scholarly journals Effectiveness of first trimester ultrasound screening in reduction of postdated labor induction rate

2021 ◽  
Author(s):  
Saugat Koirala ◽  
Achala Thakur ◽  
Rubina Rai ◽  
Baburam Dixit Thapa ◽  
Ashok Raj Pant
Keyword(s):  
Mode Of Delivery ◽  
First Trimester ◽  
Labor Induction ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Ultrasound Screening ◽  
Crown Rump Length ◽  
Induction Rate ◽  
Emergency Cesarean ◽  
First Trimester Scan

Background: The gestational age calculation by ultrasonography (USG) at first trimester is based on crown-rump length is more accurate, less erratic than last menstrual period based dating. Utilization of first trimester based scanning in dating the pregnancy will reduce the labor induction rate and consequently reduce the morbidity related to induction of labor.Methods: A comparative cross-sectional study was done among 314 booked antenatal women visiting department of obstetrics and gynecology, BPKIHS for regular check-up between 37 and 41 weeks of gestation. Expected date of delivery was calculated from crown rump length (CRL) of the first trimester scan for USG group while last menstrual period was taken to calculate expected date of delivery for LMP group and were called for induction at 41 weeks of gestation. The rates of labor induction, emergency cesarean section (CS) among induced group, indication of CS and mode of delivery were compared in both the groups.Results: There was 14% labor induction rate in USG group and 24.2% in LMP (last menstrual period) group and differed significantly (p=0.022). There was no difference in the mode of delivery among participants in either groups. The rate of emergency CS among women undergoing induction of labor was 54.5% and 39.5% respectively for USG and LMP groups (p=0.258). Overall, non-reassuring fetal heart rate was the most common indication for CS in both the groups.Conclusions: The finding suggests first trimester scan among all pregnancies will reduce the post-dated inductions, as well as need of CS. 

scholarly journals Gestational length assignment based on last menstrual period, first trimester crown-rump length, ovulation, and implantation timing

2016 ◽  
Vol 294 (4) ◽  
pp. 867-876 ◽  
Author(s):  
Amita A. Mahendru ◽  
Charlotte S. Wilhelm-Benartzi ◽  
Ian B. Wilkinson ◽  
Carmel M. McEniery ◽  
Sarah Johnson ◽  
...  
Keyword(s):  
First Trimester ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Gestational Length ◽  
Crown Rump Length

scholarly journals OP17.02: Assignment of gestational length based on last menstrual period, first trimester crown-rump length, ovulation and implantation timing

2014 ◽  
Vol 44 (S1) ◽  
pp. 101-101
Author(s):  
A. Mahendru ◽  
C.S. Wilhelm-Benartzi ◽  
S. Johnson ◽  
I.B. Wilkinson ◽  
C.M. McEniery ◽  
...  
Keyword(s):  
First Trimester ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Gestational Length ◽  
Crown Rump Length

scholarly journals Fetal infection resulting from maternal rubella after the first trimester of pregnancy

1980 ◽  
Vol 85 (3) ◽  
pp. 381-391 ◽  
Author(s):  
J. E. Cradock-Watson ◽  
Margaret K. S. Ridehalgh ◽  
Mary J. Anderson ◽  
J. R. Pattison ◽  
H. O. Kangro
Keyword(s):  
First Trimester ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Igg Antibody ◽  
True Rate ◽  
Igm Antibody ◽  
Prenatal Infection ◽  
Fetal Infection ◽  
First Trimester Of Pregnancy ◽  
Specific Igg

