Intrauterine growth standards for Tuzla region

• Main Authors: Adem Balić, Devleta Balić
• Format: Article
• Language: English
• Published: Medical Association of Zenica-Doboj Canton 2010-08-01
• Series: Medicinski Glasnik
• Subjects: fetal growth; standards; BPD; FL
• Online Access: http://www.ljkzedo.com.ba/medglasnik/vol72/MG7vol2_11.pdf

Aim To evaluate normal fetal growth and create a normogram for the population of the Tuzla Canton. Methods In the period 2002-2005 we evaluated fetal growth by ultrasound measurements (biparietal diameter -BPD, head circumpherency -HC, abdominal diameter -ABD, abdominal circumpherency -AC, femur length - FL) according to the criteria of FIGO (1986) in 100 healthy pregnant women with normal singleton pregnancy. All of them had spontaneous vaginal delivery between the 38th and 41st week. These measurements were done once per month starting from 12 to 41 weeks. Results Mean birth weight value in 38th week was 3280 ± 345g, in 39th week 3360 ± 280g, in 40th week 3596 ± 320g and in 41st week 3732 ± 38 g. These standards have shown lower values of all examined parameters in all the gestation weeks. Values of BPD and FL were very similar but differences between our values of HC and AC in the last four weeks were very high. Conclusion We found significant differences between our standards and others (Hadlock, 1983 i Latin, 2000) especially in the last four weeks of gestation. Now, when we have standards of fetal growth for our population we expect better evaluation of gestational age and lower perinatal mortality in Bosnia and Herzegovina.