First trimester volumetric measurements: relation with hormone levels and fetal heart rate

Purpose This study aimed to examine two-dimensional ultrasound (2D US) volumetric measurements of 1st trimester structures and their relationship with β-hCG, progesterone, and fetal heart rate (FHR) in 6–10 weeks healthy pregnant women. Methods Using conventional 2D transvaginal ultrasound imaging,...

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Veröffentlicht in:Archives of gynecology and obstetrics 2012-08, Vol.286 (2), p.365-372
Hauptverfasser: Köşüş, Nermin, Köşüş, Aydın, Turhan, Nilgün Öztürk
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Köşüş, Aydın
Turhan, Nilgün Öztürk
description Purpose This study aimed to examine two-dimensional ultrasound (2D US) volumetric measurements of 1st trimester structures and their relationship with β-hCG, progesterone, and fetal heart rate (FHR) in 6–10 weeks healthy pregnant women. Methods Using conventional 2D transvaginal ultrasound imaging, the crown rump length (CRL), yolk sac (YS) and gestational sac (GS) were measured in 80 women. Volumetric measurements were done in 32 cases that were selected among 80 women, using a simplified formula for the volume of a prolate ellipsoid: V  = 0 . 523 × length × height × width. The β-hCG and progesterone levels were recorded. The heart rate was determined from M-mode tracings using electronic calipers. Results Moderately positive correlation was found between FHR versus CRL, embryo volume and GS volume. FHR increased linearly with CRL value, till CRL became 15 mm, after which it formed a plateau. β-hCG increased linearly till CRL was 15 mm, and then it formed a plateau. Progesterone level was stable till CRL became 20 mm, embryo volume 2 cm 3 , after which it increased linearly. Conlusion Various ranges of relations are observed between FHR, obstetric, and hormonal measurements. The relationship between these parameters might be used for determination of abnormal growth and adverse outcomes in early pregnancy.
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Methods Using conventional 2D transvaginal ultrasound imaging, the crown rump length (CRL), yolk sac (YS) and gestational sac (GS) were measured in 80 women. Volumetric measurements were done in 32 cases that were selected among 80 women, using a simplified formula for the volume of a prolate ellipsoid: V  = 0 . 523 × length × height × width. The β-hCG and progesterone levels were recorded. The heart rate was determined from M-mode tracings using electronic calipers. Results Moderately positive correlation was found between FHR versus CRL, embryo volume and GS volume. FHR increased linearly with CRL value, till CRL became 15 mm, after which it formed a plateau. β-hCG increased linearly till CRL was 15 mm, and then it formed a plateau. Progesterone level was stable till CRL became 20 mm, embryo volume 2 cm 3 , after which it increased linearly. Conlusion Various ranges of relations are observed between FHR, obstetric, and hormonal measurements. 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ispartof Archives of gynecology and obstetrics, 2012-08, Vol.286 (2), p.365-372
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1432-0711
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subjects Adult
Chorionic Gonadotropin, beta Subunit, Human - blood
Crown-Rump Length
Endocrinology
Female
Fetal Development - physiology
Gynecology
Heart rate
Heart Rate, Fetal - physiology
Human Genetics
Humans
Maternal-Fetal Medicine
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
Pregnancy
Pregnancy Trimester, First
Progesterone - blood
Ultrasonic imaging
Ultrasonography, Prenatal
Young Adult
title First trimester volumetric measurements: relation with hormone levels and fetal heart rate
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