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133966

Clinical and Ultrasound Estimation of Fetal Weight at Term and Its accuracy with Birth Weight

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Last updated: 30 Jan 2023

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Abstract

Background: Accurate estimation of fetal weight is of paramount importance in the management of labor and delivery. Objective: To evaluate fetal weight by clinical and ultrasound methods and its correlation to actual birth weight. Patients and Methods: This comparative cross sectional study was conducted at maternity hospital Zagazig University Hospitals and Zagazig General Hospital, in the period from September 2018 to March 2019. 84 women with singleton pregnancy, full term, no medical disorders with pregnancy were selected from Antenatal Clinics and Maternity Wards. They were prepared for elective caesarean section within 24 hours. Full history was taken then general and abdominal examination was done, followed by obstetric palpation (Leopold's manoeuver) to evaluate fundal level, fundal and umbilical grip and first pelvic grip by the right hand to grasp the presenting part (head). Local examination was done to evaluate cervical dilatation if present, degree of descent of the fetal head into pelvis and the fetal station. Results: The Hadlocks formula is more accurate than Johnson's formula. The sensitivity of ultrasound was 82.0% higher than clinical (76.7%).
Conclusions: Antenatal fetal weight can be estimated with reasonable accuracy, by ultrasounography using Hadlocks formula and clinically using Johnson's formula.

DOI

10.21608/ejhm.2020.133966

Keywords

Foetal Birth-Weight, Pregnancy, Ultrasonography

Authors

First Name

Magdi Ragab

Last Name

El-Sayed

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

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City

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Orcid

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First Name

Badeea Seliem

Last Name

Soliman

MiddleName

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Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

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City

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Orcid

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First Name

Mohamed Mustafa

Last Name

Zaitoun

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

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City

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Orcid

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First Name

Rehab Jamal Mohammed

Last Name

El Shorbaji

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.

Email

dr.rehabjamal89@gmail.com

City

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Orcid

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Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-30

Publish Date

2020-10-01

Page Start

2,468

Page End

2,475

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2468-2475.pdf

PDF . 629.4kB

Link

https://ejhm.journals.ekb.eg/article_133966.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=133966

Order

29

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023