scholarly journals Estimated Fetal Weight: Comparison of Clinical Versus Ultrasound Estimate

2017 ◽  
Vol 15 (1) ◽  
pp. 51-55
Author(s):  
Anshumala Joshi ◽  
Om Biju Panta ◽  
Basanta Sharma
Keyword(s):  
Birth Weight ◽  
Tertiary Care ◽  
Significant Negative Correlation ◽  
Cross Sectional Study ◽  
Fetal Weight ◽  
Accurate Estimation ◽  
Multiple Gestation ◽  
Cross Sectional ◽  
Clinical Method ◽  
Abdominal Masses

Background: Accurate estimation of fetal weight is of paramount importance in the management of labour and delivery.Methods: This was a cross sectional study conducted over a period of 6 months in a tertiary care teaching hospital. All singleton term mothers with cephalic presentation and intact membranes with ultrasound examination done within a week were included in the study. IUFD, multiple gestation, malpresentation, diagnosed oligohydramnios or polyhydramnios, pelvic and or abdominal masses, and current weight more than 80 Kgs were excluded from the study. Expected fetal weight was estimated by clinical method (Johnson’s formula), which was compared with Ultrasound weight estimation (Hadlock method) and actual birth weight.Results: The estimated mean birth weight by clinical method was 3492.75±393.16g, by Ultrasound was 3230.02±407.22g and actual mean birth weight was 3236.32±472.87g. The estimated birth weight by ultrasonographic method showed slightly stronger positive correlation (r=0.54; p<0.001) with actual birth weight as compared to the clinical method (r=0.44; p<0.001). The error of estimation of weight by clinical method showed significant negative correlation (r=-0.24; p=0.01) with gestational age, however ultrasonographic method did not show significant correlation (r= +0.045; p=0.64). The sensitivity and specificity of clinical method and ultrasonographic method for identifying fetal birth weight above 3500 gm was 69.23; 65.67% and 46.15; 80.60%, respectively.Conclusions: Ultrasound was more reliable method to establish fetal weight at term and more consistent in various period of gestations. Clinical method can be reliably used to screen large babies in centers where ultrasound has limited availability.  

scholarly journals Correlation of Actual Fetal Weight with Clinically and Ultrasonographically detected Macrosomia cases among Diabetic Mother

2019 ◽  
Vol 16 (2) ◽  
pp. 38-44
Author(s):  
Shamsun Nahar ◽  
Kashefa Khatun ◽  
Tahmina Khanum ◽  
TA Chowdhury ◽  
AS Mohiuddin
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Cross Sectional Study ◽  
Diabetic Mother ◽  
Fetal Weight ◽  
Cross Sectional ◽  
Clinical Method ◽  
The Mean ◽  
Diagnosed Diabetes ◽  
Estimated Fetal Weight

Background: Correlation of actual fetal weight with clinically and ultrasonographically detected macrosomia cases among diabetic mother is very essential for the management of the neonates. Objectives: The purpose of the present study was to correlate actual fetal weight with clinically and ultrasonographically detected macrosomia cases among diabetic mother. Methodology: This cross-sectional study was carried out in inpatient Department of Obstetrics and Gynecology and in outpatients Department of Radiology and Imaging, BIRDEM during the period of April 2005 to March 2007. Pregnant women with diagnosed diabetes mellitus (DM) or gestational diabetes mellitus (GDM) selected for caesarean section or induction of labour, gestational age 236 weeks having 23700 gm by clinical method were included in this study. First clinical estimation of fetal weight was done by the investigator then Radiologist estimated the fetal weight without knowing the EFW by clinical method. The actual birth weight was estimated after the birth of the babies. Result: The mean (+SD) age of the patients was 30.8±5.1 years ranged from 20 to 40 years. A significant correlation (r=0.5081; p<0.05) was found between clinically estimated fetal weight (gm) and actual birth weight (macrosomia) (gm). Significant correlation (r=0.6199; p<0.05) was found between sonographically estimated fetal weight (gm) and actual birth weight (macrosomia) (gm). Significant correlation (r=0.4863; p<0.05) was found between clinically estimated fetal weight (gm) and sonographically estimated fetal weight (gm). Conclusion: The study findings indicate that clinical method can be used instead of ultrasonography for prediction of macrosomia in diabetic mother Journal of Science Foundation 2018;16(2):38-44

scholarly journals A cross sectional study on demographic factors affecting low birth weight

