Evaluation of foetal tricuspid annular plane systolic excursion with conventional m-mode ultrasound in normal pregnancy

Authors

  • Peter Chibuzor Oriji Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria http://orcid.org/0000-0002-0151-5466
  • Enefia Kelvin Kiridi Department of Radiology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; Silhouette Radiodiagnostic Consultants, Yenagoa, Bayelsa State, Nigeria
  • Datonye Christopher Briggs Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • Johnpatrick Uchenna Ugwoegbu Department of Radiology, Federal Medical Centre, Owerri, Imo State, Nigeria
  • Akaninyene Eseme Ubom Department of Obstetrics, Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria; International Federation of Gynaecology and Obstetrics (FIGO) Committee on Childbirth and Postpartum Haemorrhage, Nigeria
  • Addah Abednigo Ojanerohan Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria
  • Isaac Joel Abasi Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria
  • Bosrotsi Panebi Department of Obstetrics and Gynaecology, Diete Koki Memorial Hospital, Yenagoa, Bayelsa State, Nigeria
  • Chioma Okechukwu Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria
  • Adesina Adedotun Daniel Department of Medical Services, Nigerian Law School, Yenagoa Campus, Yenagoa, Bayelsa State, Nigeria; Oasis Public Health Consulting Ltd, Yenagoa, Bayelsa State, Nigeria

DOI:

https://doi.org/10.18203/2349-3291.ijcp20223059

Keywords:

Foetal TAPSE, Foetal cardiac function, Gestational age, Estimated foetal weight

Abstract

Background: Foetal tricuspid annular plane systolic excursion (fTAPSE) in-utero helps in the evaluation of the right foetal cardiac function, which is key in the early diagnosis of congenital heart defects and abnormalities. Objectives of the study was to assess foetal TAPSE in the second half of normal pregnancy, establish reference ranges for this measurement in our environment, and to determine the relationship of foetal TAPSE with gestational age and estimated foetal weight.

Methods: This descriptive cross-sectional study was conducted between March 2022 and August 2022 at the Obstetric Units and Radiology Departments of the two tertiary facilities, one secondary facility and one radiodiagnostic facility in Bayelsa State, Nigeria. Consenting pregnant women presenting to the antenatal clinic during the second half of pregnancy were consecutively included. An obstetric ultrasound scan was performed transabdominally. Data were analysed using SPSS version 25.

Results: There was a very strong, positive and significant relationship between fTAPSE and gestational age (ɼ=0.81; p=0.001); and between fTAPSE and estimated foetal weight (ɼ=0.79; p=0.001). The mean fTAPSE and standard deviation from the 20th to the 23rd week of gestation were 2.10±1.11 mm, 2.43±0.95, 2.74±0.84 mm and 2.94±0.70 mm, showing a gradual increase in mean fTAPSE as gestational age increases.

Conclusions: Our study revealed that there was a significant relationship between fTAPSE and gestational age; and between fTAPSE and estimated foetal weight, which correlates with published data around the globe.

 

 

Author Biography

Peter Chibuzor Oriji, Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria

Consultant Obstetrician and Gynaecologist

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Published

2022-11-24

Issue

Vol. 9 No. 12 (2022): December 2022

Section

Original Research Articles