Griffiths A, Pinto A, Margarit L
Department of Obstetrics and Gynaecology, University Hospital of Wales, Cardiff, UK.
J Obstet Gynaecol. 2008 Oct;28(7):692-4. doi: 10.1080/01443610802462092.
Symphysis fundal height (SFH) is currently used in the UK as a screening test to identify which pregnancies may require additional investigations including the use of ultrasound fetal biometry. The routine use of SFH has been subjected to extensive research assessing its sensitivity and also inter and intraobserver variation. This study's aim was to assess the current UK practice of SFH measurement and particularly looked at methods used in its measurement. A total of 250 healthcare professionals (doctors and midwives) were asked to complete a structured anonymous questionnaire of which 211 health professionals agreed to participate. The results revealed that SFH is used less frequently by the professionals with less than 10 years clinical experience compared to professionals with more than 10 years clinical experience. In addition there was significant variance in the methods used to measure SFH that would increase the interobserver error.
目前，在英国，宫底高度（SFH）被用作一种筛查测试，以确定哪些妊娠可能需要进一步检查，包括使用超声胎儿生物测量法。宫底高度的常规使用已经接受了广泛研究，评估其敏感性以及观察者间和观察者内的差异。本研究的目的是评估英国目前测量宫底高度的做法，尤其关注测量所使用的方法。总共250名医疗保健专业人员（医生和助产士）被要求填写一份结构化匿名问卷，其中211名卫生专业人员同意参与。结果显示，与有超过10年临床经验的专业人员相比，临床经验少于10年的专业人员较少使用宫底高度测量法。此外，用于测量宫底高度的方法存在显著差异，这会增加观察者间误差。
