scholarly journals Gambaran Ketepatan Prediksi Berat Badan Bayi Lahir Dengan Perhitungan Taksiran Berat Badan Janin Berdasarkan Posisi Pengukuran Tinggi Fundus Uteri Yang Berbeda

2019 ◽  
Vol 6 (2) ◽  
pp. 73-83
Author(s):  
Innama Sakinah

Measurement of uterine fundal height is used as an indicator of fetal growth progress by calculating fetal weight. The difference in the position of the mother when measuring uterine fundal height causes different results. The purpose of this study is to determine the accuracy of predictions of birth weight of infants by calculating the estimated fetal body weight based on different measurements of the height of the uterine fundus. This research is descriptive with quantitative methods. In this study, the population was first-time mothers in the first-quarter cm opening in the Mandiri Midwife Practice in the April-May 2018 period with certain criteria using accidental sampling techniques. The number of samples in this study were 9 respondents. Analysis of the data used is univariate. In the results of this study, most of the predictions of the accuracy of the baby's weight were born using Dare's Formula with a semi-fowler foot position of 4 (44.4), using the Jhonson formula with a semi-fowler position of 3 (33.3%). Most of the differences in the three calculation formulas for estimating fetal body weight with birth weight are Jhonso method <10-500 gr and> 90 gr, Simple TFU method <200-900 gr, and Dare's Formula <3-400 gr and> 419 gr .   Keywords              : Birth Weight Babies, Calculation of Estimated Fetal Weight, Fundal Height Measurement Position ABSTRAK   Pengukuran tinggi fundus uteri digunakan sebagai suatu indikator kemajuan pertumbuhan janin yaitu dengan cara menghitung taksiran berat badan janin. Perbedaan posisi ibu saat pengukuran tinggi fundus uteri menyebabkan perbedaan hasil. Tujuan dari penelitian ini yaitu untuk mengetahui ketepatan prediksi berat badan bayi lahir dengan perhitungan taksiran berat badan janin berdasarkna posisi pengukuran tinggi fundus uteri yang berbeda. Penelitian ini bersifat deskriptif dengan metode kuantitatif. Populasi penelitian ini adalah ibu inpartu Kala I dengan pembukaan 1 – 4 cm di Praktik Bidan Mandiri pada periode bulan April – Mei 2018 dengan kriteria tertentu dengan menggunakan teknik accidental sampling. Jumlah sampel pada penelitian ini sebanyak 9 responden. Analisa data yang digunakan yaitu univariat. Pada hasil penelitian ini sebagian besar prediksi ketepatan berat badan bayi lahir menggunakan Dare’s Formula dengan posisi kaki semi fowler sebanyak 4 (44,4), menggunakan rumus Jhonson dengan posisi semi fowler sebanyak 3 (33,3%). Sebagian besar selisih ketiga rumus perhitungan taksiran berat badan janin dengan dengan berat badan bayi lahir yaitu metode Jhonson <10-500 gr dan >90 gr, metode TFU Sederhana <200-900 gr, dan Dare’s Formula <3-400 gr dan >419 gr. Kata Kunci: Berat Badan Bayi Lahir, Perhitungan Taksiran Berat Badan Janin, Posisi Pengukuran Tinggi Fundus Uteri

2021 ◽  
Vol 15 (1) ◽  
pp. 68
Author(s):  
Lusiana Lusia Sirait ◽  
Riwalsen Purba

One of the causes of complicating labor is the fetal factor, namely the fetus's size. If it is not treated immediately, it will increase maternal and neonatal mortality rates. Accurate estimation of fetal birth weight in pregnancy and delivery is an important indicator in determining fetal well-being. Birth weight is important to measure before labor starts, which helps anticipate possible complications in pregnancy, childbirth, and the puerperium. The accuracy of estimation of fetal body weight either by measuring the fundal height or other means will affect labor management. One way to predict the estimated fetal weight, including the Dare's Formula method, is to measure the circumference of the mother's abdomen (abdominal girth) in centimeters, the measurement results times the Fundus Uterine Height (TFU) in centimeters, and the modified Niswander formula (1.12 TFU). - 7,7) 100 (gr). The design used in this study is a Quasi Experiment. Assessment The estimated fetal weight obtained from the measurement is then compared with the newborn's body weight (actual body weight). The population in this study were all pregnant women, both primiparous and multiparous. While the sample to be taken must meet the inclusion criteria that have been set. The results of the study were based on statistical tests using independent t-test, it was found that the p value (0.000) <α (0.05) means that there is a significant difference between the difference in body weight of babies born with Dare's formula and the difference in body weight of babies born with Niswander's modification, the estimated fetal weight is more. Effective using Dare's formula rather than Niswander modification.


