Ultrasound assessment of renal volume in healthy, pregnant women of central India-its correlation with body mass index, parity and gestational age.

Vijaya Rajesh Kamble, Sarika Kohar

Abstract


Objective: Renal volume changes occurs due to varied physiological changes, especially in the kidneys of pregnant women. For the identification and monitoring of renal disease , renal size is an important factor. No established data is available in the literature for the sonographical nomogram of renal volume in the normal pregnant women in Indian population.
To sonographically establish the nomogram of renal volume in the normal healthy pregnant women in central India population.
Methods: Renal dimensions including length, width and thickness were measured using ultrasound in 501 normal, healthy pregnant women (mean age:24.7 years).Renal volume was calculated by using the formula volume=length x width x breadth/2. Every pregnant women’s age, weight, height and body mass index were recorded. Gestational age and parity were acquired. The correlations between the variables were estimated.
Results: A total of 501 normal pregnant women of age ranging from 18 to 38 years with a mean age of 24.7 years took part in the study. Parity ranged from 0 to 4.Body mass index ranged from 13.39 to 36.89. Gestational age ranged from 4 weeks to 40 weeks. The mean renal volume was 104.23 cm3 +_28.18 for left kidney and 105.77 cm3 +/-27.29 for the right kidney with significant positive linear relationship between right renal volume and left renal volume (P value = 0.00).
No significant positive linear relationship was observed between the gestational age and either of the kidney volume. Also no significant difference between mean right kidney volume across different parity(P value=0.05) and mean left kidney volume across different parity(P value=0.18) was noted.
Conclusion: This study provides data for normal sonographic renal volumes in healthy pregnant women of central India.


Keywords


Pregnant women, renal volume, sonography, Body mass index, parity

Full Text:

PDF

References


Dunlop W.Serial changes in renal hemodynamics during normal human pregnancy. Br J Obstet Gynaecol 1981;88(1):1-9.

Roy C, Saussine C, Jahn C et al.Fast imaging MR assessment of ureterohydronephrosis during pregnancy. Magn Reson Imaging. 1995; 13(6):767-772.

Beydoun SN.Morphologic changes in the renal tract in pregnancy.Clin Obstet Gynecol.1985;28(2):249.

Strevens H, Wide-Swensson D, Hansen, et al.Glomerular endotheliosis in normal pregnancy and pre-eclampsia.BJOG.2003;110(9):831-836.

Au KKL,Woo JSK, Tang LCH, Liang ST.Aetiological factors in the genesis of pregnancy hydronephrosis. Aust N Z J Obstet Gynaecol.1985;25(4):248-251.

Schneider DH, Eichner E, Gordon MB. An attempt at production of hydronephrosis of pregnancy, artificially induced. Am J Obstet Gynecol. 1953;65:660-665.

Blackburn, S.T. Maternal ,fetal and neonatal physiology: A clinical perspective .St.Louis: Saunders.2007 (3rd ed ).

Agnes Dominguez-Mejia, Danny Yu, Virginia QB, Rafael Sy, Arlene CC, Girlie J, et al. Kidney measurements by Sonography on Normal Filipino Adults-Influence of Age, sex and Habitus. Philippine Journal of Internal Medicine .2001;39 January-February:38-41.

Mujahid Raza, Amina Hameed, M Imran Khan. Ultrasonographic assessment of Renal size and its correlation with body mass index in adults without known renal disease.J Ayub Med Coll Abottabad. 2011;23(3)64-68.

Zeb Saeed, Waseem Mirza, Raza Sayani, Adil Sheikh, Iffat Yazdani, Syed Ather Hussain. Sonographic measurement of Renal Dimensions in Adults and its correlates.International Journal of Collaborative Research on Internal Medicine and Public Health.2012;4(9)1626-1641.

Ogueh O, Clough A, Hancock M, Johnson MR.A longitudinal study of the control of renal and uterine hemodynamic changes of pregnancy. Hypertens Pregnancy.2011;30(3):243-259.

Ugboma EW, Ugboma HAA, Nwankwo NC, Okpani AOU. Sonographic evaluation of the renal volume in normal pregnancy at the university of Port Harcourt Teaching Hospital: A pilot study.Journal of Clinical and Diagnostic Research. 2012;6(2):234-238.

Reynard J, Brewster S,Biers S. Handbook of Urology. Oxford University Press 2nd Edition.2005;518.

Cohen E, Kelly S, Edye M, Milty H, Brombrg J. Magnetic resonance imaging estimation of the total renal volume.Eur .J. Rad.2008;3:6

Obembe AO, Antai AB, Ibu JO. Renal function in pregnant and non pregnant women in Calabar, Nigeria.Nig J. Health.2003;2:2




DOI: http://dx.doi.org/10.7439/ijbr.v8i3.3919

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 International Journal of Biomedical Research

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.