The Experts below are selected from a list of 297 Experts worldwide ranked by ideXlab platform
James P Neilson - One of the best experts on this subject based on the ideXlab platform.
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The Cochrane Library - Symphysis-Fundal Height measurement in pregnancy
Cochrane Database of Systematic Reviews, 1998Co-Authors: James P NeilsonAbstract:Background In many settings, symphysis-Fundal Height measurement has replaced clinical assessment of fetal size by abdominal palpation because the latter has been reported to perform poorly. Objectives The objective of this review was to assess the effects of routine use of symphysis-Fundal Height measurements (tape measurement of the distance from the pubic symphysis to the uterine fundus) during antenatal care on pregnancy outcome. Search methods Comprehensive electronic search of the Cochrane Pregnancy and Childbirth Group trials register (August 2002). Selection criteria Acceptably controlled trials comparing symphysis-Fundal Height measurement with assessment by abdominal palpation alone. Data collection and analysis One reviewer assessed trial quality and extracted data. Main results One trial involving 1639 women was included. No obvious differences were detected in any of the outcomes measured. Authors' conclusions There is not enough evidence to evaluate the use of symphysis-Fundal Height measurements during antenatal care.
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symphysis Fundal Height measurement in pregnancy
Cochrane Database of Systematic Reviews, 1998Co-Authors: James P NeilsonAbstract:Background In many settings, symphysis-Fundal Height measurement has replaced clinical assessment of fetal size by abdominal palpation because the latter has been reported to perform poorly. Objectives The objective of this review was to assess the effects of routine use of symphysis-Fundal Height measurements (tape measurement of the distance from the pubic symphysis to the uterine fundus) during antenatal care on pregnancy outcome. Search methods Comprehensive electronic search of the Cochrane Pregnancy and Childbirth Group trials register (August 2002). Selection criteria Acceptably controlled trials comparing symphysis-Fundal Height measurement with assessment by abdominal palpation alone. Data collection and analysis One reviewer assessed trial quality and extracted data. Main results One trial involving 1639 women was included. No obvious differences were detected in any of the outcomes measured. Authors' conclusions There is not enough evidence to evaluate the use of symphysis-Fundal Height measurements during antenatal care.
K P Manji - One of the best experts on this subject based on the ideXlab platform.
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parturient symphysio Fundal Height and abdominal girth measurements to predict birth weight at muhimbili medical centre dar es salaam tanzania
Tanzania Medical Journal, 2007Co-Authors: N A Hamudu, M Shafiq, K P ManjiAbstract:Birth weight is known to influence morbidity and mortality. Simple measures to predict birth weight before delivery would therefore be useful in order to plan a delivery. Maternal parturient symphysio-Fundal Height has been used to detect Low Birth Weight. This study aims at predicting the fetal weight using the maternal symphysio-Fundal Height and abdominal girth. A prospective study was done on 600 pregnant women admitted in labor. A detail anthropometric measurement was done and correlated with birth weight after delivery. Symphysio-Fundal Height and abdominal girth measured to the nearest centimeter positively correlated with birth weight. The coefficient of correlation was 0.74 and 0.69 respectively with a significance of p 0.295). A formula was derived for the estimation of birth weight using these two parameters viz: Birth weight = Bo + B1 (Abdominal girth) + B2 (symphysio-Fundal Height) where B0 is a constant =2.61, B1 (partial regression coefficient) = 0.32 (Standard deviation 0.002) and B2 (partial regression coefficient) = 0.081 (Standard deviation 0.004). The sensitivity in detecting birth weight below 2 kg was 88.2% and the specificity was 84.3%. While the specificity for detecting birth weight above 3.8kg was 83.3% and a specificity of 68%. The Symphysio-Fundal Height and abdominal girth could predict the birth weight more closely than the gestational age. Keywords : Symphysio-Fundal Height, abdominal girth, parturient, prediction, birth weight. Tanzania Medical Journal Vol. 19 (1) 2004: pp.
Subramaniam Sivasangari - One of the best experts on this subject based on the ideXlab platform.
