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Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age

Received: 28 November 2015    Accepted: 6 December 2015    Published: 25 December 2015
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Abstract

Background: Use of ultrasonography is the most effective method to estimate the gestational age. Placental thickness can be used as a new parameter to estimate the gestational age of the fetus and to assess the growth pattern of the placenta with advancing gestational age. Methods: This was a prospective cross sectional study consisting 150 normal antenatal women who were assessed clinically at the Department of Obstetrics and Gyaenocology and referred to the Department of Radiology, College of Medical Sciences, Bharatpur for ultrasonography. Antenatal women of all gestational ages from 11 weeks to 40 weeks of gestation with normal singleton pregnancies were included in the study. Placental thickness value, in mm, was calculated by averaging the three best measurements for each case. Relationship of placental thickness (in mm), measured at the level of insertion of umbilical cord with advancing gestational age in weeks was studied. Correlation of mean placental thickness with gestational age from 11 weeks to 40 weeks was calculated. Results: It was observed that the placental thickness gradually increased from approximately 11 mm at 11 weeks to 38.33 mm at 40 weeks of gestation. From 11 to 34 weeks of gestation, the placental thickness (in mm) almost matched the gestational age in weeks, thereafter from 35 to 40 weeks; the placental thickness was lower by 1 to 2 mm. Conclusion: The relationship between the placental thickness and gestational age was linear and direct. Placental thickness (in mm) measurement can be an important additional parameter for estimating gestational age along with other parameters especially from 11 to 34 weeks of gestation.

Published in International Journal of Medical Imaging (Volume 3, Issue 6)
DOI 10.11648/j.ijmi.20150306.16
Page(s) 143-147
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Gestational Age, Placenta, Ultrasonography, Umbilical Cord

References
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[2] Gottesfield KR, Thompson HE, Holmes JH, Taylor ES. Ultrasonic placentography – a new method of placental localization. Am J Obstet Gynecol. 1966; 96: 538-47.
[3] Jauniaux E. Placental ultrasonographic measurements: What can we learn and is it worth doing routinely? Ultrasound Obstet Gynecol. 1992; 2: 241-2.
[4] Mital P, Hooja N, Mehndiratta K. Placental thickness: a sonographic parameter for estimating gestational age of the fetus. Indian J Radiol Imaging. 2002; 12: 553-4.
[5] Jain A, Kumar G, Agarwal U, Kharakwal S. Placental thickness –a sonographic indicator of gestational age. J Obstet Gynaecol Ind. 2001; 51: 48-9.
[6] Tanawattancharoen S, Manotaya S, Uerpairojkit B. Ultrasound measurement of placental thickness in normal singleton pregnancy. Thai J Obstet Gynecol. 2000; 10: 73-8.
[7] Hadlock FP, Deter RL, Harrist RB, Park SK. Estimating foetal age: computer-assisted analysis of multiple foetal growth parameters. Radiology. 1984; 152: 497-501.
[8] Nagwani M, Sharma PK, Singh U, Rani A, Mehrotra S. Ultrasonographic measurement of placental thickness and its correlation with gestational age – a cross-sectional ultrasonographic study. International Journal of Advanced Research. 2014; 2: 354-360.
[9] Baghel P, Bahel V, Paramhans R, Sachdev P, Onkar S. Correlation of placental thickness estimated by ultrasonography with gestational age and fetal outcome. Indian Journal of Neonatal Medicine and Research. 2015; 3: 19-24.
[10] Nyberg DA, Finberg HJ. The placenta, placental membranes and umbilical cord. In: Newburgh DA, Mahony BS, Pretorius DH, editors. Diagnostic ultrasound of foetal anomalies. St. Louis: Mosby year book publishers; 1990. p. 623-75.
[11] Karthikeyan T, Subramaniam RK, Johnson W, Prabhu K. Placenatal thickness and its correlation to gestational age and foetal growth parameters- a cross sectional ultrasonographic study. J Clin Diagn Res. 2012; 6: 1732-5.
[12] Benson CB, Doubilet PM. Foetal measurements: normal and abnormal foetal growth. In: Rumak CM, Wilson SR, Charboneau JW, Levine D, editors. Diagnostic ultrasound, 4th ed. Philadelphia: Elsevier; 2011. p. 1455-71.
[13] Shepard MJ, Richards VA, Berkowitz RL, Warsof SL, Hobbins JC. An evaluation of two equations for predicting foetal weight by ultrasound. Am J Obstet Gynecol. 1982; 142: 47-54.
[14] Wolf H, Oosting H, Treffers PE. A longitudinal study of relationship between placental and foetal growth as measured by ultrasonography. Am J Obstet Gynecol. 1989; 161: 1140-5.
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  • APA Style

    Ridhi Adhikari, Pravin Kumar Deka, Ashok Tayal, Pramod Kumar Chettri. (2015). Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age. International Journal of Medical Imaging, 3(6), 143-147. https://doi.org/10.11648/j.ijmi.20150306.16

