ESTIMATION OF FETAL WEIGHT BY CLINICAL METHODS AND ULTRASOUND AND CORRELATING ITS ACCURACY WITH ACTUAL BIRTH WEIGHT IN TERM PREGNANCIES AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 17-19
Author(s):  
Kumari Ragini ◽  
Amit Kumar ◽  
Reena Kumari ◽  
Debarshi Jana
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Fetal Weight ◽  
Term Pregnancy ◽  
Abdominal Girth ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Clinical Methods ◽  
Fetal Birth Weight ◽  
A Prospective Study

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.

scholarly journals Estimation of Fetal Birth Weight Using Ultra Sonographic Parameters

1970 ◽  
Vol 39 (135) ◽  
pp. 284-286
Author(s):  
Kaveeta Dawaka ◽  
G C Das
Keyword(s):  
Birth Weight ◽  
Fetal Weight ◽  
Weight Estimation ◽  
Term Pregnancy ◽  
Femur Length ◽  
Actual Weight ◽  
Medical College ◽  
Biparietal Diameter ◽  
Fetal Birth Weight ◽  
The Mean

One hundred antenatal patients were studied at term pregnancy at Gauhati Medical College, Guwahati, andfetal birth weight estimation was done in utero Ultrasono-graphically. The parameters measured wereAbdominal Circumference (AC), Biparietal diameter (BPD) and Femur Length (FL), Fetal weightprediction was done with Shepards formula using AC and BPD as well as Hadlocks formula using FL andAC. The scan delivery interval was maintained at 72 hours or less. Results of both formulae were comparedwith the actual fetal birthweight taken within 15 minutes of delivery. With Shepards formula, the predictedfetal weight was within 100 gm of the actual fetal weight in 71% cases, within 150gm in 86% cases, within200 gms in 93% cases and within 250 gms in 98%. With Hadlocks formula, the predicted birthweight waswithin 100 gms of the actual fetal weight in 72% cases, within 150 gms in 83%, within 200 gms in 92%cases and within 300 gms in 98%. The mean percent error calculated as Error % = Predicted weight - actualweight divided by actual weight x 100 was 2.9% with Shepards formula and 3% with Hadlocks. These datathus support a significant correlation between ultrasonographic estimation and actual fetal birth weight.Key Words: Fetal birth weight, AC, BPD, FL

scholarly journals Predictability of Fetal Birth Weight from Measurement of Fetal Thigh Circumference by Two-dimensional Ultrasound: A Prospective Study

2012 ◽  
Vol 4 (1) ◽  
pp. 35-38
Author(s):  
Shyamal Dasgupta ◽  
Tarun Kumar Ghosh ◽  
Amitava Mukherjee ◽  
Poushali Sanyal ◽  
Rezaul Karim ◽  
...  
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Fetal Weight ◽  
Abdominal Circumference ◽  
P Value ◽  
Two Dimensional ◽  
Thigh Circumference ◽  
Fetal Birth Weight ◽  
The Mean ◽  
A Prospective Study

ABSTRACT Objective The aim of this study was to compare the predictability of the Vintzileos’ formula with the Hadlock's formula in estimating the fetal weight nearest to the actual birth weight. Methods It was a prospective observational study conducted with 138 antenatal mothers with single viable fetus and no major congenital abnormalities. A two-dimensional ultrasound scan was performed between 38 and 40 weeks gestation, which measured the biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL) and thigh circumference (TC) at the level of midthigh, and incorporated them to estimate fetal weight using the Hadlock's and the Vintzileos’ formulae. Results For the majority of the study population (63.04%), the mean fetal weight estimated by the Vintzileos’ formula was nearer to the mean actual birth weight compared to the Hadlock's formula. There was strong correlation (Karl Pearson's correlation coefficient r = 0.98, p-value <0.05) between the sonologically estimated and the neonatal thigh circumference. Conclusion The results of this study show that the fetal thigh circumference, if incorporated with other standard biometric parameters in estimating fetal weight by ultrasound, improves the predictability of birth weight estimation, and can predict intrauterine growth restriction. How to cite this article Sanyal P, Ghosh TK, Dasgupta S, Karim R, Mukherjee A, Das A. Predictability of Fetal Birth Weight from Measurement of Fetal Thigh Circumference by Twodimensional Ultrasound: A Prospective Study. J South Asian Feder Obst Gynae 2012;4(1):35-38.

