Azam Jafari Fard - Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Sonia Sadeghpour - Department of Obstetrics and Gynecology, Reproductive Health Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran
Fatemeh Bahadori - Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Javad Rasouli - Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Science, Urmia, Iran

Background and Objective:  Preeclampsia is a disorder of pregnancy with increased maternal and perinatal morbidity and mortality. The detection of a short femur length, particularly below the ۵th centile is often a diagnostic dilemma. It might be associated with fetal growth restriction at the time of the ultrasound examination The purpose of this study was to assess the contribution of short femur diaphysis length (FDL) at ۳۲–۳۷ weeks of gestation in preeclampsia.Material and Methods: The study included pregnant women who underwent a routine anomaly scan at ۳۲–۳۷ weeks of gestation at the Shahid Motahari University Hospital (Iran, Urmia) between February ۲۰۲۱ and February ۲۰۲۲. Fetal biometry and Doppler ultrasound of uterine arteries were assessed as part of the anomaly scan, and the mean pulsatility index of both uterine arteries was recorded. Maternal obstetric characteristics, such as ethnicity, age, weight, parity, cigarette smoking, and medical history including hypertension and diabetes mellitus were collected from our database system.Results: the results of the present study illustrated that multivariate analysis of fetal femoral length percentile was associated with maternal age, preeclampsia, and the number of previous pregnancies. Furthermore, the sensitivity and specificity of the ۵۰th-percentile femoral in the diagnosis of preeclampsia were % ۹۶.۸۸ and %۸۱.۸۸  respectively. Conclusions: our results suggest that Short FDL at ۳۲–۳۷ weeks of gestation is a significant relationship with PE.

biomarker, Preeclampsia, femur length, complications of pregnancy