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symphysial Fundal Height sfh measurement in pregnancy for detecting abnormal fetal growth
Cochrane Database of Systematic Reviews, 2015Co-Authors: Japaraj Robert Peter, Jacqueline J Ho, Jayabalan Valliapan, Subramaniam SivasangariAbstract:Background Symphysis Fundal Height (SFH) measurement is commonly practiced primarily to detect fetal intrauterine growth restriction (IUGR). Undiagnosed IUGR may lead to fetal death as well as increase perinatal mortality and morbidity. Objectives The objective of this review is to compare SFH measurement with serial ultrasound measurement of fetal parameters or clinical palpation to detect abnormal fetal growth (IUGR and large-for-gestational age), and improving perinatal outcome. Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (20 January 2012) and reference lists of retrieved articles. Selection criteria Randomised controlled trials including quasi-randomised and cluster-randomised trials involving pregnant women with singleton fetuses at 20 weeks' gestation and above comparing tape measurement of SFH with serial ultrasound measurement of fetal parameters or clinical palpation using anatomical landmarks. Data collection and analysis Two review authors independently assessed trials for inclusion, trial quality and extracted data. Data were checked for accuracy. Main results One trial involving 1639 women was included. It compared SFH measurement with clinical abdominal palpation.There was no difference in the two reported primary outcomes of incidence of small-for-gestational age (risk ratio (RR) 1.32; 95% confidence interval (CI) 0.92 to 1.90) or perinatal death. There was no difference in the reported secondary outcomes of neonatal hypoglycaemia, admission to neonatal nursery, admission to the neonatal nursery for IUGR, induction of labour and caesarean section. Authors' conclusions There is insufficient evidence to determine whether SFH measurement is effective in detecting IUGR. We cannot therefore recommended any change of current practice. Further trials are needed.
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Symphysial Fundal Height (SFH) measurement in pregnancy for detecting abnormal fetal growth.
The Cochrane database of systematic reviews, 2012Co-Authors: Japaraj Robert Peter, Jacqueline J Ho, Jayabalan Valliapan, Subramaniam SivasangariAbstract:Symphysis Fundal Height (SFH) measurement is commonly practiced primarily to detect fetal intrauterine growth restriction (IUGR). Undiagnosed IUGR may lead to fetal death as well as increase perinatal mortality and morbidity. The objective of this review is to compare SFH measurement with serial ultrasound measurement of fetal parameters or clinical palpation to detect abnormal fetal growth (IUGR and large-for-gestational age), and improving perinatal outcome. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (20 January 2012) and reference lists of retrieved articles. Randomised controlled trials including quasi-randomised and cluster-randomised trials involving pregnant women with singleton fetuses at 20 weeks' gestation and above comparing tape measurement of SFH with serial ultrasound measurement of fetal parameters or clinical palpation using anatomical landmarks. Two review authors independently assessed trials for inclusion, trial quality and extracted data. Data were checked for accuracy. One trial involving 1639 women was included. It compared SFH measurement with clinical abdominal palpation.There was no difference in the two reported primary outcomes of incidence of small-for-gestational age (risk ratio (RR) 1.32; 95% confidence interval (CI) 0.92 to 1.90) or perinatal death. There was no difference in the reported secondary outcomes of neonatal hypoglycaemia, admission to neonatal nursery, admission to the neonatal nursery for IUGR, induction of labour and caesarean section. There is insufficient evidence to determine whether SFH measurement is effective in detecting IUGR. We cannot therefore recommended any change of current practice. Further trials are needed.
