A simple clinical formula for predicting fetal weight in labour at term--derivation and validation.
نویسندگان
چکیده
OBJECTIVES To derive and validate a simple formula for birth weight based on symphysis-fundal height (SFH) measurement during labour, and to determine a useful SFH cut-off value for prediction of birth weight > or = 4000 g. METHODS In a derivation study, SFH was measured in women at term in the active phase of labour. A simplified formula for birth weight was derived from a regression equation. The best cut-off SFH measurement was obtained for prediction of birth weight > or = 4000 g. After this, a similar study was done to validate these findings. RESULTS In the derivation study (N = 504), birth weight was predicted by the equation: birth weight in g = 301 + 78 (SFH in cm). This was transformed to the simplified formula: birth weight in g = 100 ([SFH in cm]-5). Using this formula for the data set, 68.1% of birth weight estimates were correct to within 10% of the birth weight. For prediction of birth weight > or = 4000 g, an SFH measurement of 40 cm had a sensitivity of 82% and a specificity of 80%. In the validation study (N = 294), the derived simplified formula gave 65.0% of estimates correct to within 10% of the birth weight. The predictive values of the 40 cm SFH cut-off were similar to those in the derivation study. CONCLUSION The derived simplified formula was validated in the second study. The formula may be useful for intrapartum use in term pregnancies. A cut-off SFH measurement of 40 cm may identify labours at risk for cephalopelvic disproportion or shoulder dystocia.
منابع مشابه
Sonographic estimation of fetal weight in term pregnant women
Introduction: Deviation from normal fetal weight and growth contribute to morbidity and mortality in the perinatal period. Over 50 formulas for EFW (estimated fetal weight) have been published and yet the ideal formula has not been determined. The objective of this study was to evaluate the accuracy of sonographic estimation of fetal weight using Hadlock formula in comparison to birth weight....
متن کاملEstimation of Fetal Weight by Clinical Methods and Ultrasonography and Comparing With Actual Birth Weight
Introduction: Assessment of fetal weight is a vital factor in antenatal care, not only in the management of labor and delivery but also in identifying fetal weight disorders. Objective: This study compares the accuracy of clinical methods and ultrasonography in Estimating Fetal Weight (EFW) with Actual Birth Weight (ABW) in term pregnant women. Materials and Methods: This diagnostic test eval...
متن کاملDerivation and validation of a sensitivity formula for knife-edge slit gamma camera: A theoretical and Monte Carlo simulation study
Introduction: Gamma cameras are proposed for online range verification and treatment monitoring in proton therapy. An Analytical formula was derived and validated for sensitivity of a slit collimator based on the photon fluence concept. Methods: Fluence formulation was generalized for photons distribution function and solved for high-energy point sources. The...
متن کاملDetermination of Accuracy of Fetal Weight Using Ultrasound and Clinical Fetal Weight Estimations in Calabar South, South Nigeria
Information on fetal weight is of importance to obstetricians in the management of pregnancy and delivery. The objective of this study is to compare the accuracy of clinical and sonographic methods of predicting fetal weights at term. This prospective comparative study of 200 parturients was conducted at the University of Calabar Teaching Hospital, Calabar. The study participants were mothers w...
متن کاملنتایج حاصل از حاملگی طولانی مدت
Background: Lengthened pregnancy after the 41st week will create problems for mother, fetus and newborn. Assessing the outcomes of prolonged pregnancy are research priorities. Objective : To determine the maternal, fetal and neonatal outcomes of prolonged pregnancy. Design: This was a case -control study in which the data were collected through record sheets. Sample: There were 1800 sam...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
دوره 99 6 شماره
صفحات -
تاریخ انتشار 2009