SUMMARYWe have tried to measure the incidence of prenatal infection in 304 infants whose mothers had had rubella at various times after the first 12 weeks of pregnancy. Two methods of assessment were used: first, serum obtained soon after birth was tested for specific IgM antibody; secondly, serum obtained after the age of eight months was tested for specific IgG. When maternal rubella occurred 12–16 weeks after the last menstrual period specific IgM antibody was detected in 28 out of 50 infants (56%). The proportion fell progressively to 12% after maternal rubella at 24–28 weeks, rose to 19% after rubella at 28–36 weeks and then to 58% when the illness occurred during the last month of pregnancy. In all, IgM antibody was detected in 77 out of 260 infants (29%). The fetus can thus be infected at any time during the second and third trimesters of pregnancy, but the risk varies at different stages.The figures for the prevalence of IgG antibody were greater throughout, because some infants had IgG who had previously lacked specific IgM. After maternal rubella at 12–16 weeks IgG antibody persisted in 22 out of 31 infants (71%). The proportion fell to 28% after rubella at 24–28 weeks and then increased progressively to 94% after rubella during the last month. In all, IgG antibody persisted in 94 out of 190 infants (49%). The true rate of fetal infection probably lies between the rates estimated from the presence of IgM antibody and the subsequent prevalence of IgG.Infants whose mothers had rubella at any time during pregnancy should be examined regularly for possible evidence of damage.

scholarly journals OP34.01: Estimation of onset of pregnancy: crown-rump length, last menstrual period or both?

2010 ◽  
Vol 36 (S1) ◽  
pp. 149-150
Author(s):  
J. Stirnemann ◽  
J. Thalabard ◽  
J. Bernard ◽  
Y. Ville
Keyword(s):  
Menstrual Period ◽  
Last Menstrual Period ◽  
Crown Rump Length

ESTIMATE GESTATIONAL AGE ACCORDING TO FETAL CROWN RUMP LENGTH ON ECHOGRAPHY

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Tran Danh Cuong ◽  
Nguyen Hai Long ◽  
Ngo Toan Anh ◽  
Nguyen Thi Thu Huong ◽  
Le Pham Sy Cuong ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Pregnant Women ◽  
Linear Equation ◽  
Gestational Age ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Obstetrics And Gynecology ◽  
National Hospital ◽  
Crown Rump Length ◽  
The Mean

Objectives: Development of descriptive table of gestational age (GA) based on fetal crown rump length (CRL) in Vietnam. Methods: This study was conducted at the Center for Prenatal Diagnosis, National Hospital Obstetrics and Gynecology. Gestational age based on the first day of last menstrual period (LMP) ranges from 10 weeks to 14 weeks and 6 days. Pregnant women who are healthy, have regular menstrual periods, have not used hormonal drugs or assisted reproductive methods before. Have ultrasound measured the length of the crown-rump of the embryo based on the mandatory criteria. Data were analysed using SPSS 20.0 software. Results: 1008 singleton fetuses that met criteria, were predicted GA according to LMP. There were 1008 fetal crown rump length recorded. The mean CRL was 59.95 ± 6.79 (mm), the mean gestational age according to KCC was: 12.13 ± 0.75 (weeks). Gestational age was linearly correlated with fetal crown rump length according to the equation: CRL = 6.602+ GAx 4.398 and GA= 8.889 + CRLx 0.54. Conclusion: Gestational age can be calculated based on fetal crown rump length index by linear equation: GA = 8.889 + CRLx 0.54. The equations can be applied to calculate gestational age in ultrasound practice in Vietnam.

The Value of Detailed First-Trimester Ultrasound Anomaly Scan for the Detection of Chromosomal Abnormalities

2018 ◽  
Vol 40 (06) ◽  
pp. 743-748
Author(s):  
Ismail Tekesin
Keyword(s):  
Turner Syndrome ◽  
Trisomy 21 ◽  
Detection Rate ◽  
First Trimester ◽  
Trisomy 18 ◽  
Trisomy 13 ◽  
Ductus Venosus ◽  
Ultrasound Screening ◽  
Crown Rump Length ◽  
First Trimester Ultrasound

