Antenatal diagnosis of achondroplasia

2013 ◽  
Vol 13 (1) ◽  
pp. 84-87 ◽  
Author(s):  
K Dhungel ◽  
MK Gupta ◽  
K Ahmad ◽  
S Ansari ◽  
RK Rauniyar
Keyword(s):  
Antenatal Diagnosis ◽  
Medical Science ◽  
Interesting Case ◽  
Skeletal Survey ◽  
Term Pregnancy ◽  
Femur Length ◽  
Biparietal Diameter ◽  
Ultrasound Assessment

We report a interesting case of antenatal diagnosis of achondrpoplasia in a young multigravida who presented with term pregnancy for routine ultrasound assessment which revealed a single, live intrauterine fetus with a discrepancy between femur length (FL) and biparietal diameter (BPD), narrowing of the interpeduncular distance. The diagnosis of achondroplasia was made with a sonological skeletal survey and findings were correlated with radiological skeletal survey after the baby was delivered. DOI: http://dx.doi.org/10.3329/bjms.v13i1.17443 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 84-87

scholarly journals Estimation of Fetal Birth Weight Using Ultra Sonographic Parameters

1970 ◽  
Vol 39 (135) ◽  
pp. 284-286
Author(s):  
Kaveeta Dawaka ◽  
G C Das
Keyword(s):  
Birth Weight ◽  
Fetal Weight ◽  
Weight Estimation ◽  
Term Pregnancy ◽  
Femur Length ◽  
Actual Weight ◽  
Medical College ◽  
Biparietal Diameter ◽  
Fetal Birth Weight ◽  
The Mean

One hundred antenatal patients were studied at term pregnancy at Gauhati Medical College, Guwahati, andfetal birth weight estimation was done in utero Ultrasono-graphically. The parameters measured wereAbdominal Circumference (AC), Biparietal diameter (BPD) and Femur Length (FL), Fetal weightprediction was done with Shepards formula using AC and BPD as well as Hadlocks formula using FL andAC. The scan delivery interval was maintained at 72 hours or less. Results of both formulae were comparedwith the actual fetal birthweight taken within 15 minutes of delivery. With Shepards formula, the predictedfetal weight was within 100 gm of the actual fetal weight in 71% cases, within 150gm in 86% cases, within200 gms in 93% cases and within 250 gms in 98%. With Hadlocks formula, the predicted birthweight waswithin 100 gms of the actual fetal weight in 72% cases, within 150 gms in 83%, within 200 gms in 92%cases and within 300 gms in 98%. The mean percent error calculated as Error % = Predicted weight - actualweight divided by actual weight x 100 was 2.9% with Shepards formula and 3% with Hadlocks. These datathus support a significant correlation between ultrasonographic estimation and actual fetal birth weight.Key Words: Fetal birth weight, AC, BPD, FL

Ayurvedic management of Ischemic Gangrene due to Diabetes Mellitus - A Case Report

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Vikram S. ◽  
Saraswathi Devi H.N.
Keyword(s):  
Diabetes Mellitus ◽  
Upper Limb ◽  
Medical Science ◽  
Limb Ischemia ◽  
Interesting Case ◽  
Therapeutic Interventions ◽  
Acute Ischemia ◽  
Arterial Circulation ◽  
Ct Angiogram ◽  
Choice Of Treatment

Medical science says that ischemia is a common complication in Diabetes, especially in the lower limb but this is a case presenting ischemic changes in upper limb which is unique and also in such type of acute ischemia amputation is the only choice of treatment to save the life of patient from septicaemia. Such a rare and interesting case was taken at Sri Sri Ayurveda Hospital and handled by proper Ayurvedic line of treatment by which circulation is re-established which saved both limb and life of patient. A patient by name Sundaramma, 62yr Female, visited Sri Sri Ayurveda Hospital on 29/2/2016 with a diagnosis of Right upper limb Ischemia with Diabetes Mellitus and Active TB. The main symptoms were severe pain and burning sensation in Right hand and forearm, discolouration of fingers with ulcers, Bluish black discolouration over right thumb, necrosis, pus dischargeand stiffness, associated with difficulty in movement of right arm, shoulder joint, elbow joint, palm and fingers. Diagnosed as Right Upper Limb Ischemia with Diabetes Mellitus and active TB. Therapeutic interventions like Right upper limb Doppler and CT angiogram were done. Such a complicated case was taken at Sri Sri Ayurveda Hospital, and carefully handled by Ayurvedic methods of management, which was ended up by preventing amputation of the limb and also achieving the re-establishment of arterial circulation.

scholarly journals Placental thickness: an important parameter in determining gestational age and fetal growth during ANC scan

2018 ◽  
Vol 7 (11) ◽  
pp. 4619
Author(s):  
Dipali Kadam ◽  
Saurabh Patil ◽  
Meenal Jain
Keyword(s):  
Gestational Age ◽  
Abdominal Circumference ◽  
P Value ◽  
Third Trimester ◽  
Cross Sectional ◽  
Femur Length ◽  
Biparietal Diameter ◽  
Antenatal Sonography ◽  
Umbilical Cord Insertion ◽  
Placental Thickness

