Sonographic Assessment Of Foetal Cephalic Index Among The Fulanis In Maiduguri, Borno State.
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 7, Issue 1
Abstract
Limited information on the foetal craniofacial dimensions of Fulani population is a great hindrance in the exact estimation of gestational age not only in medicolegal cases but also in obstetric management. Sonographic measurement of Biparietal diameter is commonly used to assess foetal age and growth; but gives misleading conclusions due to differing craniofacial dimensions arising out of ethnic diversity. This study was aimed to establish a normogram for foetal cephalic index and derive the correction factor for adjusting atypical head shapes to the ideal shape. A cross sectional study was used, and Trans-abdominal sonography was conducted with a 3.5 MHz transducer, the BPD and were measured in the same axial plane of the head at the level of thalami; and the cephalic index was computed as ratio of BPD and OFD multiply by hundred. The foetal gestational age was determined from the average measurements of BPD, OFD and FL. The mean CI was 79.06 (±3.52) and the mean ± 2SD range was 72.02 to 86.10. The mean cephalic indices of transverse and breech presenting foetuses were 92.99 (±3.96) and 78.19 (±3.85) respectively. This study has established a nomorgram for foetal cephalic index and a correction equation for atypical head shape in a Nigerian population of Fulani descent.
Authors and Affiliations
Mohammed Yusuf Mohammed, Ugwu Anthony C, Ali Alhaji Modu, Abba Mohammed
Keywords
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- EP ID EP435150
- DOI 10.9790/1959-0701025559.
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