ارزيابي دقت سونوگرافي در تشخيص محدوديت رشد داخل رحمي جنين

Evaluation of Sonographic Accuracy in Diagnosis of Intrauterine Growth Restriction (IUGR)

Background and Objectives: Perinatal morbidity and mortality are increased as much as Itl times in pregnancies complicated by IUGR, in comparsion with normal pregnancy. For doing valid management. decisions, accurate diagnosis is essential. Materials and Methods: In order to evaluate the accuracy of ultrasonography compares with clinical examination for detection of IUGR, we retrospectively reviewed medical records in pregnant mothers, who admitted to Taleghani and AI--Zahra Hospitals during 12 months and who had singletone deliveries. Results: We found that with one sonographic examination in second trimester, comparing with clinical examination, no significant differences were observed in diagnosis of IUGR, but with two sonographic examinations, one in second trimester and one in third trimester, there was a significant advantage upon clinical examination for detection of IUGR. Conclusion: This study provids strong evidences that at least Iwo sonographic examinations, one in second trimester and one in third trimester, are essential for accurate diagnosis of IUGR, in order to reduce perinatal mortality and morbidity.