J. O. Ogunranti - One of the best experts on this subject based on the ideXlab platform.
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Symphysio-Fundal Height Nomogram In Ultrasound Dated Pregnancies
Asian Journal of Medical Sciences, 2011Co-Authors: E. S. Mador, Josiah Turi Mutihir, Godwin I. Adoga, J. O. OgunrantiAbstract:Objective: Fundal Height measurements in centimeters have always been an objective method of evaluating fetal growth in pregnancy. The accepted Mcdonald's rule refers primarily to Caucasians regrettably. Since Fundal Height may actually vary in an anthropological sense it was considered necessary to apply Mcdonald's rule to African subjects to see whether there is any significant difference. The aim of this study is to construct symphysio-Fundal Height nomogram for normal pregnant Nigerian women. Material & Methods: In a cross sectional mode, four hundred and five pregnant Nigerian women were studied to examine how their Fundal Height values compared with those in the literature. A regression equation was derived for the 10th and 90th centiles. Values outside the range of 10 – 90th centiles are to be used for the prediction of small-for-dates and large-for-dates babies respectively. The prediction formulae for the various centiles derived from regression analysis and their usefulness in clinical anthropological practice using Fundal Height measurement are highlighted. Results: The study demonstrated a significant difference in Fundal Height values of Nigerian women especially in late pregnancy compared with other published values in the literature. A positive linear correlation between symphysio-Fundal Height and fetal gestational age was found in Nigerians with a correlation coefficient of R2 = 0.9962 (p
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symphysio Fundal Height nomogram in ultrasound dated pregnancies
Asian Journal of Medical Sciences, 2011Co-Authors: E. S. Mador, Josiah Turi Mutihir, Godwin I. Adoga, J. O. OgunrantiAbstract:Objective: Fundal Height measurements in centimeters have always been an objective method of evaluating fetal growth in pregnancy. The accepted Mcdonald's rule refers primarily to Caucasians regrettably. Since Fundal Height may actually vary in an anthropological sense it was considered necessary to apply Mcdonald's rule to African subjects to see whether there is any significant difference. The aim of this study is to construct symphysio-Fundal Height nomogram for normal pregnant Nigerian women. Material & Methods: In a cross sectional mode, four hundred and five pregnant Nigerian women were studied to examine how their Fundal Height values compared with those in the literature. A regression equation was derived for the 10th and 90th centiles. Values outside the range of 10 – 90th centiles are to be used for the prediction of small-for-dates and large-for-dates babies respectively. The prediction formulae for the various centiles derived from regression analysis and their usefulness in clinical anthropological practice using Fundal Height measurement are highlighted. Results: The study demonstrated a significant difference in Fundal Height values of Nigerian women especially in late pregnancy compared with other published values in the literature. A positive linear correlation between symphysio-Fundal Height and fetal gestational age was found in Nigerians with a correlation coefficient of R2 = 0.9962 (p<0.001). The relationship is best described by the second order polynomial regression equation y = – 0.0024x2 + 1.1255x – 1.8334 where y is the symphysio-Fundal Height in centimeters while x is the gestational age in weeks. Conclusion: Symphysio-Fundal Height chart is a valuable tool for assessing fetal growth in the antenatal clinic in as much as it is cautiously constructed for a given population and the same method of measurement is strictly adhered to by different observers in the same organization.
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Fundal Height in normal pregnant nigerian women anthropometric gravidogram
International Journal of Gynecology & Obstetrics, 1990Co-Authors: J. O. OgunrantiAbstract:Fundal Height measurements in centimeters (FH) have always been an objective method of evaluating fetal growth in pregnancy. The popular Mcdonald's rule refers mainly to caucasians unfortunately. Since FH may actually vary in an anthropological sense it was considered necessary to apply Mcdonald's rule to African subjects. Pregnant Nigerian women were studied to observe how their Fundal Height values compared with those obtained for caucasian women in western communities. A gravidogram was derived for the 10th, 50th and 90th centiles. Values outside the range of 10–90th centiles are to be used for the prediction of small-for-dates and large-for-dates babies accordingly. Prediction formulae for the various centiles derived from regression analysis were obtained and their usefulness in clinical anthropological practice using Fundal Height measurement highlighted. A simple universal formula for African subjects is presented. Normal values of pregnant women for somatotype, Height, and abdominal girth are also presented. The result of this survey demonstrates a significant difference in Fundal Height values of African women from those of the hitherto utilized standards derived from the study of caucasian women, especially in early pregnancy. This report suggests an early intra-uterine growth retardation in the African pregnancies which is corrected in the third trimester.
Jayanton Patumanond - One of the best experts on this subject based on the ideXlab platform.
