فهرست نشریات علمی دسترسی آزاد ایران

Methods: : A prospective hospital based study included 5450 pregnant women. The ultrasonography was done after 20 weeks of gestation and the cases found to have urinary tract anomalies were followed till 4 weeks of postnatal life. Results: : The abnormalities were found in 20 fetuses (0.36%) involving 33 kidney units. The dilated renal system was found in 24 (72.7%), multicystic dysplastic kidneys in 6 (18.2%), polycystic kidney disease in 2 (6.1%) and renal agenesis in 1 (3.0%) kidney units. Five (25%) affected babies died and they had significantly lower mean birth weight, hemoglobin and higher blood urea and serum creatinine levels as compared to survivors. Renal anomalies resolved spontaneously in 6 (18.2 %) kidney units. The ureteropelvic junction / ureterovesical junction obstruction was the commonest abnormality followed by ureterovesical reflux at 4 weeks life. Antero-posterior renal pelvis diameter and renal size were significantly higher in cases in which anomalies persisted. Conclusions: : Thus, the babies with foetal urinary tract abnormalities require close follow up in post natal life regarding their persistence and renal function.