Discrepancy in ultrasound biometric parameters of the head (HC--head circumference, BPD--biparietal diameter) in breech presented fetuses.
BACKGROUND
A comparison of fetal ultrasonographic biometric parameters of the head (head circumference - HC, biparietal diameter - BPD) in breech presented fetuses.


METHODS
Ultrasound biometry was performed in accordance with the method presented in the reference tables. In all breech presented fetuses, the HC, BPD and FL (femur length) were measured. High-risk and multiple pregnancies were excluded from the study.


RESULTS
A total of 111 ultrasonographic biometries were performed between the 31(st) - 38(th) week of gestation. Fetuses in the breech position had a significantly lower BPD compared to HC and FL. The difference between BPD and HC was 16.2 days (95%Cl 14.3-18.1; p = 0.001). Maternal age at delivery was 20 - 36 years (average 28.1; median 28.0).


CONCLUSIONS
According to our results, fetuses in the breech position have a significantly lower BPD compared to HC or FL. HC and FL parameters correlate with gestational age. In cases of ultrasonographic biometric discrepancy between BPD and FL, the fetal position should be taken into account. Breech-presented fetuses have an elongated head shape and ultrasound biometrics should evaluate its circumference (HC). It is important to responsibly interpret the results so as not to stress the expecting mother with suspicions of fetal pathology.
Lubusky
Marek
M
Department of Obstetrics and Gynecology, Palacky University, Teaching Hospital, Olomouc, Czech Republic. lubusky@email.cz
Prochazka
Martin
M
Langova
Martina
M
Vomackova
Katherine
K
Cizek
Ludek
L
D000886:Anthropometry; D001946:Breech Presentation / Q000473:pathology*; D002508:Cephalometry; D005260:Female; D005333:Fetus / Q000033:anatomy & histology*; D006257:Head / Q000000981:diagnostic imaging*; D006801:Humans; D011247:Pregnancy; D016216:Ultrasonography, Prenatal