Antenatal Screening by Measurement of Symphysis-fundus Height

Overview

Journal Br Med J (Clin Res Ed)

Specialty General Medicine

Date 1982 Sep 25

PMID 6811036

Citations 15

Authors

J P Calvert

E E Crean

R G Newcombe

J F Pearson

Affiliations

Soon will be listed here.

Abstract

A study was undertaken to assess the value of symphysis-fundus measurement as a screening procedure for intrauterine growth retardation. The reproducibility of this measurement was investigated in two groups of six patients, each measured six times by six different observers. The intraobserver coefficient of variation was 4.6% and the interobserver coefficient of variation 6.4%. There was no evidence that experience aided consistency. A chart of symphysis-fundus measurements derived from Cardiff data was found to be similar to others previously published, and one measurement below the 10th centile identified 64% of pregnancies in which the eventual birth weight was below the 10th centile for gestational age. Symphysis-fundus measurement is a useful screening test; one chart could be used for any Caucasian population and should be incorporated into the maternity services "co-operation card."

Citing Articles

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The satisfactory growth and development at 2 years of age of the INTERGROWTH-21 Fetal Growth Standards cohort support its appropriateness for constructing international standards.

Villar J, Ismail L, Staines Urias E, Giuliani F, Ohuma E, Victora C Am J Obstet Gynecol. 2017; 218(2S):S841-S854.e2.

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International standards for symphysis-fundal height based on serial measurements from the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project: prospective cohort study in eight countries.

Papageorghiou A, Ohuma E, Gravett M, Hirst J, da Silveira M, Lambert A BMJ. 2016; 355:i5662.

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The use of angiogenic biomarkers in maternal blood to identify which SGA fetuses will require a preterm delivery and mothers who will develop pre-eclampsia.

Chaiworapongsa T, Romero R, Whitten A, Korzeniewski S, Chaemsaithong P, Hernandez-Andrade E J Matern Fetal Neonatal Med. 2015; 29(8):1214-28.

PMID: 26303962 PMC: 5769689. DOI: 10.3109/14767058.2015.1048431.

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