Study the Effects of Liver Steatosis and Body Mass Index on Fetal Growth Pattern Using Ultrasonography

Abstract

The aim of this study was to study the relationship between fetal growth rate and presence of maternal liver steatosis in diabetic and nondiabetic pregnant patients. Assuming there is an effect for maternal liver steatosis, in the presence of high maternal body mass index on the pattern of fetal growth. A sample was taken in police hospital, Omar Sawi medical complex contains 131 pregnant mothers with high body mass index and each was diagnosed with any degree of liver steatosis. Variables used were maternal age, number of gravida, maternal weight and height (to calculate the BMI), presence or non-presence of diabetes, presence of family history of diabetes, in addition to fetal measurements (AC, FL, BPD, FW, AGA), the fetal measurements obtained were compared with chart measurements calculated by LMP, to find any difference between them. The result of this study showed that there is a significance differences between fetal biometry measured by ultrasound and the one estimated by the calculated GA using LMP using paired t-test at p = 0.05, where for BPD and FL measured by ultrasound increase by 0.79cm/cm and 0.81cm/cm of the BPD and FL respectively versus that generated by GA-LMP. Regarding EFW versus GA estimated by ultrasound machine and calculated by LMP the result was 134gm/week and 98gm/week respectively. In conclusion liver steatosis affected fetal biometry and hence the estimated gestational age and estimated fetal weight