Assessment Of Fetal Maturity At Various Gestational Ages Using Modified Dubowitz Scoring System

Abstract

Objective: Using a modified Dubowitz scoring system, evaluate and compare the maturity of neonates born at different gestational ages into three groups: 28+0 to 35+6 weeks, 36+0 to 36+6 weeks, and 37+0 to 37+6 weeks.

Methods: This prospective observational research was carried out at Holy Family Hospital, Rawalpindi, in units 1 and 2 of the Department of Obstetrics and Gynaecology. The research covered all neonates born between 28+0 and 37+6 weeks of gestation.

Following clearance from the ERB and authorization from the hospital administration, data collecting began. After the informed consent of the parent /guardian of the neonate, a detailed maternal and neonatal history was taken including demographic data and obstetric history. All neonates enrolled in the study were divided into three groups. Group A include neonates delivered between 28+0 - 35+6 weeks. Group B includes neonates delivered between 36+0 - 36+6 weeks and group C includes neonates delivered between 37+0 - 37+6 weeks. Fetal maturity of all three groups was estimated by using Modified Dubowitz scoring and secondary fetal outcomes (Birth weight, APGAR score & complications of prematurity) were also measured. Data was entered on pre-designed proforma.

Results: SPSS version 25 was used to enter and evaluate the data. Determining neonatal maturity using a modified Dubowitz scoring system was the main result. The assessment of birth weight, APGAR score, and preterm problems are secondary fetal outcomes.

Conclusion: According to the study's findings, newborns of varying gestational ages can benefit from using the Modified Dubowitz score as a valuable tool to predict fetal development. Additionally, the study finds that the idea of the early maturation of Asian populations in our community is valid. This will help us make decisions on whether to do iatrogenic preterm births in complex circumstances.