2019 ◽  
Vol 6 (11) ◽  
pp. 4896
Author(s):  
Renu Sulakhe Vasant ◽  
Lavanya K. M. Rao ◽  
Nageswara Rao V.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Income Group ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Factors Affecting

Background: Low birth weight (LBW) is one of the commonest cause for infant and childhood morbidity and mortality. The majority of low birth weight in developing countries is due to intrauterine growth retardation, while most low birth weight in industrialized countries is due to preterm birth. LBW is the single most important factor determining the survival chances of the child. The objectives of the study were to assess the proportion of low birth weight among babies delivered by mothers at a tertiary care hospital and to analyse the relationship between low birth weight and certain socio-demographic factors.Methods: A cross-sectional study conducted in a tertiary care centre for a period of six months.Results: The prevalence of LBW was 23.5%. The proportion of mothers having low birth weight was maximum in women aged less than 18 years (35%) and more than 30 years (26.5%). Muslim women had a higher proportion of LBW (28.8%). LBW was more in women belonging to joint family (30.0%), low per capita income group and illiterates.Conclusions: The prevalence of LBW still continues to be high, almost one fourth of the babies are LBW. Different socio-demographic characteristics of the population are still the important factors determining the occurrence of LBW.

scholarly journals Prevalence of impostor phenomenon and its association with self-esteem among medical interns in Goa, India

2018 ◽  
Vol 6 (1) ◽  
pp. 355 ◽  
Author(s):  
Von R. Mascarenhas ◽  
Delia D’Souza ◽  
Abhishek Bicholkar
Keyword(s):  
Medical Students ◽  
Online Survey ◽  
Tertiary Care ◽  
Significant Negative Correlation ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
P Value ◽  
Impostor Phenomenon ◽  
Cross Sectional ◽  
Medical Interns

Background: Imposter phenomenon (IP) is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have in spite of outstanding academic or professional accomplishment. It is desirable for Medical students and interns to have high self-esteem and low impostor characteristics in order to become successful medical practitioners. This study was carried out among the medical interns of a tertiary care medical college, to determine the prevalence of Impostor Phenomenon and its association with self-esteem.Methods: The present cross-sectional study was conducted among 150 medical interns. Clance’s impostor phenomenon scale and Rosenberg self-esteem scale were used to assess Impostor characteristics and self-esteem respectively. Data was collected using online survey method.Results: The majority (44.7%) of study participants had moderate IP characteristics, followed by 41.3% with high IP characteristics. Hours of sleep was found to be significantly associated with IP characteristics (p value<0.001). Self-esteem was found to be significantly and inversely correlated with age (r=-0.222), and positively correlated with hours of sleep (r=0.225). Impostor phenomenon and self-esteem were found to be moderately and inversely correlated (r=-0.519).Conclusions: A large number of medical interns were found to have high impostor phenomenon characteristics and low self-esteem. Impostor characteristics were found to be significantly associated with sleep, suggesting a relationship between feelings of fraudulence and skewed sleep patterns. A significant negative correlation between self-esteem and impostor phenomenon suggests that individuals with stronger IP characteristics had lower self-esteem, and vice versa. Low impostor phenomenon characteristics and high self-esteem are favourable for efficient medical practice. Measures to increase level of confidence and self-esteem among medical students and interns should be implemented. 

scholarly journals Prevalence of vitamin d deficiency and its correlation with anthropometric measurements in neonates in a tertiary care center: a cross sectional study

