Document Detail

Symphysis-fundal measurement as a predictor of low birthweight.
MedLine Citation:
PMID:  11408098     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To prospectively test the value of a symphysis-fundal measurement in labor of less than or equal to 29 cm as a predictor of birth mass below 2000 g. METHOD: Women admitted to Kalafong Hospital in labor with a singleton pregnancy were included in the study. Symphysis-fundal measurement according to the method of Westin was performed on two separate occasions and recorded together with other pertinent details. A receiver-operator curve was constructed to test various cut-off measurements. RESULTS: A total of 1216 women were included in the study. One hundred twenty-one fetuses had a birth mass less than 2000 g (10%). A measurement of less than or equal to 29 cm had a sensitivity of 69% and a specificity of 98% with a positive predictive value of 81% and a negative predictive value of 97%. On the receiver-operator curve a cutoff of 30 cm showed a better sensitivity with little loss of specificity. CONCLUSION: A symphysis-fundal measurement of less than or equal to 29 cm is a good predictor of birth mass less than 2000 g and can be used as an indication for referral to centres with neonatal facilities.
B S Jeffery; R C Pattinson; J Makin
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Early human development     Volume:  63     ISSN:  0378-3782     ISO Abbreviation:  Early Hum. Dev.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-06-15     Completed Date:  2001-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Kalafong Hospital, University of Pretoria, Private Bag X396, Pretoria 0001, South Africa.
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MeSH Terms
Birth Weight*
Infant, Low Birth Weight*
Infant, Newborn
Pelvimetry / methods*
Predictive Value of Tests
Pregnancy Outcome
Prospective Studies
Pubic Symphysis / anatomy & histology*
ROC Curve

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

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