scholarly journals CORRELATION OF UMBILICAL CORD THICKNESS WITH FETAL BIRTH WEIGHT - A PROSPECTIVE STUDY IN RURAL BENGAL

2015 ◽  
Vol 4 (76) ◽  
pp. 13170-13173
Author(s):  
Monojit Chakrabarti ◽  
Supriya De Ray ◽  
Dibyendu Roy ◽  
Raj Mohan Ghosh ◽  
Arup Agarwal
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Umbilical Cord ◽  
Fetal Birth Weight ◽  
A Prospective Study

scholarly journals Comparative Study of Various Methods of Fetal Weight Estimation in Term Pregnancy

2013 ◽  
Vol 5 (1) ◽  
pp. 22-25 ◽  
Author(s):  
Partha Mukherjee ◽  
Sebanti Goswami ◽  
Anupama Kumari
Keyword(s):  
Birth Weight ◽  
Standard Deviation ◽  
Comparative Study ◽  
Fetal Weight ◽  
Average Error ◽  
Weight Estimation ◽  
Term Pregnancy ◽  
Weight Category ◽  
Medical College ◽  
Fetal Weight Estimation

ABSTRACT Objective The goal of this study was to evaluate the various methods of estimating fetal weight in term pregnancy and to determine their relative accuracy in predicting the same in different weight categories. Materials and methods The study was conducted at Department of Obstetrics and Gynecology, Medical College and Hospital, Kolkata from 1st July 2009 to 30th June 2010. It was a prospective cohort type of study covering 500 pregnant women at term. Parameters studied (a) average error (gm) in different birth weight categories, (b) standard deviation of prediction error in each birth weight category. Results Ultrasonography was found to have least standard deviation closely followed by the two clinical methods proposed by Johnson and Dare. The average positive predictive value of different methods in our study was 42.2, 70.9, 80.5 and 76% for Dawn's, Johnson's, Dare's formulas and USG respectively. Conclusion Easily measurable obstetric parameters with simple instruments requiring minimal manpower training are equally accurate as USG in predicting fetal weight. How to cite this article Kumari A, Goswami S, Mukherjee P. Comparative Study of Various Methods of Fetal Weight Estimation in Term Pregnancy. J South Asian Feder Obst Gynae 2013;5(1):22-25.

scholarly journals Comparison of various method of fetal birth weight estimation in term pregnancy

2018 ◽  
Vol 7 (3) ◽  
pp. 1058
Author(s):  
Darshit G. Prajapati ◽  
Riddhi M. Patel
Keyword(s):  
Birth Weight ◽  
Large Scale ◽  
Low Cost ◽  
Mode Of Delivery ◽  
Ease Of Use ◽  
Fetal Weight ◽  
Term Pregnancy ◽  
Actual Weight ◽  
Increased Risk ◽  
Fetal Birth Weight

