Sonographic Versus Clinical Fetal Weight Estimation Accuracy

Abstract

Background: Sonographic fetal weight estimation is an important component of antenatal care. It was found to be more reliable method to establish fetal weight at term and more consistent in various period of gestations. Aim of study: to compare clinical and sonographic methods for assessment of fetal weight regarding sensitivity, specificity and accuracy. Subjects and Methods: The study recruited 100 women scheduled for delivery from ante-natal care clinic with 38 weeks or more of gestation. Fetal weight was assed clinically and by ultrasound. Both techniques were compared and analyzed. Results: Ultrasound assessment of fetal weight showed better performance than the clinical method regarding absolute errors and error percentages. Ultrasound assessment showed better sensitivity and specificity in detecting fetal weight > 3500 gm. Moreover, it showed less bias on Bland–Altman plot analysis. Conclusions: Ultrasound assessment of fetal weight is safe, reliable and sensitive method of fetal weight estimation.

Correlation Between Ultrasonographically Estimated Fetal Weight and Actual Birth Weight in Females Presenting in a Tertiary Care Hospital

“…13 El Helali et al did a study to compare sonographic and clinical methods for assessment of fetal weight regarding sensitivity, specificity and accuracy and concluded that USG assessment of fetal weight is a safe, reliable and sensitive method for fetal weight estimation. 14 C Co or rr re el la at ti io on n B Be et tw we ee en n U Ul lt tr ra as so on no og gr ra ap ph hi ic ca al ll ly y E Es st ti im ma at te ed d Pak Armed Forces Med J 2022; 72 (5): 1584…”

Evaluating Ultrasonography Fetal Weight in Comparison to Actual Birth Weight in Term Pregnant Women at Tertiary Care Center Hospital

“…Fetal risks like shoulder dystocia and birth asphyxia. Sonography is a well-established readily available imaging technique for estimating Fetal Weight (EFW) and fetal biometry to exclude and screen for fetal growth disorders 10. Many studies including this Nigerian study by Cletus Uche Eze et aI6…”