract

Precise evaluation of gestational age is essential for quality maternity care. Ultrasonography is the most readily available and reliable method to establish gestational age. This study aims to use the length of the fetal kidney as a reliable parameter to measure gestational age in late second and third trimesters.  Objective: To determine the relationship between fetal kidney length and gestational age in weeks during the late 2nd and 3rd trimester of normal pregnancy.  Methods: It was a prospective cross-sectional study conducted on 105 singleton normal pregnant females between 24th and 40th weeks of gestation who came to the obstetrics and gynecology department at a private sector hospital in Kharian, Pakistan. The duration of the study was four months. Bi-parietal diameter, femur length, and fetal kidney lengths were measured. Statistical analyses were applied using SPSS version 22.0. Results: A moderately significant positive correlation was identified between different gestational age measuring parameters and fetal kidney length. The correlation was significant at the level of 0.01. The correlational values of GA according to LMP with FKLL and FKLR were (r= .85**) and (r= .87**) respectively. GA with BPD indicates a moderately significant positive correlation with FKLL and FKLR (r= .94**) and (r=.94**). GA with FL also shows a moderately significant positive correlation with FKLL and FKLR (r= .83**) and (r= .83**), respectively.  Conclusion: In conclusion, fetal kidney length in millimeters correlates well with gestational age in weeks and shows linear growth with gestational age throughout pregnancy. Gestational age estimated from fetal kidney length gives improved dating of fetal age

References

Das SK, Acharya I, Pariida S, Mohanty J, Singh M, Swain BM. Correlation of gestational age with fetal renal length in third trimester pregnancy. Journal of Medical Sciences and Health. 2018;4(1):18-22.

Yusuf N, Moslem F, Haque JA. Fetal kidney length: can be a new parameter for determination of gestational age in 3rd trimester. TAJ: Journal of Teachers Association. 2007;20(2):147-150. https://doi.org/10.3329/taj.v20i2.3078

Ugur MG, Mustafa A, Ozcan HC, Tepe NB, Kurt H, Akcil E, et al. Fetal kidney length as a useful adjunct parameter for better determination of gestational age. Saudi Medical Journal. 2016 May;37(5):533-7. doi: 10.15537/smj.2016.5.14225.

Butt K, Lim K; diagnostic imaging committee. Determination of gestational age by ultrasound. J Obstet Gynaecol Can. 2014 Feb; 36(2):171-181. doi: 10.1016/S1701-2163(15)30664-2.

Abonyi EO, Eze CU, Agwuna KK, Onwuzu WS. Sonographic estimation of gestational age from 20 to 40 weeks by fetal kidney lengths' measurements among pregnant women in Portharcourt, Nigeria. BMC Med Imaging. 2019 Aug; 19(1):72. doi: 10.1186/s12880-019-0371-z.

Akram MS, Yousaf M, Farooqi U, Arif N, Riaz A, Khalid M, et al,. Estimation of Gestational Age from Fetal Kidney Length in the Second and Third Trimester of Pregnancy by Ultrasonography. Saudi Journal of Medical and Pharmaceutical Sciences. 2019;5:222-229. DOI:10.21276/sjmps.2019.5.3.10

Toosi FS, Rezaie-Delui H. Evaluation of the normal fetal kidney length and its correlation with gestational age. Acta Medica Iranica. 2013:303-306.

Peter M, Nayak AK, Giri PP, Jain MK. Fetal kidney length as a parameter for determination of gestational age from 20th week to term in healthy women with uncomplicated pregnancy. International Journal of Research in Medical Sciences. 2017 May; 5(5):1869-73. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20171808

Kaul I, Menia V, Anand AK, Gupta R. Role of Fetal Kidney Length in Estimation of Gestational Age. JK science. 2012 Apr; 14(2).

Konje JC, Abrams KR, Bell SC, Taylor DJ. Determination of gestational age after the 24th week of gestation from fetal kidney length measurements. Ultrasound Obstet Gynecol. 2002 Jun; 19(6):592-7. doi: 10.1046/j.1469-0705.2002.00704.x.

