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The effect of maternal body mass index on clinical and ultrasonic estimations of fetal weight | ||
| karbala journal of pharmaceutical sciences | ||
| Article 10, Volume 9, Issue 15, 2018, Pages 92-102 PDF (0 K) | ||
| Authors | ||
| Maha Al Bayati; Muna Qasim Mahmood | ||
| Abstract | ||
| Background assessment of fetal weight (clinically or by ultrasound) has an important issue to decrease maternal and fetal complications during labour. Objective: To assess the effect of maternal body mass index on clinical and sonographical estimation of fetal weight. Patients and methods: (80) Eighty pregnant women were studied from the start of October 2007 to the end of September 2008 in Al-Kadhymia teaching hospital. These women had single, cephalic and term pregnancy. About 24 hour prior to delivery of the fetus, clinical estimation of fetal weight using Leopold's maneuver was done followed by sonographic estimation of fetal weight using Hadlock's equation. Then a comparison of clinical and sonographical estimation of fetal weight with the weight of the newborn baby was done. The accuracy of fetal weight estimation was done in obese and non obese women. Results: Clinical estimation of fetal weight has a better agreement with true birth weight than sonographic estimation in low and high BMI pregnant women. Both clinical and sonographic estimation of fetal weight under-estimate true birth weight in women with low and high BMI. , the agreement between clinical estimation of fetal weight and birth weight was higher than sonographical estimation, both in high and low BMI groups. Sonographical estimation of fetal weight tended to under estimate the true fetal weight in both low and high BMI groups. Clinical estimation of fetal weight tended to under estimate true fetal weight in both low and high BMI groups, but had a better correlation with true fetal weight than sonographical estimations. Conclusion: The accuracy of clinical estimation of fetal weight was better than sonographical estimation and was not influenced significantly by maternal BMI. | ||
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