Role of Ultrasonographic Placental Thickness in Prediction of Fetal Outcome: A Prospective Indian Study

Nagpal, Kashika; Mittal, Pratima; Grover, Shabnam Bhandari

doi:10.1007/s13224-017-1038-8

Cited by 23 publications

(39 citation statements)

References 10 publications

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“…Also, there is statistically significant relation between placental thickness second trimester and Apgar score at 5 th minute. These results support that of Nagpal et al [16] who reported that there was proportional correlation between placental thickness and Apgar score at 32 and 36 weeks.…”

Section: Disucssionsupporting

confidence: 92%

“…Our results are in agreement with study of Adeyekun & Ikubor [9] as they reported that study subjects were 29.1 ± 4.9 years. The mean maternal weight was 71.4 ± 13.6 kg and mean height was 1.6 ± 0.5 m. Nagpal et al [16] found that, mean age of their study population was 23.1 ± 3.02 years. Majority of women were in age group of 19-23 years.…”

Section: Disucssionmentioning

confidence: 83%

“…It suggests a significant positive association between placental thickness and biometric parameters at different gestational ages. Nagpal et al [16] study demonstrated that, placental thickness < 3.0cm at 32 weeks and 3.1 cm at 36 weeks gestations are associated with low-birthweight babies and poor fetal outcome. Comparable results were reported in the study of Habib [24] .…”

Section: Disucssionmentioning

confidence: 96%

“…Our results are supported by study of Adeyekun & Ikubor [9] as they reported that the mean values of placental thickness [PT] and EFW throughout gestation were 35.5 ± 7.0 mm and 1555.0 ± 1004 g; respectively. Nagpal et al [16] reported that, at 32 and 36 weeks, mean placental thickness were 33.45 ± 1.62 and 35.7 ± 2.08 mm respectively.…”

Section: Disucssionmentioning

confidence: 99%

“…Schwartz et al [4] investigated placental measurements in 1909 singleton pregnancies between 18 and 24 gestational weeks and reported that mean placental diameter and thickness were significantly smaller in small-for-gestational-age infants. Nagpal et al [16] reported that, there was a significant correlation between placental thickness and biometric fetal parameters [r = 0.67 and r = 0.735 at 32 weeks and 36 weeks respectively]. In addition, there was a significant proportional correlation between placental thickness and fetal weight [r = 0.55 and r = 0.740 at 32 weeks and at 36 weeks successively].…”

Section: Disucssionmentioning

confidence: 99%

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Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Emam

El-Bassioune²,

Emam

et al. 2020

International Journal of Medical Arts

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Background: Placental thickness appears to be a promising parameter for estimation of gestational age of the fetus due to steady increase in placental thickness with gestational age. Aim of the work: To investigate the relationship between placental thickness and fetal outcome in patients with intrauterine growth restriction [IUGR]. Patients and Methods: This study included patients with fetuses diagnosed clinically and by ultrasound as IUGR [estimated fetal weight <10 th percentile for gestational age], singleton pregnancy, gestational age between 28-40 weeks of gestation, maternal age between 20-40 years old and body mass index between 18-30 kg/m 2. The placental thickness was measured at the second and third trimesters and correlated with the fetal outcome. Results: Results revealed that, estimated fetal weight significantly increased in normal placenta when compared to either thin or thick placentae. In addition, thin placentae had significantly low fetal birth weight [1936.4±409.2] when compared to thick placentae [2236.4±410.1] or normal placentae [2636.4±421.4]. Also, Apgar score was significantly higher and need for NICU admission were significantly lower with normal placentae. In addition, there is significant positive correlation between 3rd trimester placental thickness and fetal birth weight, placental weight and APGAR score. Conclusion: Placental thickness could predict deviations from norms of birth weight in late pregnancy. It seems to be promising for estimation of gestational age of the fetus and predicting fetal outcome.

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Section: Disucssionsupporting

confidence: 92%

Section: Disucssionmentioning

confidence: 83%

Section: Disucssionmentioning

confidence: 96%

Section: Disucssionmentioning

confidence: 99%

Section: Disucssionmentioning

confidence: 99%

See 3 more Smart Citations

Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Emam

El-Bassioune²,

Emam

et al. 2020

International Journal of Medical Arts

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Ultrasound in Second and Third Trimester: What Should Be Evaluated?

Alves¹,

Pimentel²,

Benedeti³

et al. 2021

Perinatology

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Thick Placenta in Pregnancy: A Review

Strebeck

Jensen

Magann

2022

Obstetrical &Amp; Gynecological Survey

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ImportanceA thickened placenta is easily identified on ultrasound and provides insight into maternal and fetal wellbeing as well as underlying structural and physiologic anomalies.ObjectivesThe aim of this study was to review the literature to clarify what classifies a placenta as “thickened” and to review the associated incidence, maternal and fetal comorbidities, and management during pregnancy.Evidence AcquisitionElectronic databases (PubMed and Web of Science) were searched from 2000 to 2020 in the English language. Studies were selected that examined associations between placental thickness, potential etiologies, and obstetric outcomes.ResultsThere were 140 abstracts identified. After reviewing the articles, 60 were used in this review. Routine assessment of the placenta in the prenatal period is an easy and inexpensive way to assess the maternal and fetal patients. The criteria for a “thickened placenta” vary between studies based on gestational age, placental location, measurement technique, and maternal or fetal factors. Whereas most suggest thickness exceeding 4 cm is pathologic, a review had a threshold of 6 cm in the third trimester to classify placentomegaly. Several maternal and fetal conditions have been associated with a thickened placenta, such as obesity, parity, anemia, diabetes, preeclampsia, cardiac dysfunction, infection, assisted reproductive technology, multiple pregnancy, sacrococcygeal teratomas, and Beckwith-Wiedemann syndrome. A thickened placenta in pregnancy is associated with a higher incidence of adverse pregnancy outcomes and neonatal morbidity and mortality.ConclusionsThe literature is clear that early evaluation of the placenta using ultrasound should be a standard practice. A thickened placenta found on routine imaging should prompt a more thorough investigation to determine the etiology of the placentomegaly. At the time of this literature review, there are no recommendations regarding modality or frequency of antenatal surveillance in pregnancies complicated by a thickened placenta. However, serial ultrasounds and weekly antenatal testing in the third trimester should be considered.RelevanceA thickened placenta has been associated with a variety of maternal and fetal conditions and increases the risk of adverse pregnancy outcomes and neonatal morbidity and mortality.Target AudienceObstetricians, nurse midwives, pediatricians, family physiciansLearning ObjectivesAfter completion of this article, the reader should be able to classify the diagnostic criteria of thickened placenta in pregnancy; identify associated maternal and fetal conditions in the setting of a thickened placenta; and predict the adverse outcomes of pregnancy related to a thickened placenta.

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Role of Ultrasonographic Placental Thickness in Prediction of Fetal Outcome: A Prospective Indian Study

Abstract: Placental thickness at 32 and 36 weeks corresponds well with gestational age and is a good prognostic factor in assessing neonatal outcome. Therefore, placental thickness should be measured in addition to biometric parameters in antenatal women undergoing ultrasound.

Cited by 23 publications

References 10 publications

Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Relation Between Placental Thickness Measurements and Fetal Outcome in Patients with Intrauterine Growth Restriction (IUGR)

Ultrasound in Second and Third Trimester: What Should Be Evaluated?

Thick Placenta in Pregnancy: A Review

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