Is the use of symphysis-fundal height measurement and ultrasound examination effective in detecting small or large fetuses?

Hargreaves, K, Cameron, M, Edwards, H, Gray, R and Deane, K (2011) Is the use of symphysis-fundal height measurement and ultrasound examination effective in detecting small or large fetuses? Journal of Obstetrics & Gynaecology, 31 (5). pp. 380-383. ISSN 0144-3615

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Abstract

We investigated the accuracy of using symphysis pubis-fundal height measurement and ultrasonically derived estimation of fetal weight for identifying small-for-gestational-age (SGA) and large-for-gestational-age (LGA) fetuses. A retrospective cohort study was performed using computerised records of all non-diabetic women referred for an ultrasound growth scan (US) with clinically suspected SGA or LGA singleton fetuses from 35 weeks’ gestation between October 2008 and March 2009 (n?=?185). Birth weight data were also collected for all births over the study period (n?=?3200). One-third (34%) of ultrasound estimated fetal weights were inaccurate by >10%. However, an inaccurate ultrasound estimation did not significantly increase the likelihood of spontaneous or induced onset of labour or delivery by caesarean section. Most (79%) growth scans were performed on well-grown fetuses. The majority (80%) of SGA and LGA babies in our cohort were not identified by clinicians during routine antenatal care. From 3,200 live births, there were a total of 59 infants weighing

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Users 2731 not found.
Date Deposited: 22 Nov 2011 12:18
Last Modified: 04 Oct 2020 23:32
URI: https://ueaeprints.uea.ac.uk/id/eprint/35506
DOI: 10.3109/01443615.2011.567343

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