Introduction: Knowledge of fetal weight in utero is vital for the obstetrician in deciding whether or not to deliver the fetus as well as in fixing the mode of delivery. Both low birth weight and excessive fetal weight at delivery are associated with increased risk of newborn complications during labor and the puerperium. Various clinical formulae like Johnson's formula & Dare's formula and USG are in use for fetal weight estimation.Objectives: The aim of this study was to assess the fetal weight in term pregnancies by various methods- Dare’s formula, Johnson's formula and Hadlock's formula using ultrasound, and to compare the methods after knowing the actual weight of the baby after birth.Methods: It is a prospective observational study of 227 women at term pregnancy at GMERS medical college & Hospital, sola , Ahmedabad from April 2014 to April 2016. The formulas used in this study are: Johnson's formula, Dare’s formula and Hadlock-4 formula using ultrasound.Result: Results vary in terms of accuracy with various methods employed for estimating the fetal weight. This study showed that Hadlock-4 was the best indicator among all other methods assessed followed by Dare’s formula.Conclusion: Whenever the Facility is available, Ultrasound is the best method for birth weight assessment. Dare’s formula is an inexpensive method for screening for fetal growth restriction. It continues to be used in many countries on large scale because of its low cost, ease of use, and need for little training as the setup for ultrasonographic evaluation is not readily available in rural setups.

scholarly journals Misoprostol Versus Oxytocin for Induction of Labour at Term and Post Term Pregnancy of Primigravida

2018 ◽  
Vol 6 (2) ◽  
pp. 56-59
Author(s):  
Malati Tripathi ◽  
Ayushma Adhikari ◽  
Bibhushan Neupane
Keyword(s):  
College Teaching ◽  
Induction Of Labour ◽  
Delivery Time ◽  
Term Pregnancy ◽  
Time Duration ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Sublingual Misoprostol ◽  
A Prospective Study ◽  
Post Term Pregnancy

Introduction: To compare effectiveness and safety of sublingually administered misoprostol and intravenously infused 10 units of oxytocin for labor induction at term and post term pregnant women in Gandaki Medical College Teaching Hospital (GMCTH). Materials and methods: This is a prospective study conducted in Department of Obstetrics and Gynaecology in Gandaki Medical College and performed on 120 patients of primigravida with cephalic presentation at term and post-term pregnancy. Patients were given 50µg sublingual misoprostol 6 hourly (two doses) and 5 units of oxytocin in 500ml RL started from 10 drops up to 60 drops till effective contraction occur with maximum of 10 units oxytocin. Maternal and fetal outcomes were observed. Collected data were analyzed using SPSS and MS Excel.  Results: There were no significant differences between the groups concerning time duration between inductions to delivery time, indications of caesarean section, different modes of delivery and for the Apgar score at one and five minutes.  Conclusion:  Both oxytocin and misoprostol are effective and safe for induction of labour.

scholarly journals Computed tomography scan findings in eclampsia: a prospective study

2018 ◽  
Vol 7 (11) ◽  
pp. 4432
Author(s):  
K. S. Raja Rajeswari ◽  
R. Niranjana
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Ct Scan ◽  
Brain Infarction ◽  
Cortical Blindness ◽  
Obstetrics And Gynaecology ◽  
A Prospective Study ◽  
Ct Finding ◽  
Brain Haemorrhage ◽  
Tomography Scan

Background: Eclampsia is a leading cause of maternal death, with classical neurological symptoms that include headache, nausea, vomiting, cortical blindness, coma and convulsions. Computed tomography (CT) scan helps in diagnosing and management of eclampsia in pregnant women. The present study was done with the objective to analyse the findings of CT scan of brain in eclampsia, to identify the prevalence of neurovascular complications in these cases and to determine if these findings can be of value in determining the prognosis of this disorder.Methods: This was a prospective study done on 100 patients with eclampsia. All of the 100 patients were screened with CT scan brain at Institute of Obstetrics and Gynaecology, Egmore, Chennai during the period from August 2008 to August 2009. All the data were analyzed and compared between the groups of positive CT scan and negative CT scan observations.Results: Out of 100 patients, positive CT scan findings were noticed in 15 patients. Of them, 7 patients expired, and 8 patients survived after treatment. Of the expired patients (7), 5 of them expired due to brain haemorrhage, and 1 patient died with cerebral oedema and 1 with brain infarction. Cerebral odema (46%) was the most common positive CT finding.  Parietal region of brain was the most common (40%) affected area.Conclusions: CT scan of brain provides valuable information in determining the prognosis and the prevalence of neurovascular complications in Eclampsia.

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