2021 ◽  
Vol 8 (2) ◽  
pp. 295
Author(s):  
Ashvini A. ◽  
Nalini A. ◽  
N. S. Raghupathy
Keyword(s):  
Vitamin D ◽  
Birth Weight ◽  
Care Center ◽  
Tertiary Care ◽  
Hypovitaminosis D ◽  
Cross Sectional Study ◽  
Anthropometric Measurements ◽  
Tertiary Care Center ◽  
Sectional Study ◽  
Cross Sectional

Background: Globally hypovitaminosis D is highly prevalent among all population unsparing pregnant mothers. Maternal hypovitaminosis has negative implications on growing fetus. In India, only limited data available on prevalence of neonatal vitamin D level. Hence this study was done to estimate the prevalence of cord blood vitamin D levels and its relation with anthropometric measurements in newborns.Methods: A cross sectional study was conducted in a tertiary care center on 30 newborns. Cord blood 25 OHD levels and anthropometric measurements were taken. Data were analyzed statistically.Results: Among 30 newborns, 10%, 43% and 46% of babies had vitamin D deficiency (<12 ng/ml), insufficiency and sufficiency respectively. 23% were low birth weight. 43% of low-birth-weight babies had statistically significant (p value<0.0001) hypovitaminosis D. No correlation found between vitamin D status and other anthropometric measurements.Conclusions: Prevalence of hypovitaminosis D has negative implications on birth weight which needs further studies.

scholarly journals Socio-demographic factors associated with low birth weight in a tertiary care hospital of Odisha

2018 ◽  
Vol 5 (5) ◽  
pp. 1797
Author(s):  
Pradip Kumar Bhue ◽  
Himansu Prasad Acharya ◽  
Subrat Kumar Pradhan ◽  
Pratima Biswal ◽  
Amit Pritam Swain ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
World Health ◽  
Care Hospital ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Health Organization

Background: World Health Organization has defined low birth weight (LBW) as birth weight less than 2,500 grams. Giving birth to a LBW infant is influenced by several factors. Objective of the study was to measure the proportion of low birth weight babies delivered in V.S.S medical college and hospital, Burla and its association with socio-demographic factors.Methods: Hospital based cross -sectional study comprising of 1030 postnatal women who delivered single live baby in V.S.S Medical College and Hospital, Burla. Selection of study participants was done by systematic random sampling in the study period October 2012 to September 2014. Chi-square test was used to measure association between LBW and socio-demographic factors.Results: The proportion of LBW was found to be 27.76%. The proportion of LBW babies was high and significant in extremes of age i.e. teenage (44.19%) and 30 years and above age group (39.56%) and Muslim mothers (36.36%), illiterate mothers (53.52 %), manual labourer (67.14%), socioeconomic class IV and V (32.98%), consanguinity history (60.58%), smoky fuel (30.02%), consumption of tobacco (49.11%).Conclusions: The proportion of LBW (27.76%) was found to be higher than national average (21.5%).

Comparison between clinical estimated fetal weights (CEFW) Versus Ultrasonographic estimated fetal weight (UEFW) for co-relation with actual birth weight (ABW) in 3rd Trimester of Pregnancy

2020 ◽  
Vol 3 (1) ◽  
pp. e1-e4
Author(s):  
Rabia Razaq
Keyword(s):  
Birth Weight ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Study Results ◽  
The Mean ◽  
Estimated Fetal Weight

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.

scholarly journals Clinical versus ultrasonographic fetal weight estimation and its correlation with actual birth weight

2019 ◽  
Vol 8 (2) ◽  
pp. 503
Author(s):  
Ashwini Ingale ◽  
Shweta Avinash Khade ◽  
Sneha Shirodkar
Keyword(s):  
Birth Weight ◽  
Tertiary Care ◽  
Mean Absolute Percentage Error ◽  
Fetal Weight ◽  
Percentage Error ◽  
Care Hospital ◽  
Weight Estimation ◽  
Clinical Method ◽  
Fetal Weight Estimation ◽  
Absolute Percentage Error