Abstract Purpose To evaluate the performance of first-trimester ultrasound screening involving a detailed anomaly scan for the detection of trisomy 18, trisomy 13, triploidy, Turner syndrome and trisomy 21. Methods Data of pregnant women who underwent aneuploidy screening at 11–13 weeks of gestation was retrospectively analyzed. Crown-rump length (CRL), fetal nuchal translucency thickness (NT) and nasal bone (NB) anatomy, blood flow across the tricuspid valve (TV) and through the ductus venosus (DV) were assessed. Furthermore, a detailed scan for fetal anatomical anomalies (FA) was carried out. Performance of these markers was assessed by logistic regression and ROC analyses for different screening models. Results 4005 fetuses were analyzed. 3856 were euploid, 149 aneuploid (trisomy 18: 40; trisomy 13: 14; triploidy: 3; Turner syndrome: 17; trisomy 21: 75 cases). 70–100 % of the fetuses with trisomy 18 and 13, triploidy and Turner syndrome but only 34.7 % with trisomy 21 had at least one fetal defect. Considering all aneuploidies, the detection rate (DR) for screening based on MA+NT+NB+TV+DV was 90.6 % and improved to 96.0 % if an FA was added (fixed false-positive rate: 3 %). If screening was based on MA+NT+FA, the detection rate for all aneuploidies was 85.2 %. However, the DR for trisomy 18, trisomy 13, triploidy and Turner syndrome (excluding trisomy 21) was 94.6 %, indicating the high diagnostic value of an anomaly scan for these aneuploidies. Conclusion Incorporation of a detailed fetal anomaly scan (FA) into first-trimester screening algorithms can improve the detection rates for trisomy 18 and 13, triploidy and Turner syndrome.

Comparison of gestational age at birth based on last menstrual period and ultrasound during the first trimester

2008 ◽  
Vol 22 (6) ◽  
pp. 587-596 ◽  
Author(s):  
Caroline S. Hoffman ◽  
Lynne C. Messer ◽  
Pauline Mendola ◽  
David A. Savitz ◽  
Amy H. Herring ◽  
...  
Keyword(s):  
Gestational Age ◽  
First Trimester ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Gestational Age At Birth ◽  
Age At Birth

scholarly journals First Trimester Ultrasound Screening: An Update

2010 ◽  
Vol 4 (2) ◽  
pp. 97-116 ◽  
Author(s):  
JD Sonek ◽  
M Glover ◽  
M Zhou ◽  
KH Nicolaides
Keyword(s):  
Gestational Age ◽  
Nasal Bone ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Maternal Serum ◽  
Ductus Venosus ◽  
Great Promise ◽  
Ultrasound Screening ◽  
Detection Rates ◽  
Crown Rump Length

Abstract For many years, the main use of ultrasound in the first trimester of pregnancy was to confirm viability and to establish gestational age. Indeed, the crown-rump length measurement in the first trimester remains the most accurate method to estimate the gestational age even today. However, improvements in ultrasound equipment and improvement in our understanding of normal and abnormal fetal development allows us now to perform a much more complete first trimester fetal evaluation. This pertains not only to the diagnosis of fetal anomalies but also to screening for fetal defects. The combination of the nuchal translucency measurement and maternal serum biochemistries (free β-hCG and PAPP-A) has been shown to be an extremely efficient way to screen for fetal aneuploidy. The addition of other first trimester markers such as the nasal bone evaluation, frontomaxillary facial angle measurement, and Doppler evaluation of blood flow across the tricuspid valve and through the ductus venosus improves the screening performance even further by increasing the detection rates and decreasing the false positive rates. Several of the first trimester markers also are useful in screening for cardiac defects. Furthermore, significant nuchal translucency thickening has been associated with a variety of genetic and nongenetic syndromes. A recently described first trimester marker called the intracerebral translucency appears to hold great promise in screening for open spine defects. Finally, it appears that a first trimester evaluation (uterine artery Doppler and the measurement of certain biochemical markers in the maternal serum) significantly improves the assessment of the risk of preeclampsia.

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