alexa A simple clinical formula for predicting fetal weight in labour at term--derivation and validation.
Reproductive Medicine

Reproductive Medicine

Journal of Pregnancy and Child Health

Author(s): Buchmann E, Tlale K

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Abstract OBJECTIVES: To derive and validate a simple formula for birth weight based on symphysis-fundal height (SFH) measurement during labour, and to determine a useful SFH cut-off value for prediction of birth weight > or = 4000 g. METHODS: In a derivation study, SFH was measured in women at term in the active phase of labour. A simplified formula for birth weight was derived from a regression equation. The best cut-off SFH measurement was obtained for prediction of birth weight > or = 4000 g. After this, a similar study was done to validate these findings. RESULTS: In the derivation study (N = 504), birth weight was predicted by the equation: birth weight in g = 301 + 78 (SFH in cm). This was transformed to the simplified formula: birth weight in g = 100 ([SFH in cm]-5). Using this formula for the data set, 68.1\% of birth weight estimates were correct to within 10\% of the birth weight. For prediction of birth weight > or = 4000 g, an SFH measurement of 40 cm had a sensitivity of 82\% and a specificity of 80\%. In the validation study (N = 294), the derived simplified formula gave 65.0\% of estimates correct to within 10\% of the birth weight. The predictive values of the 40 cm SFH cut-off were similar to those in the derivation study. CONCLUSION: The derived simplified formula was validated in the second study. The formula may be useful for intrapartum use in term pregnancies. A cut-off SFH measurement of 40 cm may identify labours at risk for cephalopelvic disproportion or shoulder dystocia.
This article was published in S Afr Med J and referenced in Journal of Pregnancy and Child Health

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