2019 ◽  
Vol 19 (2) ◽  
pp. 136-141
Author(s):  
Jakaria Jakaria ◽  
Edwar Edwar ◽  
Mokhamad Fakhrul Ulum ◽  
Rudy Priyanto

ABSTRAK. Tujuan penelitian ini adalah mengevaluasi kinerja pertumbuhan sapi persilangan Belgian Blue (BB) dan sapi Peranakan Ongole (PO) pada turunan pertama (F1). Sapi persilangan (BB dan PO) yang digunakan sebanyak 15 ekor terdiri atas jantan 6 ekor dan betina 9 ekor, selain itu digunakan 8 ekor sapi PO betina yang dipelihara di Balai Embrio Ternak (BET) Cipelang Bogor. Peubah yang diamati adalah bobot lahir (BW), bobot sapih (WW) 205 hari, bobot 1 tahun (YW), pertambahan bobot badan harian dari lahir (GBW) sampai sapih (GWW) dan pertambahan bobot badan harian dari sapih (GWW) sampai umur 1 tahun (GYW). Data dianalisis secara deskriptif dan perbedaan antar sapi silangan (BB-PO) dengan sapi PO dilakukan uji t. Hasil analisis bobot badan dan pertumbuhan menunjukkan bahwa, bobot badan sapi silangan BB dan PO lebih tinggi dibandingkan dengan sapi PO pada WW 205 hari (165,2±21,3 kg dan 115±15,2 kg), YW (365 hari) (240,7±28,1 kg dan 194,9±26,1 kg) dan GBW sampai GWW (0,675±0,097 kg dan 0,441±0,059 kg). BW dan GWW sampai GYW tidak berbeda antara sapi silangan BB-PO dengan PO. Hasil penelitian ini menunjukkan bahwa program cross-breeding sapi BB dengan PO dapat meningkatkan kinerja bobot badan dan pertumbuhan.  (Growth performance evaluation of belgian blue and ongole crossbreed) ABSTRACT. The purpose of this study was to evaluate the growth performance of cross-breeding of Belgian Blue (BB) and Ongole Grade (PO) cattle in the first generation (F1). Crossbred of BB and PO cattle used as many as 15 individuals consisting of 6 males and 9 females, also, 8 individual PO females are used which are kept in the Livestock Embryo Center (BET) Cipelang, Bogor. The observed variables were birth weight (BW), weaning weight (WW) 205 days, 1-year weight (YW) 365 days, daily body weight gain from birth (GBW) to weaning (GWW) and daily body weight gain from weaning (GWW) until the age of 1 year (GYW). Data were analyzed descriptively and the difference between cross-breeding (BB-PO) cattle and PO cattle was analyzed by t-test. The results of body weight and growth analysis showed that crossbred BB and PO cattle were higher than PO cattle at WW 205 days (165.2 ± 21.3 kg and 115 ± 15.2 kg), YW (365 days) (240.7 ± 28.1 kg and 194.9 ± 26.1 kg ) and GBW to GWW (0.675 ± 0.097 kg and 0.441 ± 0.059 kg). BW and GWW to GYW do not differ between crossbred BB-PO and PO cattle. The results of this study indicate that the cross-breeding program for BB cattle with PO cattle breeds can improve the performance of body weight and growth.


