Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices

Objectives: To study the accuracy of birth weight estimations obtained by multiplying the symphysio-fundal height (SFH) and abdominal circumference (AC) in different pre-pregnancy body mass index (BMI).Materials and Methods: This cross-sectional study was conducted from April 2015 to September 201...

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Main Authors: Yuwadee Itarat, Pranom Buppasiri, Suthivan Sophonvivat
Format: Article
Language:English
Published: The Royal Thai College of Obstetricians and Gynaecologists 2017-09-01
Series:Thai Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://tci-thaijo.org/index.php/tjog/article/download/65081/82940/
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author Yuwadee Itarat
Pranom Buppasiri
Suthivan Sophonvivat
author_facet Yuwadee Itarat
Pranom Buppasiri
Suthivan Sophonvivat
author_sort Yuwadee Itarat
collection DOAJ
description Objectives: To study the accuracy of birth weight estimations obtained by multiplying the symphysio-fundal height (SFH) and abdominal circumference (AC) in different pre-pregnancy body mass index (BMI).Materials and Methods: This cross-sectional study was conducted from April 2015 to September 2015 at two tertiary hospitals. The authors included pregnant women with singleton fetus in vertex presentation with gestational age of 24-42 weeks and intact membranes who expected to deliver within 24 hours after admission. Participants were classified into four pre-pregnancy BMI categories using the criteria for Asian populations. The trained nurses in each hospital measured fundal height starting from the upper border of the symphysis pubis to tip of the uterine fundus, and then the AC was measured at the umbilical level using a measuring tape marked in centimeters. The procedure was conducted during no uterine contraction.Results: This study recruited 432 pregnant women. Spearman correlation coefficients between fetal weight obtained from multiplication of SFH and AC and actual birth weight in the underweight, normal weight, overweight and obese groups were 0.44, 0.54, 0.59, 0.71, respectively. There was no significant impact of pre-pregnancy BMI on the accuracy rate of birth weight estimation after adjusted for maternal age, parity, and gestational age.Conclusion: Pre-pregnancy BMI did not significantly affect the accuracy of fetal birth weight estimations obtained by multiplying SFH and AC.
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spelling doaj.art-49e1751c39e3454ab4512f04e363ce922022-12-22T00:21:48ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842017-09-01253167174https://doi.org/10.14456/tjog.2017.24Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass IndicesYuwadee Itarat0Pranom Buppasiri1Suthivan Sophonvivat2Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, ThailandDepartment of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, ThailandDepartment of Obstetrics and Gynecology, Mahasarakham Hospital, Mahasarakham 44000, ThailandObjectives: To study the accuracy of birth weight estimations obtained by multiplying the symphysio-fundal height (SFH) and abdominal circumference (AC) in different pre-pregnancy body mass index (BMI).Materials and Methods: This cross-sectional study was conducted from April 2015 to September 2015 at two tertiary hospitals. The authors included pregnant women with singleton fetus in vertex presentation with gestational age of 24-42 weeks and intact membranes who expected to deliver within 24 hours after admission. Participants were classified into four pre-pregnancy BMI categories using the criteria for Asian populations. The trained nurses in each hospital measured fundal height starting from the upper border of the symphysis pubis to tip of the uterine fundus, and then the AC was measured at the umbilical level using a measuring tape marked in centimeters. The procedure was conducted during no uterine contraction.Results: This study recruited 432 pregnant women. Spearman correlation coefficients between fetal weight obtained from multiplication of SFH and AC and actual birth weight in the underweight, normal weight, overweight and obese groups were 0.44, 0.54, 0.59, 0.71, respectively. There was no significant impact of pre-pregnancy BMI on the accuracy rate of birth weight estimation after adjusted for maternal age, parity, and gestational age.Conclusion: Pre-pregnancy BMI did not significantly affect the accuracy of fetal birth weight estimations obtained by multiplying SFH and AC.https://tci-thaijo.org/index.php/tjog/article/download/65081/82940/fetal weight estimationabdominal circumferencefundal heightpre-pregnancy body mass index
spellingShingle Yuwadee Itarat
Pranom Buppasiri
Suthivan Sophonvivat
Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
Thai Journal of Obstetrics and Gynaecology
fetal weight estimation
abdominal circumference
fundal height
pre-pregnancy body mass index
title Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
title_full Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
title_fullStr Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
title_full_unstemmed Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
title_short Fetal Weight Estimation using Symphysio-fundal Height and Abdominal Girth Measurements in Different Pre-pregnancy Body Mass Indices
title_sort fetal weight estimation using symphysio fundal height and abdominal girth measurements in different pre pregnancy body mass indices
topic fetal weight estimation
abdominal circumference
fundal height
pre-pregnancy body mass index
url https://tci-thaijo.org/index.php/tjog/article/download/65081/82940/
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AT pranombuppasiri fetalweightestimationusingsymphysiofundalheightandabdominalgirthmeasurementsindifferentprepregnancybodymassindices
AT suthivansophonvivat fetalweightestimationusingsymphysiofundalheightandabdominalgirthmeasurementsindifferentprepregnancybodymassindices