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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-08
An ultrasonographic evaluation of foetal head types during second and third trimester of pregnancy
Dr. Lokesh Goyal, Dr. Prem Chandra Srivastava, Dr. Sangita Agarwal, Dr. Shikha Saxena, Dr. Ranjana Gupta
Published: Nov. 27, 2015 |
117
93
DOI: 10.36347/sjams.2015.v03i08.032
Pages: 2899-2902
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Abstract
Among foetuses of different population, mesocephalic, brachycephalic and hyperbrachycephalic heads have
been frequent. The present research was conducted to study various head types and its distribution among foetuses after
first trimester up to full term of pregnancy by ultrasonography. Brachycephalic (5.2%) head was more frequent than
hyperbrachycephalic (3.2%) during first four weeks of second trimester. During 16.1-20 weeks of gestational age,
brachycephalic head type (6.4%) predominated over mesocephalic and hyperbrachycephalic. Mesocephalic head (4%)
ranked next to brachycephalic (5.2%) during 20.1-24 weeks. But during 24.1-32 weeks, mesocephalic head predominated
over brachycephalic head. During subsequent age interval, brachycephalic type (17.2%) outnumbered mesocephalic type
(10.4%) and continued to dominate (11.2%) over mesocephalic head (2.8%) up to full term. Overall, brachycephalic
foetal head type constituted the major chunk (54%; CI 82.11 ± 1.39) followed by mesocephalic (33.6%; CI 77.88 ± 1.36)
and hyperbrachycehalic head (8.4%; CI 86.67 ± 1.16). Dolichocephalic head was noted to be the least (4%; CI 73.2 ±
3.16) among the foetuses during 12.1 – 40 weeks of gestation. The present study concluded that the commonest type
foetal skull was brachycephalic followed by mesocephalic whereas dolichocephalic was the least common type in this
part of country.