Fetal Liver Size and Hepatic Artery Doppler Study in Women with Late Intra Uterine Growth Restriction Versus Normal Pregnant Women

Document Type : Original Article

Authors

1 Resident of Obstetrics and Gynecology, Faculty of Medicine, Tanta University, Tanta, Egypt

2 Obstetrics and Gynecology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Abstract

Objectives: To assess the sizes of the fetal liver, the blood flow in the fetal hepatic artery, and other Doppler indices related to fetal blood vessels in instances of late intrauterine growth restriction (IUGR).Methods: This study was conducted on a sample of 100 pregnant women who were at or beyond 32 weeks. It was an observational, analytical, and cross-sectional study. The subjects were categorized into two groups: Group 1 consisted of 50 pregnant women who experienced effects by IUGR. Group 2 (control group) consisted of 50 pregnant women who were not experiencing any complications.Results: No statistically significant association observed between the weight of the fetus and the length of the liver. A strong and statistically significant association was found between symphysial fundal height (SFH) and estimated fetal weight (EFW) by ultrasonography in instances of IUGR. a significant reduction existed in the size of the liver in the IUGR group compared to the normal group, as shown by statistical analysis. A statistically significant decrease existed in hepatic artery Doppler indices.Conclusion: Decreased size of the liver and hepatic arterial Doppler indices, such as PI and RI, can serve as reliable diagnostic tools for IUGR. SFH, in fetuses experiencing IUGR in comparison to normal instances, exhibited a significant correlation with EFW.

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