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Evaluation of the Relationship Between Fetal Lung to Head Ratio and Amniotic Fluid Index in the Third Trimester of Pregnancy Publisher



Borna S1 ; Radi V2 ; Saleh M2 ; Ataee M3 ; Feizmahdavi H4 ; Salari Z5 ; Shariat M6
Authors
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Authors Affiliations
  1. 1. Department of Obstetrics and Gynecology, Maternal-Fetal Neonatal Research Center, Tehran University of Medical Sciences, Valiasr Hospital, Tehran, Iran
  2. 2. Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Valiasr Hospital, Tehran, Iran
  3. 3. Department of Obstetrics and Gynecology, Social Determinants of Health, Research Center School of Medical Sciences, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Department of Obstetrics and Gynecology, Kermanshah University of Medical Sciences, Emam Reza Hospital, Kermanshah, Iran
  5. 5. Department of Obstetrics and Gynecology, Neishabur University of Medical Sciences, Hakim Hospital, Neishabur, Iran
  6. 6. Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Valiasr Hospital, Tehran, Iran

Source: Journal of Obstetrics# Gynecology and Cancer Research Published:2022


Abstract

Background & Objective: This study assessed the relationship between the ratio of fetal lung volume to head circumference and amniotic fluid index (AFI) in the third trimester of pregnancy. Materials & Methods: This prospective study was performed on low-risk pregnant women in their third trimester of pregnancy. Fetal lung volume was determined separately using the lung-to-head ratio (LHR) for the right and left lungs. Moreover, the AFI was evaluated, and the Pearson correlation coefficient between LHR for both lungs and AFI was investigated. Results: Overall, 112 pregnant women were included in the study. The mean ± standard deviation (SD) of fetal Observed/Expected Right LHR (O/E RLHR) and O/E Left LHR (O/E LLHR) were 113.9±0.36 and 97.13±27.87, respectively. The mean ± SD of AFI was 12.5±4.96 cm. Pearson correlation coefficient did not show a significant relationship between AFI and the left and right LHR (P>0.05). However, O/E RLHR was significantly correlated with abdominal circumference (P=0.02, r=0.2), gestational age (P=0.21, r=0.27), and fetal weight (P<0.001, r=0.27). There was a positive correlation between the number of days the infant was admitted to the neonatal intensive care unit and the volume of the right lung of the fetus (P=0.03, r=-0.2). No correlation was observed between fetal parameters and the volume of the left lung of the fetus. Conclusion: The results of this study showed that AFI in the third trimester of pregnancy was not significantly correlated with LHR. © 2022.