Pattinson R C, Theron G B
Department of Obstetrics and Gynaecology, University of Stellenbosch, Parowvallei, CP.
S Afr Med J. 1989 Dec 2;76(11):621-2.
Two groups of midwives were compared with regard to ability to detect small-for-gestational-age (SGA) babies using symphysis-fundus (S-F) measurements. The patients were all low-risk obstetric patients. In group A 2 midwives provided antenatal care to 97 patients; 14 delivered SGA babies, of which 12 were identified by S-F measurements (sensitivity 85.7%). In group B 15 midwives provided antenatal care to 126 patients, 12 delivered SGA babies, and 5 of these were identified (sensitivity 41.2%). It is considered that this difference was due to inter-observer variability. A plea is made for individualised antenatal care.
比较了两组助产士使用耻骨联合上缘（S-F）测量来检测小于胎龄（SGA）婴儿的能力。患者均为低风险产科患者。A组有2名助产士为97名患者提供产前护理；14名产妇分娩出SGA婴儿，其中12名通过S-F测量被识别出来（灵敏度85.7%）。B组有15名助产士为126名患者提供产前护理，12名产妇分娩出SGA婴儿，其中5名被识别出来（灵敏度41.2%）。认为这种差异是由于观察者间的变异性所致。呼吁提供个性化的产前护理。
