Author(s): G. Nagamani1, K. Kanaka Seshu2, R. Geeta Vandana3
BACKGROUND: The human placenta, a transient organ or pregnancy provides information about fetal well-being and pregnancy outcome.
AIMS: To study the placental ultrasound characters in relation to perinatal outcomes
SETTINGS: Tertiary care hospital in southern India.
METHODS AND MATERIALS: The study sample comprised 500 consecutive women who presented to the Department of Obstetrics and Gynecology at the King George Hospital who met the inclusion criteria. Ultrasonographic study was performed using a transabdominal 3.5 MHz volume transducer. Postnatally the weight of the baby and of the placenta was recorded. Perinatal outcome was assessed by birth weight, APGAR score and the need for admission in neonatal intensive care unit.
STATISTICAL ANALYSIS: Pearson’s correlation analysis and Chi square test was used. Statistical significance was considered at a p value <0.05.
RESULTS: The mean placental thickness was 3.10 cm; 76% (n:380) had normal thickness. Mean placental diameter was 21.306 cm, and its weight varied from 310 women 62% (n:310). Correlation of placental thickness (normal and abnormal), with birth weight, the difference was significant (<0.001).
CONCLUSION: Ultrasound forms a readily available, fairly safe, effective non-invasive method to identify and prevent fetal malnutrition in a cost-effective way.