Background: This is a prospective study was conducted at Obstetrics and Gynecology department, tertiary care Hospital, to compare the accuracy of clinical and ultrasonographic estimation of fetal weight at term with actual birth weight.Methods: The present study is a prospective comparative study of fetal weight estimation in Antenatal women with term gestation (37week to 42week of gestation) singleton pregnancy with vertex presentation, who had gestational age confirmed by dates and ultrasound scanning of< 22weeks admitted in tertiary care center from March 2016 to November 2016. Patients with Polyhydramnios, oligohydramnios, Antepartum hemorrhage, Congenital anomalies of fetus, Obese (Body mass index >30 kilogram/meter2) are excluded from the study. Estimation of fetal weight is done by clinical method and ultrasonography. Birth weight after delivery was recorded in grams by electronic weighing machine and tabulated.Results: Clinical as well as ultrasonography estimates observed to be strongly correlate with actual birth weight. Both the methods had more sensitivity in birth weight range 2500-4000gm than <2500g and >4000g. The overall mean absolute percentage error of the clinical method (7.2±7.7) was smaller than that of the sonographic method (16.2±11.1). In low birth-weight (<2,500g) group, mean absolute percentage error was 9.0±11.3 with USG and same with clinical was 11.7±9.0. No statistically significant difference was observed.Conclusions: The present study concludes that clinical estimation of birth-weight is as accurate as routine ultrasonographic estimation.Clinical palpation should be considered as diagnostic tool for FWE and is equally reliable even when done by trained medical person. It is cheap and easy to teach. The need is to practically apply this method in obstetrics and guide the management decisions.

scholarly journals Burden and risk factors associated with low birth weight among newborns in a tertiary care hospital Karachi, Pakistan

2021 ◽  
Vol 8 (11) ◽  
pp. 5202
Author(s):  
Azeem Khan ◽  
Vikram Kumar ◽  
Erum Choudry ◽  
Sana Niaz ◽  
Mareena Ahmad ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Disease Burden ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Factors Associated ◽  
Developed World ◽  
Perinatal Survival

Background: Birth weight is one of the significant determinants of perinatal survival and infant morbidity and illnesses during early childhood. The burden of LBW neonates in the developed world is around 7%, whereas it is more than double at around 16.5% in developing countries.Methods: The retrospective cross-sectional study was conducted at the Indus Hospital and Health Network, Karachi, Pakistan. Data was extracted through the electronic medical record (EMR) with specific coding related to LBW from 1st January 2019 to 31st December 2020.Results: Our study showed LBW disease burden of 7.61% equated to 7% in the developed world while, in contrast with LBW prevalence in the developing countries, 16.5%. Gestational diabetes, pregnancy-induced hypertension, and primigravida are the major risk factors associated with LBW.Conclusions: Our study concludes that antenatal care is one of the major aspects to decrease the incidence of LBW, especially in primigravida. By estimating LBW, we can plan early detection and prompt interventions against this problem, reducing the burden of morbidity and mortality in neonates.

scholarly journals Antenatal Domestic Violence & Fetal Outcome: A Cross-Sectional Study

