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Abstract Assessment of fetal weight in-utero leads to improved management of high risk pregnancies. It is an independent factor to determine optimal survival of fetus; fetal weight is undoubtedly one of the most significant determinants of neonatal survival. Sonographic assessment of fetal growth for the estimation of fetal weight (EFW) is a common practice in obstetrics, providing valuable information for planning the mode of delivery and management of labor. Aim of work: To assess the reliability of fetal abdominal subcutaneous tissue thickness (FASTT) measured by ultrasound at term in prediction of birth weight. Patients and Methods : Study design: This was a prospective observational study.; Study setting: This study was conducted at fetal medicine unit of Ain-shams maternity hospital from November 2015 to September 2016; Study population: This study included 185 pregnant women whom were seen for third trimestric ante-natal care within one week before prepared elective caesarean section at term (37-42) weeks of gestation or within one week before onset of spontaneous delivery. Assessment of fetal growth in-utero leads to improved management of high risk pregnancies. It is an independent factor to determine optimal survival of fetus; fetal weight is undoubtedly one of the most significant determinants of neonatal survival Ultrasound is the best technique to monitor fetal growth and estimate fetal weight. Subcutaneous fat thickness had a high degree of correlation with actual birth weight. Measurement of fetal subcutaneous fat by ultrasound is an attractive alternative to predict abnormalities in fetal growth. macrosomic fetuses had an increase in subcutaneous fat and vice versa. Recently, studies have shown that subcutaneous tissue thickness measurements, either on their own or incorporated into conventional fetal weight prediction formula could be used to evaluate fetal growth. The present study aimed to assess the reliability of fetal abdominal subcutaneous tissue thickness (FASTT) measured by ultrasound at term in prediction of birth weight. |