IntroductionThe placental thickness (PTh) is an ultrasonographic measurement commonly used to assess the placenta. The study aimed to determine
selected factors influencing PTh in 2D prenatal ultrasonographic examination. It might have a special value in difficult cases for interpretation when
PTh is above or below the reference values.Material and methodsIn this retrospective study, we analysed the results
of foetal ECHO examination of 2833 foetuses performed between June 2016
and December 2019 in our single unit. 596 healthy foetuses older than
12 weeks of gestation from singleton pregnancies were enrolled in the
study. The following parameters were used in the further analysis: placental
implantation site, gestational age according to the last menstrual period
(LMP) and foetal biometry (FB); maternal weight, height, and body mass
index (BMI) at the time of examination; and PTh.ResultsPTh was affected by its location: posterior 33 mm vs. anterior 30 mm
(p < 0.001). Moreover, its thickness significantly correlated with gestational
age according to FB (r = 0.386, p < 0.001), LMP (r = 0.369, p < 0.001), maternal weight (r = 0.192, p < 0.001), height (r = 0.125, p = 0.002), and BMI (r =
0.147, p < 0.001), but not with maternal age (r = 0.050, p = 0.219). A linear
regression model based on these data explained the 16.38% variability of
the tested subjects (p < 0.001).ConclusionsOur observations suggest that maternal weight correlated
more strongly with PTh than maternal BMI. For PTh evaluation, it is important to pay attention to the placental implantation site – the posterior
placenta was thicker than the anterior placenta. Moreover, PTh variability
remains largely unknown; therefore, further research in this field is needed.