ZOOTEC ◽  
2015 ◽  
Vol 35 (1) ◽  
pp. 138
Author(s):  
Marfiane M. Nangoy ◽  
M. T. Lapian ◽  
M. Najoan ◽  
J. E. M. Soputan

THE EFFECT OF BIRTH WEIGHT WITH THE APPEARANCE OF THE PIGLETS UNTIL WEANING. The purpose of this research is to determine the corellation of birth weight with the appearance of the piglets until weaning. This research used the method of observation. Results or data obtained in this research, piglets from each parent is divided into 3 categories: high, medium, low. Retrieval of data held on a new born piglets, piglets aged 1 week until the time of weaning. Parameters observed in this research is the birth weight of piglets per head, body weight gain, the weight of piglets, and mortality (MRTA) piglets before weaned (%). Data were analyzed and presented descriptively, which is describing and explaining the general picture of direct observation. Based on the results of this research we concluded that litter size piglets, determines how high the birth weight, weaning weight, body weight gain, and mortality. The greater the birth weight more likely to obtain a high weaning weight as in this research the highest birth weight is 1.64 kg after weaning reached 7.54 kg. Keywords: Birth Weight, Piglets, Weaning


2019 ◽  
Author(s):  
Nurbaiti . ◽  
Sri Haryati Gofar ◽  
Samsun . ◽  
Guntur Winarno ◽  
Akhmadi .

The purpose of this study is to analyze the result of the calculation of fetal weight estimation based on Hadlock’s formula with baby birth weight. The design of this research is quantitative analytic. The data is analyzed by the t-test. The results of this study showed that the analysis of the average comparison between TBJ (Fetal Weight Estimation) and BBL (Fetal Birth Weight) is 2623,60 with 2946,67. There is a significant difference with the value of sig.(2-tailed) 0,000 <0,05, which means there is a significant difference between the estimated fetal weight based on Hadlock’s formula with baby birth weight. Based on the result of the study of fetal weight interpretation using Hadlock’s formula, an accuracy of 89,34% was seen.


2020 ◽  
Vol 3 (2) ◽  
pp. 01-10
Author(s):  
Nareman Elhamamy

Accurate calculation of fetal weight relies on two equally important factors: the use of a formula with strong intrinsic properties, and the use of sonographic biometric parameters that are not susceptible to errors in measurement. From a statistical perspective, the inclusion of multiple variables in a model improves multicollinearity chances and decreases each measurement's internal error. Precisely predicting estimated fetal weight during childbirth may have a significant impact on successful obstetric management, especially in the case of suspected macrosomia or low birth weight. Macrosomic fetuses can cause maternal and neonatal complications during childbirth, and low-born fetuses are at increased risk for perinatal morbidity and mortality. The main aim of the study was to assess the accuracy of measurement of mid-thigh soft tissue thickness and femur length, in estimation of expected fetal birth weight The study was conducted during the period January 2017 to August 2019, at Tanta University hospitals, Obstetrics & Gynecology department. 65 pregnant ladies at term (between 37-40weeks) were included in the study. Results: Mean difference between fetal weight by Hadlock formulae and actual fetal weight is -10.88g; percent difference is (0.32%). The difference statistically insignificant p>0.05. Mean difference between fetal weight by Scioscia’s formulae and Actual fetal weight is 2.83; the percent difference is (0.08%). The difference statistically insignificant p>0.05. Good agreement between Hadlock formulae and Actual Fetal Weight Kappa value (0.73).Also shows moderate agreement between Scioscia’s formulae and Actual Fetal Weight Kappa value (0.52). area under curve Hadlock formulae (0.79), Scioscia’s formulae (0.78) for detecting fetal weight ≥3500gm among pregnant women at 39-40 weeks of gestation. Conclusion: The mid-thigh soft tissue thickness and femur length can be used in estimation of expected fetal birth weight like as other sonographic parameters. The validity of Scioscia's formulae is not better than Hadlock formulae in detection of fetal weight less than 3500 gm. The validity of both formulae Scioscia's and Hadlock in detection of fetal weight more than 3500 gm. Reduced and cannot be dependable in extremes of weight.


