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Indian Journal of Maternal-Fetal & Neonatal Medicine

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A Study of Assessment of Fetal Weight in Term Pregnancy by Abdominal Girth and Symphysio Fundal Height and Comparison with Actual Birth Weight of Baby

Alka Patil* , Alka Patil* , Jasleen Mavi** , Shruti Singh***

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Indian Journal of Maternal-Fetal & Neonatal Medicine 4(1):p 29-32, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.4

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Abstract

 Introduction: Prediction of fetal weight has been a subject which has interested many workers. It is useful for the prevention of prematurity by avoiding delivery of small babies through induction or caesarean section. Aims and Objectives: To Study of assessment of fetal weight in term pregnancy by abdominal girth and symphysiofundal height and comparison with actual birth weight of baby. Methodology: This was a Prospective Study carried out at medical college and hospital from January 2009 to October 2010 in the department of obstetrics and gynecology. Two hundred women at term were studied. The fetal weight was estimated at the time of admission.The statistical analysis done by SPSS version 17. Result: Mean age of mothers was found to be 22.67 years. 59% babies were normally delivered and 24.5% babies were delivered by LSCS. Actual birth weight (Grams) was 2643.00 ±331.14 (Range 2000-3615), while SFHAG (grams) was 2721.45 ± 360.01 (Range 1806 -3534). Error by SFHAG was 78.5 ± 365.4 and (Range -1090.0 to 1398.0). Percent SFHAG Error by SFHAG was 3.9 ± 14.5 (Range -36.9 to 67.9). The SFHAG significantly differed from the Actual birth weight (P<0.05). Birth weight determined by SFHAG in 57% babies had an error of more than 200gms. Birth weight by SFHAG was overestimated in 58% babies; of them 35.5% babies were estimated to have birth weight more than 200 gms. In 42% babies birth weight was underestimated and in 21.5% babies had weight determined less than 200gms. Conclusion: Clinical palpation is a subjective methodology that must be employed at or near the data of delivery but this method is having much errors in measurement so should be accompanied with other methods of estimation like USG.

Keywords: Symphysio Fundal Height (SFHAG); Mcdonald’Smeasurement, Intrauterine Growth Retardation (IUGR).

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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.4

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