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Background: The weight of the foetus is an important factor to consider when determining the outcome of pregnancy. The birth weight is reliable in predicting perinatal outcome. Excessive and low weights of the baby are associated with increased risk of newborn complications during labour, delivery and postpartum. The objective of the study was to determine the relationship between estimated foetal weight and maternal renal dimensions and volume in normal pregnant women in Bayelsa State, Nigeria.Methods: This prospective, descriptive, cross-sectional study was conducted at the Obstetrics and Gynaecology, and Radiology Departments of the two tertiary hospitals in Bayelsa State, Nigeria, from July to December, 2021. Sonographic assessments of estimated foetal weight and the maternal renal dimensions and volume in 400 consecutive normal pregnant women in both tertiary institutions were done, after obtaining written informed consent from them. Data were entered into a pre-designed proforma, and analysed using Statistical Product and Service Solutions for windows� version 25, (SPSS Inc.; Chicago, USA). Results were presented in frequencies and percentages for categorical variables and mean and standard deviation for continuous variables.Results: A total of 400 pregnant women were scanned. There was a valid relationship between right renal antero-posterior diameter (?= 0.32; p �010), right renal width (?= 0.32; p �007), right renal volume (?= 0.32; p �007) and estimated foetal weight. The left renal width and renal volume showed the same trend as the right parameters with slight differences in values.Conclusions: This study revealed that estimated foetal weight increased with increase in maternal renal volume and dimensions.
RESUMEN
Aim: To determine the incidence, predisposing factors, clinical presentation and perinatal and maternal outcome of patients managed for abruptio placenta. Study Design: A retrospective review. Place and Duration of Study: Department of Obstetrics and Gynaecology, Niger Delta University Teaching Hospital, Okolobiri between January 2009 and December 2013. Materials and Methods: Data were collected from records of all patients presenting with abruptio placenta. Information extracted from the records included demographics, parity, gestational age, clinical presentation, risk factors for abruptio placenta, complications, and perinatal and maternal outcome. Data analysis was performed with Epi info version 6.04d. The results are presented as means with standard deviations, percentages, rates and proportions. Association between maternal age and selected obstetric and neonatal variables were assessed using the chi-square and the twotailed Fisher exact test. Results: A total of 40 cases of abruptio placenta were seen out of 2,736 deliveries giving an incidence of 1.46%. Age did not significantly affect the incidence of abruptio placenta in this study (p=0.13). High parity was significantly associated with abruptio placenta (p = 0.02). Unbooked status and Low socio-economic class were both significantly associated with abruptio placenta (p<0.001). Possible abdominal trauma due to traditional abdominal massage was documented in 26 (72.2%) cases and was significantly associated with abruptio placenta (p<0.01). There was one maternal death giving a case fatality rate of 2.8%. There were 19 perinatal deaths giving a perinatal mortality rate of 527.7 per 1000 births. Conclusion: Lack of antenatal care and traditional abdominal massage during pregnancy are major predisposing factors to abruptio placenta in our environment. Perinatal mortality associated with abruption placenta is high.