2012 ◽  
Vol 10 (2) ◽  
pp. 15-17
Author(s):  
Sadikchya Singh Rana

Introduction: Teenage childbearing is linked to a host of negative social, economic and medical consequences for both mother and child. Maternal mortality among girls under 18 years is two to five times higher than that of women in their 20s. This study was conducted to determine the relationship between maternal age on fetal weight. Method: It was a prospective, hospital based study, carried out in 491 primigravidas with fullterm singleton pregnancy. The study population was divided into two groups, women who were 19 and less than 19 years of age and women who were more than 19 years of age. Fetal weight as the outcome variable was compared between these groups. Results: The age of the mother ranged from 16 to 37 years. 24.8% women in the study population were <19 years of age. Although the difference was not clinically significant (p=0.51), 1/3rd of the mothers who were <19 had low birth weight. Conclusion: the relation of low birth weight and young maternal age could not be proven in this study. DOI: http://dx.doi.org/10.3126/mjsbh.v10i2.6457 Medical Journal of Shree Birendra Hospital July-Dec 2011 10(2) 15-17


2015 ◽  
Vol 31 (2) ◽  
pp. 223-233 ◽  
Author(s):  
M.P. Petrovic ◽  
Caro Petrovic ◽  
D. Ruzic-Muslic ◽  
N. Maksimovic ◽  
M.M. Petrovic ◽  
...  

The aim of this study was to determine the influence of environmental factors affecting body weight variability of lambs in two crossbreed groups: Pirot x W?rttemberg and Sjenica x W?rttemberg. Both populations were managed under the same farm conditions. The data were analyzed to determine the effect of age of the dam, weight of dam, birth type, sex, year and season, on the birth weight and weaning weight of crossbreed lambs. Statistical analysis was performed by GLM procedure using the SPSS statistical package program. The average birth weight of Pirot x W?rttemberg lambs was 3.56 kg while Sjenica x W?rttemberg lambs was slightly higher at 3.69 kg. The difference on birth weight between the two crosses was not statistically significant (P>0.05). The average weaning weight of Pirot x W?rttemberg lambs was 23.54 kg while Sjenica x W?rttemberg lambs had higher weight at 24.37 kg. The difference of 0.83 kg on weaning weight was statistically significant (P <0.05). Body weight, depending on the environmental factors, ranged from 3.17 to 3.96 kg at birth and from 22.12 to 24.18 kg at weaning in Pirot x W?rttemberg lambs. Body weight of Sjenica x W?rttemberg lambs ranged from 3.39 to 3.99 kg at birth and from 22.69 to 25.44 kg at weaning. Statistical analysis showed that the differences were statistically significant (P<0.05) and highly significant (P<0.01).


2019 ◽  
Vol 4 (2) ◽  
pp. 738-743
Author(s):  
Roshana Khadka

Introduction: Ultrasonography plays a pivotal role in present day obstetrics. It has been well recognized that the fetuses of extremes of the normal birth weight range are associated with increased perinatal morbidity, mortality and adverse development outcomes. Categorization of fetal weight into either the small or large for gestational age may lead to timed obstetric interventions that collectively represent significant departure from routine antenatal care. Objective: To compare the accuracy of Hadlock's 1, 2, 3, 4 and Shepard model in estimating expected fetal weight and its comparison with actual birth weight in our population at eastern region of Nepal. Methodology A prospective observational study was performed in the Department of Radiodiagnosis, Nobel Medical college and teaching hospital, Biratnagar, over a period of 6 months dated Jan 2018 to June 2018 using systematic random sampling with sample size estimated as 160, with 5% level of significance, 80% power of test and a maximum of 200 grams differences by our predicting model from actual mean weight. Singleton, term pregnancy (37- 42 weeks gestational age) verified with antenatal USG performed prior to 20 weeks' gestation. Pregnancies complicated by congenital anomalies and deliveries after 2 days of USG examination were excluded. Results: 159 pregnant ladies were enrolled in our study with mean age of 27.60 ± 5.633 years (range 18-43 years). The average (actual) birth weight recorded was 3450.79±438.73gms. The different formulae for estimating birth weight gave us similar results. Estimation of fetal weight by Shepard gave us a mean of 3340.80 ± 463.72. Hadlock1, Hadlock2, Hadlock3 and Hadlock4were 3546.55±429.92grams, 3491.18±439.49 grams, 3445.23 ±422.79grams, and 3446.12±418.43grams respectively. Conclusion: All four Hadlock formulae gave comparable results for fetal weight estimation including the Shepard formula; however, Shepard formula tends to underestimate fetal weight as compared to rest of the formulae. Among the Hadlock's, Hadlock 2 seems to show betier accuracy in fetal weight prediction in our population of study. The mean birth weight recorded using Hadlock 1 formula gave the beer correlation with the actual birth weight though the difference between four Hadlock formulae was all insignificant.


BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042476
Author(s):  
Xin-xin Huang ◽  
Xiu-Min Jiang ◽  
Qing-Xiang Zheng ◽  
Xiao-Qing Chen ◽  
Yu-Qing Pan

ObjectivesThe primary purpose was to measure the birth weight of infants of mothers with gestational diabetes (IMGDs) at different gestational ages to develop new reference charts and curves for them. A further purpose was to compare them with those of 159 334 infants in China to provide more accurate reference charts for the diagnosis of suspected abnormal birth weight of IMGDs. The final purpose was to evaluate the key periods for such mothers to control their weight in line with the difference of fetal weight of each two neighbouring gestational ages.SettingA specialised hospital in South ChinaParticipantsIMGDs born here from January 2014 to December 2018.Primary and secondary outcome variablesBirth weight, gestational ages of IMGDs, gender and year of birth.ResultsData of 14 311 singleton live births at the gestational weeks 25–42 here were collected. The proportions of low birth weight, normal birth weight and macrosomia were 7.26%, 87.04%, and 5.70%, respectively. The proportions of small for gestational age, appropriate for gestational age and large for gestational age were 5.69%, 84.42% and 9.89%, respectively. In the macrosomia group, the mean of all birth weight in 2017 decreased for the first time since 2014. Both the means of birth weight of male infants at gestational weeks 36–41 and of female at weeks 38–40 were greater than that of the 159 334 infants. The increase of each weekly mean of IMGDs at gestational weeks 27–31 and 33–35 was >10% compared with the former. Based on this, new reference charts of birth weight for IMGDs in terms of different gestational age and gender were formulated.ConclusionThese charts may be applied as reference for more accurate diagnosis and quick treatment of abnormal birth weight. This study showed that the identification of key periods for fetal weight gain was helpful for the management of the weight of women with gestational diabetes.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ranjumoni Konwar ◽  
Bharati Basumatary ◽  
Malamoni Dutta ◽  
Putul Mahanta

Background and Objectives. Fetal weight evaluation in utero is a significant component in obstetric practices. The present study aims to estimate the fetal weight (EFW) by evaluating two available formulas using ultrasound parameters and comparing them with actual birth weight (ABW) after delivery. The accuracy and efficacy of both EFW formulas in detecting intrauterine growth retardation (IUGR) and macrosomia were also compared in our local sample of the population. Methods. The cross-sectional study included 100 pregnant women aged 20–45 years from the Kamrup district admitted to Guwahati Medical College and Hospital, Guwahati, Assam. The data were analyzed using Microsoft Excel and SPSS version 16. The EFW at term was calculated using Shepard’s formula and Hadlock’s formula. Differences in means are compared using the one-way ANOVA or Kruskal–Wallis test and paired t-test. The accuracy of the two procedures was evaluated using mean absolute error (MAE) and mean absolute percentage error (MAPE). A p value<0.05 was considered significant. Results. The present study included 100 pregnant women aged 21–38 years with term or postterm pregnancies subjected to ultrasonographic evaluation within 72 hours of delivery. The mean (±s.d.) EFW by Shepard’s formula was 2716.05 (±332.38) g and Hadlock’s formula was 2740.44 (±353.23) g, respectively. For Hadlock’s formula, MAE ± s.d. was found to be higher (overall 84.59 ± 76.54) specifically in the weight category less than 2500 (106.42 ± 88.11) as compared to Shepard’s (overall MAE ± s.d = 79.86 ± 64.78, and among ABW < 2500 g, MAE ± s.d = 65.04 ± 61.02). The overall MAPE of Hadlock’s formula was 3.14% and that for Shepard’s formula was 2.91%, and the difference was not statistically significant. Both Shepard’s formula and Hadlock’s formula had a sensitivity of 92.85% in detecting IUGR, but Hadlock’s method had higher specificity (66%), higher PPV (86.67%), and higher NPV (80%). Conclusion. The ultrasonographic evaluation of fetal weight helps predict fetal birth weight precisely and can influence obstetric management decisions concerning timing and route of delivery, thus reducing perinatal morbidity and mortality.


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