Kiran L, Aneesh M, Thulaseeddharan A, et al. Fetal kidney length in estimation of gestation age by sonography. International Journal of Contemprary Medicine and Surgical Radiology. 2019;4:C79-C81.

Chatterjee S, Yadav K, Prakash P, Shekhawat K. Foetal kidney length as a parameter for determination of gestational age in pregnancy by ultrasonography. International journal of reproduction, contraception, obstetrics and gynecology. 2016 Jun; 5(6):1949-53.

Ghaleb MM, Shokri AI, El Sokkary MS, El Shourbagy MM. Role of ultrasonographic measurement of fetal kidney length in determination of gestational age during third trimester of pregnancy. Open Journal of Obstetrics and Gynecology. 2021 Mar;11(03):221. 10.4236/ojog.2021.113022

Shivalingaiah N, Sowmya K, Ananya R, Kanmani TR, Marimuthu P. Fetal kidney length as a parameter for determination of gestational age in pregnancy. International Journal of Reproductive and Contraception Obstetrics Gynecology. 2014 Jun; 3:424-7. DOI: 10.5455/2320-1770.ijrcog20140628

Edevbie J, Akhigbe A. Ultrasound measurement of fetal kidney length in normal pregnancy and correlation with gestational age. Nigerian journal of clinical practice. 2018; 21(8):960-966. DOI: 10.4103/njcp.njcp_373_15

Gupta S, Gupta V, Mahajan M, et al. Fetal Kidney length as a parameter for determination of Gestational Age from 20 th Weeks to term in healthy women with uncomplicated pregnancy. JMSCR. 2019 Nov; 7(11); 635-9. DOI: https://dx.doi.org/10.18535/jmscr/v7i11.110

Gayam S, Geethavani M, Paul S. Fetal kidney length for determining gestational age in third trimester. Obs Rev: Journal of Obstetrics and Gynecology. 2018 Sep; 4:49-54.

Al-Mlah S, Nasef A, El-Masry HA. Assessment of fetal kidney length as a parameter for detection of gestational age at the third trimester of pregnancy. The Egyptian Journal of Hospital Medicine. 2019 Apr; 75(5):2839-44. doi.org/10.21608/ejhm.2019.33002

Bardhan J, Ghosh SK, Sarkar KN, Sarkar M. Fetal kidney length as a parameter for gestational age determination and its comparative evaluation with other fetal biometric indices. IAIM. 2016 Aug; 3(8):36-44.

Ahmadi F, Taqi Dizaj AV, Akhbari F, Hohreh Irani S, Holamreza Khalili G. Fetal kidney measurement in 26-39 weeks gestation in normal fetuses of Iranian pregnant women. Journal of Pregnancy Child Health. 2015; 2:139. doi: 10.4172/2376-127X.1000139

Muthaian E, Selvaraj K. Accuracy of the fetal kidney length measurement by ultrasonography in the determination of the gestational age in pregnancy. National Journal of Clinical Anatomy. 2019 Jan; 8(01):018-21. doi.org/10.1055/s-0039-1688532

Hemraj S, Abraham SM, Vinayaka US, Ravichandra G, Acharya D. Sonographic correlation of gestational age with fetal kidney length. International Journal of Infertility & Fetal Medicine. 2016 Aug; 7(2):37-41.

Downloads

Published

2022-06-30
CITATION
DOI: 10.54393/pbmj.v5i6.532
Published: 2022-06-30

How to Cite

Zamir, A. ., Azam, S., Ali, A. ., Afsar, R. ., Khalid, A. ., & Mehmood Dar, W. . (2022). Correlation of Sonographic Gestational Age with Fetal Kidney Length in Normal Pregnancy: Sonographic Gestational Age with Fetal Kidney Length in Normal Pregnancy. Pakistan BioMedical Journal, 5(6), 55–59. https://doi.org/10.54393/pbmj.v5i6.532

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)

1 2 > >>