2020 ◽  
Vol 34 (4) ◽  
pp. 40-45
Author(s):  
Sohaib Ashraf ◽  
Muhammad Ahmad Imran ◽  
Hina Mahmood ◽  
Khawar Nawaz ◽  
Tayyab Mughal ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Associated Factors ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Outcome ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Antenatal domestic violence is a global public health and human rights concern. It increases the risk of maternal and fetal morbidity and mortality. Aims & Objectives: To assess the frequency of antenatal domestic violence and associated factors and also to determine effect of domestic violence on fetal outcome. Place and duration of study: This cross sectional study was conducted from January to June 2015 in post-natal wards of department of Gynecology & Obstetrics of six tertiary care hospitals of Lahore. Material & Methods: A total of 255 females admitted in post-natal wards of department of Gynecology & Obstetrics enrolled after proper verbal informed consent. A structured, self-constructed questionnaire was administered on females enrolled consecutively till the desired sample size was complete. Data on domestic violence (verbal or physical), its associated factors, gestational age at birth, mode of delivery and birth weight of the neonate was analyzed on SPSS version 21.0. Results: 22% (55/255) females experienced antenatal domestic violence during current pregnancy and out of 55, 72% faced verbal abuse while 27% experienced physical violence. In total 65/255(26%) w low birth weight neonates were born and out of them 58.18% (32/55) were born to mothers facing violence during pregnancy. Husband was mostly responsible for violence in 49% of cases. Antenatal domestic violence was significantly associated with low birth weight (p=<0.001). Conclusion: Antenatal domestic violence is associated with low birth weight babies. Antenatal domestic violence prevention needs implementation of legislation and changing behaviors of violence in communities so to avoid health implications.

scholarly journals Accuracy of Fetal Weight Estimation Using Hadlock II Formula

2019 ◽  
pp. 166-169
Author(s):  
Dwi Pratika Anjarwati ◽  
Yudhistya Ngudi Insan Ksyatria ◽  
Widardo Widardo
Keyword(s):  
Birth Weight ◽  
Skills Training ◽  
Cross Sectional Study ◽  
Fetal Weight ◽  
Weight Estimation ◽  
Cross Sectional ◽  
Fetal Weight Estimation ◽  
Fetal Birth Weight ◽  
The Relationship ◽  
Estimated Fetal Weight

abstract Objective: to investigate the accuracy of estimated fetal weight using Hadlock II formula in RSUD Dr Moewardi. Methods: This cross-sectional study was conducted at RSUD Dr Moewardi in June 2017. Subjects were women who gave birth at RSUD Dr Moewardi from August 2014 to March 2017. The method of collecting data by quoting the medical record as required. Data analysis was done by using linear regression statistic test. Result: By distribution, the number of samples that, according to the standard, is 81.67 %. With the value of R = 0.706 which means that the relationship between two research variables are strong and the value of R Square = 0.499 which means that estimated fetal weight using Hadlock II formula has contribution 49.9 % on fetal birth weight and 50.1 % others by other factors. Conclusion: Fetal weight estimation using Hadlock II formula in RSUD Dr Moewardi has low accuracy. Operator skills training is required to improve the accuracy of estimated fetal weight. Keywords:  fetal birth weight,  fetal weight estimation, Hadlock II   abstrak Tujuan : Mengetahui keakuratan taksiran berat janin menggunakan rumus Hadlock II di RSUD Dr Moewardi. Metode : Penelitian ini adalah penelitian observasional analitik. Penelitian ini dilaksanakan di RSUD Dr Moewardi pada Juni 2017. Subjek penelitian ini adalah data rekam medis dari ibu hamil yang mengalami partus di RSUD Dr Moewardi pada Agustus 2014 – Maret 2017. Metode pengumpulan data dengan mengutip data rekam medis pasien sesuai ketentuan. Analisis data dilakukan dengan uji statistik regresi linier. Hasil : Secara distribusi, jumlah sampel yang memenuhi standar yaitu   81,67 %. Dengan nilai R = 0,706 yang artinya bahwa hubungan kedua variabel penelitian ada dalam kategori kuat dan nilai R Square = 0,499 yang berarti taksiran berat janin menggunakan rumus Hadlock II memiliki pengaruh kontribusi sebesar 49,9% terhadap berat bayi lahir sedangkan 50.1 % lainnya dipengaruhi oleh faktor lain. Kesimpulan : Taksiran berat janin menggunakan rumus Hadlock II  di RSUD Dr Moewardi kurang akurat. Perlu dilakukan pelatihan ketrampilan operator sehingga diharapkan dapat meningkatkan keakuratan taksiran berat janin.  Kata kunci:   berat bayi lahir , Hadlock II, , taksiran berat janin

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