Document Detail


Customised symphysio fundal height charts.
MedLine Citation:
PMID:  23292058     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate the feasibility, applicability and the value of customised symphysio fundal height (SFH) charts developed for women of Indian origin in the United Kingdom (UK: CSFH - In chart) and women of African origin in the UK (CSFH - Af chart) in detecting fetal growth restriction and predicting low birth weight (LBW) of the neonate in a Lankan population, and to compare these results with the results obtained from the SFH chart currently used in Sri Lanka (FHB chart) and another SFH chart which uses a range of plus or minus 2-3 cm of the value of the gestational age in weeks as the reference range (GA ± 2 to 3 cm chart).
METHODS: Pregnant women (n = 416) with confirmed periods of gestation (POG) of &IL;22 weeks and having a singleton fetus and with no obstetric complications, had their age, parity, POG and Body Mass Index (BMI) documented. Their SFH were measured at four weekly, fortnightly and weekly intervals between 20 - 28, 28 - 36 and 37 - 41 weeks respectively and plotted on the CSFH - In chart, CSFH - Af chart, FHB chart and the GA ± 2 to 3 cm chart. The gestational age at delivery and the birth weight were recorded. Pre term deliveries were excluded leaving 401 participants for analysis.
RESULTS: There were 164 (39.4 %) primigravidae, 76 (18.9 %) had low BMI and 71 (17.7 %) had a high BMI. Maternal BMI at booking was positively correlated to the birth weight of the baby but not the parity. In detecting LBW at term, the CSFH - In chart had the best sensitivity, specificity, positive predictive value, negative predictive value, and the likelihood ratios. Of the two non customised charts the GA ± 2 to 3 cm chart was better than the FHB chart.
CONCLUSIONS: Until a customised SFH chart is developed for Sri Lanka, the CSFH - In chart or the GA ± 2 to 3 cm chart should be used for antenatal monitoring of fetal growth.
Authors:
K H Shamawarna; I M Goonewardene; Y A Perera
Related Documents :
7257868 - Prevalence of raised yersinia enterocolitica antibody titre in unselected, adult popula...
18310968 - Negative correlation of anti-u1rnp antibody titers and the amount of salivary secretion...
15103688 - Sero epidemiology of bordetella pertussis immune responses in a healthy population in n...
9015498 - Predictors for the risk of hookworm infection: experience from endemic villages in sout...
12013468 - Influence of age and body size on gastrointestinal transit time of radiopaque markers i...
21602928 - Uv-deprived coloration reduces success in mate acquisition in male sand lizards (lacert...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Ceylon medical journal     Volume:  57     ISSN:  0009-0875     ISO Abbreviation:  Ceylon Med J     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-01-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1264702     Medline TA:  Ceylon Med J     Country:  Sri Lanka    
Other Details:
Languages:  eng     Pagination:  159-65     Citation Subset:  IM    
Affiliation:
Obstetrics and Gynaecology Unit, Teaching Hospital, Mahamodara, Galle,Sri Lanka. malikg@eureka.lk.
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:  Geographical variation in admissions due to poisoning in Sri Lanka: a time series analysis.
Next Document:  Phylogenetic analysis and comparison of eight strains of pigeon paramyxovirus type 1 (PPMV-1) isolat...