Debanjan Sinha
Mata Gujri Memorial Medical College, IndiaPresentation Title:
Ultrasonographic assessment of fetal adrenal gland volume and cervical length in term and preterm birth: A comparative prospective observational study
Abstract
Background: Preterm birth remains the major cause of perinatal morbidity
and mortality in modern obstetrics. Exact etiology of preterm birth is not
clearly known. The present study will focus on to identify the association of
Fetal Adrenal Gland Volume and cervical length in both preterm and term birth.
Aim: To compare the fetal adrenal gland volume and cervical length in
preterm and term labor through 2D ultra-sonographic assessment.
Methods and materials: The present study was a comparative prospective observational
study. Thirty preterm pregnant women at 280//7-366/7 weeks of gestation with
the clinical diagnosis of preterm labor were included in this study with an
equal number of women at 37-40 weeks with term pregnancy as controls. All the
mothers enrolled in this study were subjected to trans-abdominal
ultrasonography where corrected fetal adrenal gland volume (cFAGV) was
calculated based on adrenal gland parameters and estimated fetal weight in both
the groups and ROC curve analysis was done to compare the variables.
Results: There was no significant difference found in respect of age,
delivery methods (P >0.05). Corrected fetal adrenal gland volume (cFAGV) was
significantly higher in preterm mothers compared to the term (449.31 ± 64 mm3 /
kg vs 347.46 ± 58 mm3 /kg; p<0.001). The difference of cervical length in
both the groups were also significant (p<0.001).
Conclusion: With the advent of Ultrasonography, fetal adrenal gland volume
can be used as a non-invasive, cost-effective marker for prediction of preterm
birth in clinical practice.
Clinical significance: Fetal adrenal gland volume has high sensitivity and
specificity in prediction of preterm labour.
Biography
Debanjan Sinha has completed his MBBS at the age of 23 years from WBUHS, India. He also completed postgraduation in Pediatrics as MD Pediatrics at the age of 29 years and DNB Pediatrics at the age of 30 years. He is currently working as Assistant Professor in Mata Gujri Memorial University, India. He has received various national level award for his excellence in academics as well as research. He has multiple publication in different national and international journals. He presented his research work in different international platform as well. Currently, he has been serving as reviewer in reputed international journal as JSAFOG, JAMMR, JIMA, MEDTIGO etc. He has been elected recently as editorial board member of MEDTIGO JOURNAL NETWORK.
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