The object of this study was to investigate the fetal kidney length in normal and hyperechogenic kidneys during the third trimester of gestation. The screened pregnancies had a common underlying pathology of chronic hypoxia (i.e. pregnancy-associated hypertension and/or proteinuria). Depending on the renal manifestation of the intrauterine chronic hypoxia, the cases were allocated into two study groups. Group I included 21 fetuses with hyperechogenic renal medullae and pregnancy-associated hypertension and/or proteinuria. Group II involved 162 fetuses with normal echo-structure kidneys and pregnancy-associated hypertension and/or proteinuria. Pregnant women were enrolled in both the study groups from the second and third trimesters. Fetal renal hyperechogeneity is an indication of depression of the fetal renal perfusion, showing a good correlation with a pathological increase in the fetal kidney length. Fetal kidney length was significantly increased in the hyperechogenic cases. This may also be a first intrauterine indication of subsequent intrauterine and neonatal complications. Detailed ultrasound examination of the renal parenchyma and length appears to be a useful method in the prenatal diagnosis of reduced renal perfusion and intrauterine hypoxia in order to be able to detect possible pathological fetal conditions in utero.
|Translated title of the contribution||Kidney length in pregnancy-associated hypertension and/or proteinuria with fetal renal hyperechogenicity|
|Number of pages||6|
|Journal||Magyar Noorvosok Lapja|
|Publication status||Published - Mar 7 2006|
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynaecology