Single pre‐delivery symphysis‐fundal height measurement as a predictor of birthweight and multiple pregnancy

Walraven, Gijs; Mkanje, Rashid; Roosmalen, Jos van; Dongen, P.W.J. van; Asten, H.A.G.H. van; Dolmans, W.M.V.

doi:10.1111/j.1471-0528.1995.tb11354.x

Cited by 21 publications

(12 citation statements)

References 15 publications

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“…From our anthropometric data it appears that Mozambican women do not deviate significantly from other African populations concerning weight, height, BMI and arm circumference (Kiserud 1986; Munjanja et al . 1987; Walraven et al . 1995b; Bique Osman et al .…”

Section: Discussionmentioning

confidence: 99%

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Symphysis‐fundal height growth chart of an obstetric cohort of 817 Mozambican women with ultrasound‐dated singleton pregnancies

Challis

Osman

Nyström

et al. 2002

Tropical Med Int Health

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SummaryOur aim was to construct a new symphysis-fundus height (SFH) growth chart, based on Mozambican women with ultrasound-dated singleton pregnancy, who represent the largest obstetric cohort in a developing country followed for this purpose. Two antenatal clinics were chosen in the suburban area of Maputo City. A cohort of 904 consecutively recruited antenatal clients was followed until delivery. The growth of the SFH was measured every second to third week. Gestational age was determined by ultrasound at enrolment. Women with multiple pregnancy or with gestational age > 21 weeks at enrolment were excluded. The average number of antenatal SFH measurements per woman was 7.8 (SD 2.4). The drop out rate was 9.6%. Mean birthweight was 2909 g. Pre-term deliveries occurred in 15% and low birthweight deliveries (< 2500 g) in 16%. Using proper longitudinal methods, we constructed an FH growth chart and compared it with various previously published SFH charts, which showed the Mozambican chart to be 0-3 cm below the others. Nulliparous women were 0.5 cm below multiparous women. We did not find any difference in the SFH growth charts between women with or without overt morbidity. Women with a body mass index (BMI) < 19 and women with a BMI > 27 had approximately 1 cm lower and 1 cm higher readings, respectively, than women with normal BMI. The Mozambican SFH growth chart is an example of an elaborated growth chart for a well-defined population in a low-income country. It constitutes the basis for further studies to predict the small-for-gestational age newborn from anthropometrical data obtained by use of appropriate technology.keywords symphysis-fundus height, BMI, overt morbidity, pre-term delivery, foetal growth, Mozambique.correspondence

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Section: Discussionmentioning

confidence: 99%

“…To achieve such interventions, there are few affordable approaches available. Various anthropometric methods, such as measurement of maternal mid‐upper arm circumference (Liljestrand 1989; Walraven et al . 1995b), height (van Roosmalen & Brand 1992; Moller & Lindmark 1997; Osman et al .…”

Section: Introductionmentioning

confidence: 99%

Symphysis‐fundal height growth chart of an obstetric cohort of 817 Mozambican women with ultrasound‐dated singleton pregnancies

Challis

Osman

Nyström

et al. 2002

Tropical Med Int Health

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“…After addition of birthweight in the logistic regression model, the association between transverse diagonal and cephalopelvic disproportion remained high. Consequently, as birthweight and fundal height are correlated 27 , it may be of great interest to assess the prediction of cephalopelvic disproportion by fundal height and/or abdominal circumference measurement, in addition to external pelvimetry and maternal height.…”

Section: Discussionmentioning

confidence: 99%

Maternal height and external pelvimetry to predict cephalopelvic disproportion in nulliparous African women: a cohort study

Liselele

Boulvain²,

Tshibangu

et al. 2000

BJOG

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Objective To assess external pelvimetry and maternal height, as predictors of cephalopelvic disproportion.Design Prospective cohort study.Setting Four hospitals in Zaire.Population Six hundred and five nulliparous women.Methods Maternal height and external pelvimetry were assessed during the third trimester antenatal visit. Cut off values for considering women at risk for cephalopelvic disproportion were height < 150 cm and external pelvic distances < 10th centile for the population. Logistic regression analysis, combining height and pelvic measurements, was performed to predict women at risk for cephalopelvic disproportion.Main outcome measure Cephalopelvic disproportion was considered when there was caesarean section for failure to progress, vacuum or forceps delivery or intrapartum stillbirth.Results Cephalopelvic disproportion was present in 42 women. In univariate analysis, height, intertrochanteric diameter and the transverse diagonal of Michaelis sacral rhomboid area were found to be associated with cephalopelvic disproportion. Logistic regression analysis showed that maternal height < 150 cm and/or transverse diagonal < 9.5 cm were the variables most associated with cephalopelvic disproportion. The adjusted odds ratios were 2.2 (95% CI 0.9 to 5.4) and 6.5 (95% CI 3.2 to 13.2), respectively. The positive predictive value and likelihood ratio were 24% and 4.0 (95% CI 2-8 to 5-8), respectively. The addition of transverse diagonal to maternal height increased the sensitivity in predicting cephalopelvic disproportion from 21% to 52% .Conclusion In addition to height, transverse diagonal measurement is able to predict one out of two cases of cephalopelvic disproportion in nulliparous women. After validation in a separate cohort, this simple predictive method may be used in peripheral centres for timely referral of pregnant women at risk for cephalopelvic disproportion.

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“…4 Fundal height, there fore had the better sensitivity than maternal palpation, maternalheight and weight, and middle upper arm circumference. 5 The more recent method which was widely used to estimate fetal weight was using ultrasound examination. A study involving 190 subjects to compare the accuracy of abdominal palpation, Johnson's formula and ultrasound examination to estimate infant birth weight was done.…”

Section: Discussionmentioning

confidence: 99%

Risanto’s Formulas is more Accurate in Determining Estimated Fetal Weight Based on Maternal Fundal Height

Titisari¹,

Siswosudarmo²

2016

Indones J Obstet Gynecol

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Objectives: To compare the accuracy of Johnson’s and Risanto’s formulas in determining estimated fetal weight based on maternal fundal height (FH). Methods: This was a cross sectional study, consisting of 655 pregnant women from Dr. Sardjito Hospital and affiliated hospital sat 37-42 weeks of gestation. Fundal height was measured from the symphisis to the top of uterine fundus, using inverted unelastic flexible tape. EFW based on Johnson’s and Risanto’s formulas were compared with the actualbirth weight. Wilcox on analysis was used for statistical analysis. Results: Mean EFW of Johnson’s formula was 3136 ± 392.2 grams and EFW of Risanto’s formula was 3056 ± 322.5 grams and mean actual birth weight was 3021 ± 341.1 grams. The mean difference between EFW of Johnson’s formula and the actual birth weight was 156.1 ± 107.3 grams, and mean difference between EFW of Risanto’s formula and the actual birth weight was 100.8 ± 86.1 grams. Those two differences was statistically significant (p=0.001). Conclusion: This study showed that Risanto’s formula was more accurate than Johnson’s in predicting birth weight based on the maternal’s fundal height. [Indones J Obstet Gynecol 2013; 1-3: 149-51] Keywords: actual birth weight, fundal height, Johnson’s formula, Risanto’s formula

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Single pre‐delivery symphysis‐fundal height measurement as a predictor of birthweight and multiple pregnancy

Cited by 21 publications

References 15 publications

Symphysis‐fundal height growth chart of an obstetric cohort of 817 Mozambican women with ultrasound‐dated singleton pregnancies

Symphysis‐fundal height growth chart of an obstetric cohort of 817 Mozambican women with ultrasound‐dated singleton pregnancies

Maternal height and external pelvimetry to predict cephalopelvic disproportion in nulliparous African women: a cohort study

Risanto’s Formulas is more Accurate in Determining Estimated Fetal Weight Based on Maternal Fundal Height

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