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Fundal Height growth curve patterns of pregnant women with term low birth weight infants
Risk Management and Healthcare Policy, 2014Co-Authors: Jirawan Deeluea, Supatra Sirichotiyakul, Sawaek Weerakiet, Suthit Khunpradit, Jayanton PatumanondAbstract:PURPOSE: To investigate the patterns of Fundal Height (FH) growth curve in pregnant women with term low birth weight (LBW) infants compared with the standard FH growth curve for Thai women. SUBJECTS AND METHODS: A retrospective study was conducted at the four governmental general hospitals in the northern part of Thailand between 2009 and 2011. All data were obtained from antenatal records and labor registry. Serial FH measurements in centimeters of 75 pregnant women with term LBW infants were plotted against the standard FH growth curve for Thai women throughout pregnancy. RESULTS: SIX PATTERNS OF THE FH GROWTH CURVE WERE SUMMARIZED: pattern I: FH below or around the tenth percentile throughout pregnancy (n=17, 22.7%); pattern II: FH below normal in early pregnancy, caught up with normal, then decelerated or stagnant (n=19, 25.3%); pattern III: FH normal in early pregnancy, then decelerated or stagnant (n=17, 22.7%); pattern IV: FH normal in early pregnancy, decelerated or stagnant, then caught up to normal (n=6, 8.0%); pattern V: FH normal throughout pregnancy except for the last visit (n=6, 8.0%); and pattern VI: FH normal throughout pregnancy (n=10, 13.3%). CONCLUSION: Patterns I-V may be used to recognize women who are likely to deliver term LBW infants from early pregnancy, during pregnancy, and on the day of admission for labor. Ultrasound evaluation is still recommended in cases with known risk factors that might be undetectable by FH, or in cases where FH measurement may be inaccurate.
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Fundal Height growth curve for underweight and overweight and obese pregnant women in thai population
International Scholarly Research Notices, 2013Co-Authors: Jirawan Deeluea, Supatra Sirichotiyakul, Sawaek Weerakiet, Rajin Arora, Jayanton PatumanondAbstract:Objectives. To develop Fundal Height growth curves for underweight and overweight and obese pregnant women based on gestational age from last menstrual period and/or ultrasound. Methods. A retrospective study was conducted at four hospitals in the northern part of Thailand between January 2009 and March 2011. Fundal Height, gestational age, Height, and prepregnancy weight were extracted from antenatal care and delivery records. Fundal Height growth curves were presented as smoothed function of the 10th, 50th, and 90th percentiles between 20 and 40 weeks of gestation, derived from multilevel models. Results. Fundal Height growth curve of the underweight was derived from 1,486 measurements (208 women) and the overweight and obese curve was derived from 1,281 measurements (169 women). The 50th percentile line of the underweight was 0.1–0.4 cm below the normal weight at weeks 23–31 and 0.5–0.8 cm at weeks 32–40. The overweight and obese line was 0.1–0.4 cm above the normal weight at weeks 22–29 and 0.6–0.8 cm at weeks 30–40. Conclusions. Fundal Height growth curves of the underweight and overweight and obese pregnant women were different from the normal weight. In monitoring or screening for abnormal intrauterine growth in these women, Fundal Height growth curves specifically developed for such women should be applied.
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Fundal Height growth curve for thai women
International Scholarly Research Notices, 2013Co-Authors: Jirawan Deeluea, Supatra Sirichotiyakul, Sawaek Weerakiet, Renu Buntha, Chamaiporn Tawichasri, Jayanton PatumanondAbstract:Objectives. To develop Fundal Height (FH) growth curve from normal singleton pregnancy based on last menstrual period (LMP) and/or ultrasound dating for women in the northern part of Thailand. Methods. A retrospective time-series study was conducted at four hospitals in the upper northern part of Thailand between January 2009 and March 2011. FH from 20 to 40 weeks was measured in centimeters. The FH growth curve was presented as smoothed function of the 10th, 50th, and 90th percentiles, which were derived from a regression model fitted by a multilevel model for continuous data. Results. FH growth curve was derived from 7,523 measurements of 1,038 women. Gestational age was calculated from LMP in 648 women and ultrasound in 390 women. The FH increased from 19.1 cm at 20 weeks to 35.4 cm at 40 weeks. The maximum increase of 1.0 cm/wk was observed between 20 and 32 weeks, declining to 0.7 cm/wk between 33 and 36 weeks and 0.3 cm/wk between 37 and 40 weeks. A quadratic regression equation was FH GA2 (wk) (R-squared = 0.85). Conclusions. A demographically specific FH growth curve may be an appropriate tool for monitoring and screening abnormal intrauterine growth.
