Document Detail


Prediction of caesarean section from ultrasound and clinical assessment of fetal size.
MedLine Citation:
PMID:  7848225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred and five women with singleton pregnancies and cephalic presentation were assessed. Fundal height and a clinical estimate of fetal weight were recorded. The fetal biparietal diameter, abdominal circumference and femur length were measured with ultrasound. Ultrasound estimated fetal weight was calculated using 3 different formulas (Shepard, Campbell and CUHK). The liquor volume was assessed using the amniotic fluid index. Ultrasound was able to predict Caesarean section with more reliability than clinical assessment of fetal size or weight. The biparietal diameter, fundal height and amniotic fluid index were poor predictors of mode of delivery. The measurements which best predicted the mode of delivery were the fetal femur length and abdominal circumference. Femur length, but not abdominal circumference, was a statistically better predictor of Caesarean section than clinical estimation of fetal weight. There was no improvement in prediction using ultrasound estimated fetal weight.
Authors:
A Stock; W W Ming; M Rogers; A M Chang
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  34     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1995-03-03     Completed Date:  1995-03-03     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  393-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Shatin, New Territories.
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MeSH Terms
Descriptor/Qualifier:
Anthropometry*
Cesarean Section*
Delivery, Obstetric / methods
Female
Femur / anatomy & histology
Fetus / anatomy & histology*
Humans
Infant, Newborn
Predictive Value of Tests
Pregnancy
ROC Curve
Sensitivity and Specificity
Ultrasonography, Prenatal*

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


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