Background: Gestational Age (GA) is one of the most imperative parameters required for proper management in pregnancy. Routinely GA is estimated by sonography utilising Biparietal Diameter (BPD), Femur Length (FL), Abdominal Circumference (AC) and Head Circumference (HC). In any case, these parameters have some limitations. Hence, there is need to find other parameters that may complement the established fetal biometric parameters in predicting GA. The objective of the present study was to assess placental thickness in second and third trimester pregnancies and its relationship with fetal gestational age and its role in detecting LBW and IUGRMethods: A cross sectional prospective study was carried out in three hundred pregnant women between 13 to 40 weeks of gestation, who came for routine antenatal sonography. Placental thickness was measured along with routine parameters. Placental thickness was measured at the level of umbilical cord insertion by two-dimensional ultrasonography.Results: Correlation between the GA by LMP and Placental thickness by ultrasound was done by using Karl Pearson's Correlation(r). The values were expressed as mean + standard deviation. Correlation between placental thickness and gestational age was statistically significant as p value is <0.01. Placental thickness measured in millimetres increases with gestational age in second and third trimester.Conclusions: The correlation between the placental thickness and gestational age was linear and direct. Therefore, Placental thickness is used as a predictor for estimation of gestational age of the fetus in cases where LMP is not known and in detecting developing IUGR and low birth weight.

scholarly journals Correlation models for monitoring fetal growth

2020 ◽  
Vol 29 (10) ◽  
pp. 2795-2813 ◽  
Author(s):  
Yuan Feng ◽  
Luo Xiao ◽  
Cai Li ◽  
Stephanie T Chen ◽  
Eric O Ohuma
Keyword(s):  
Fetal Growth ◽  
Abdominal Circumference ◽  
Fetal Head ◽  
Femur Length ◽  
Second Stage ◽  
Correlation Models ◽  
Biparietal Diameter ◽  
Z Scores ◽  
Using Data ◽  
Shiny Application

Ultrasound growth measurements are monitored to evaluate if a fetus is growing normally compared with a defined standard chart at a specified gestational age. Using data from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st project, we have modelled the longitudinal dependence of fetal head circumference, biparietal diameter, occipito-frontal diameter, abdominal circumference, and femur length using a two-stage approach. The first stage involved finding a suitable transformation of the raw fetal measurements (as the marginal distributions of ultrasound measurements were non-normal) to standardized deviations (Z-scores). In the second stage, a correlation model for a Gaussian process is fitted, yielding a correlation for any pair of observations made between 14 and 40 weeks. The correlation structure of the fetal Z-score can be used to assess whether the growth, for example, between successive measurements is satisfactory. The paper is accompanied by a Shiny application, see https://lxiao5.shinyapps.io/shinycalculator/ .

scholarly journals P09.10: Prenatal diagnosis of achondroplasia in the second trimester of pregnancy using the biparietal diameter/femur length ratio

2017 ◽  
Vol 50 ◽  
pp. 183-183
Author(s):  
C. Veluppillai ◽  
J. Stirnemann ◽  
F. Djaafri ◽  
M. Bonniere ◽  
T. Attie Bitach ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Length Ratio ◽  
Second Trimester ◽  
Femur Length ◽  
Biparietal Diameter

scholarly journals Sonographic Reference Values for Fetal Transverse Cerebellar Diameter in the Second and Third Trimesters in a Nigerian Population

2017 ◽  
Vol 33 (3) ◽  
pp. 174-181 ◽  
Author(s):  
Charles Ugwoke Eze ◽  
Queendaline Ebere Onwuzu ◽  
Innocent Uchechukwu Nwadike
Keyword(s):  
Reference Values ◽  
Gestational Age ◽  
Head Circumference ◽  
Outer Margin ◽  
Menstrual Period ◽  
Last Menstrual Period ◽  
Abdominal Circumference ◽  
Femur Length ◽  
Biparietal Diameter ◽  
Nigerian Population

This study aimed to establish reference values of fetal transverse cerebellar diameter (TCD) in a Nigerian population. A cross-sectional convenience study was carried out between June 2013 and May 2014 in Enugu, Nigeria. The sonographic examinations were performed on 697 pregnant women with gestational ages between 14 and 40 weeks. The TCD measurements were obtained from the proximal outer margin to the distal outer margin of cerebellum. The women’s last menstrual period, femur length, biparietal diameter, head circumference, and abdominal circumference were also recorded. The mean (standard deviation) TCD increased from 13.6 (2.2) mm to 27.3 (2.6) mm and 28.9 (2.0) mm to 42.9 (2.0) mm in the second and third trimesters, respectively. The relationship of TCD with gestational age obtained from last menstrual period, femur length, biparietal diameter, head circumference, and abdominal circumference was determined. The TCD had a strong correlation with gestational age ( r = .93; P < .05). Reference values for TCD were established for those patients who attended this clinic. This is a likely data set to use for future research that could focus on similar practices and in other regions of the country for possible generation of a nationwide nomogram.

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