Document Detail


Accuracy of estimated fetal weight by ultrasonography compared with the leopold maneuver and effect of maternal obesity.
MedLine Citation:
PMID:  24770129     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Estimated fetal weight is used routinely in the evaluation of the labor patient. Precise estimated fetal weight is necessary to provide adequate and accurate counseling to our patients. With the growing obesity epidemic, it is likely the clinical relevance of estimated fetal weight by Leopold's maneuvers is declining. The objective of this study was to test if estimated fetal weight by Leopold maneuvers or by ultrasonography is a more accurate assessment of delivery weight and if these measurements are affected by maternal body mass index (BMI).
METHODS: A retrospective chart review of 102 term gravidas presenting either in labor or for induction was conducted. Term pregnancies with both documented estimated fetal weight by ultrasound examination and by Leopold's maneuvers were included. Birth weight was recorded and compared with the estimates. Maternal height and weight at delivery were used to calculate BMI. SPSS was used for the analysis.
RESULTS: Estimated fetal weight by ultrasound examination and estimated fetal weight by Leopold's maneuvers differed significantly. Estimated fetal weight by ultrasound examination more accurately predicted actual birth weight with BMI greater than 30 kg/m.
CONCLUSION: Both ultrasound assessment and clinical estimation of fetal weight are strongly associated with actual birth weight. Ultrasonography provides a more accurate assessment of fetal weight in the term patient than clinical estimation by residents.
Authors:
Amanda Horton; Juan Diaz; Dimitrios Mastrogiannis
Related Documents :
7455739 - Retinopathy in toxemia of pregnancy.
23563459 - Low birthweight delivery: prevalence and associated factors as seen at a tertiary healt...
23342889 - Spontaneous rupture of unscarred uterus in the early second trimester: a case report of...
23330769 - A profile of body mass index in a large rural victorian obstetric cohort.
25112459 - Month-wise estimates of tobacco smoking during pregnancy for the united states, 2002-2009.
23305099 - Parity and tanned white skin as novel predictors of vitamin d status in early pregnancy...
8671239 - Is intracytoplasmic sperm injection (icsi) a safe procedure? what do we learn from earl...
3795199 - Peripartum maternal cardiomyopathy with idiopathic cardiomyopathy in the offspring. a c...
16040259 - Hla-g in murine peripheral blood after interruption of pregnancy.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  123 Suppl 1     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  193S     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Adnexal masses in pregnancy: does magnitude matter?
Next Document:  Doppler ultrasonography: more than just for intrauterine growth restriction?