Ultrasonographic Assessment of Frequency of Maternal Hydronephrosis During Second and Third Trimster of Pregnancy

Abstract

The increasing occurrence of maternal hydronephrosis is causing concern across the world. Hydronephrosis during pregnancy is graded by using sonographic techniques. Objective: On ultrasonography, determine the consistency of maternal hydronephrosis during the second and third trimesters of pregnancy. Methods: A descriptive study was done at the Gilani Ultrasound center. There were following variables; trimesters, a baby's weight and three grades of hydronephrosis (Mild, Moderate and Severe). The data was collected based on these variables (Right, left). Pregnant women with kidney disease and without kidney disease were preferred. Pregnant women of all ages who are in their second and third trimesters of pregnancy are included in this study. Pregnant women in their first trimester and people with kidney problems were not included in the study. Toshiba and XARIO ultrasound machines and convex probe were used. SPSS version 21.0 was used to analyze the data. Results: With the standard deviation of 4.26, minimum 18.00, maximum 41.00 and mean of 6.85 out of 139 pregnant females were included according to age in this study.68 (48.9%) out of 139 were without hydronephrosis and 71 (51.1%) were with hydronephrosis.  Out        of        139 pregnant females 18 (25.4%) had moderate hydronephrosis, 53 (74.6%) had mild hydronephrosis. According to laterality 2 (2.8%) pregnant   females had bilateral hydronephrosis 20 (28.2%) had left  sided hydronephrosis and 48 (67.6%) had right sided hydronephrosis. During 3rd trimester 44 (62.0%) and during 2nd trimester 27 (38.0%). According to fetal lie 11 (15.5%) were transverse and 60(84.5%) were longitudinal. According to fetal position 46 (64.8%) were cephalic and 25 (35.2%) were breech. Conclusion: According to the findings, hydronephrosis is more common in the third trimester than in the second trimester. Mild hydronephrosis is more common than moderate and severe hydronephrosis.