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    ACS Style

    Ridhi Adhikari; Pravin Kumar Deka; Ashok Tayal; Pramod Kumar Chettri. Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age. Int. J. Med. Imaging 2015, 3(6), 143-147. doi: 10.11648/j.ijmi.20150306.16

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    AMA Style

    Ridhi Adhikari, Pravin Kumar Deka, Ashok Tayal, Pramod Kumar Chettri. Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age. Int J Med Imaging. 2015;3(6):143-147. doi: 10.11648/j.ijmi.20150306.16

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  • @article{10.11648/j.ijmi.20150306.16,
      author = {Ridhi Adhikari and Pravin Kumar Deka and Ashok Tayal and Pramod Kumar Chettri},
      title = {Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age},
      journal = {International Journal of Medical Imaging},
      volume = {3},
      number = {6},
      pages = {143-147},
      doi = {10.11648/j.ijmi.20150306.16},
      url = {https://doi.org/10.11648/j.ijmi.20150306.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20150306.16},
      abstract = {Background: Use of ultrasonography is the most effective method to estimate the gestational age. Placental thickness can be used as a new parameter to estimate the gestational age of the fetus and to assess the growth pattern of the placenta with advancing gestational age. Methods: This was a prospective cross sectional study consisting 150 normal antenatal women who were assessed clinically at the Department of Obstetrics and Gyaenocology and referred to the Department of Radiology, College of Medical Sciences, Bharatpur for ultrasonography. Antenatal women of all gestational ages from 11 weeks to 40 weeks of gestation with normal singleton pregnancies were included in the study. Placental thickness value, in mm, was calculated by averaging the three best measurements for each case. Relationship of placental thickness (in mm), measured at the level of insertion of umbilical cord with advancing gestational age in weeks was studied. Correlation of mean placental thickness with gestational age from 11 weeks to 40 weeks was calculated. Results: It was observed that the placental thickness gradually increased from approximately 11 mm at 11 weeks to 38.33 mm at 40 weeks of gestation. From 11 to 34 weeks of gestation, the placental thickness (in mm) almost matched the gestational age in weeks, thereafter from 35 to 40 weeks; the placental thickness was lower by 1 to 2 mm. Conclusion: The relationship between the placental thickness and gestational age was linear and direct. Placental thickness (in mm) measurement can be an important additional parameter for estimating gestational age along with other parameters especially from 11 to 34 weeks of gestation.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Ultrasonographic Evaluation of Placental Thickness in Normal Singleton Pregnancies for Estimation of Gestation Age
    AU  - Ridhi Adhikari
    AU  - Pravin Kumar Deka
    AU  - Ashok Tayal
    AU  - Pramod Kumar Chettri
    Y1  - 2015/12/25
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijmi.20150306.16
    DO  - 10.11648/j.ijmi.20150306.16
    T2  - International Journal of Medical Imaging
    JF  - International Journal of Medical Imaging
    JO  - International Journal of Medical Imaging
    SP  - 143
    EP  - 147
    PB  - Science Publishing Group
    SN  - 2330-832X
    UR  - https://doi.org/10.11648/j.ijmi.20150306.16
    AB  - Background: Use of ultrasonography is the most effective method to estimate the gestational age. Placental thickness can be used as a new parameter to estimate the gestational age of the fetus and to assess the growth pattern of the placenta with advancing gestational age. Methods: This was a prospective cross sectional study consisting 150 normal antenatal women who were assessed clinically at the Department of Obstetrics and Gyaenocology and referred to the Department of Radiology, College of Medical Sciences, Bharatpur for ultrasonography. Antenatal women of all gestational ages from 11 weeks to 40 weeks of gestation with normal singleton pregnancies were included in the study. Placental thickness value, in mm, was calculated by averaging the three best measurements for each case. Relationship of placental thickness (in mm), measured at the level of insertion of umbilical cord with advancing gestational age in weeks was studied. Correlation of mean placental thickness with gestational age from 11 weeks to 40 weeks was calculated. Results: It was observed that the placental thickness gradually increased from approximately 11 mm at 11 weeks to 38.33 mm at 40 weeks of gestation. From 11 to 34 weeks of gestation, the placental thickness (in mm) almost matched the gestational age in weeks, thereafter from 35 to 40 weeks; the placental thickness was lower by 1 to 2 mm. Conclusion: The relationship between the placental thickness and gestational age was linear and direct. Placental thickness (in mm) measurement can be an important additional parameter for estimating gestational age along with other parameters especially from 11 to 34 weeks of gestation.
    VL  - 3
    IS  - 6
    ER  - 

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Author Information
  • Department of Radiodiagnosis, College of Medical Sciences & Teaching Hospital, Bharatpur, Nepal

  • Department of Radiodiagnosis, College of Medical Sciences & Teaching Hospital, Bharatpur, Nepal

  • Department of Radiodiagnosis, College of Medical Sciences & Teaching Hospital, Bharatpur, Nepal

  • Department of Radiodiagnosis, College of Medical Sciences & Teaching Hospital, Bharatpur, Nepal

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