Labrecque M, Boulianne N
Centre Hospitalier de l'Université Laval, Unité de Médecine Familiale, Ste-Foy, P.Q. Canada.
Rev Epidemiol Sante Publique. 1987;35(5):378-85.
This study aims at evaluating the measurement of fundal height in labor as a mean of estimating birth weight in singleton pregnancies. The delivery records of the 1983 Grande Comore Island, Indian Ocean, maternal health care centers were reviewed (n = 730). Weight and fundal height were found in 412 delivery records. The mean weight is 3,108 +/- 533 g. The linear correlation coefficient is 0.59 and the square of the correlation coefficient is 0.35. The best cut-off point of fundal height for the detection of a low birth weight newborn (less than 2,500 g) is 31 cm, which correspond to the 19th percentile. The linear regression model is not strong enough to predict birth weight. As a diagnostic test, fundal height can be usefull on an individual basis. For a mass screening utilisation, this procedure would have to be integrated to a complete program of maternal and child health care.
本研究旨在评估分娩时测量宫高作为估计单胎妊娠出生体重的一种方法。回顾了1983年印度洋科摩罗大岛孕产妇保健中心的分娩记录（n = 730）。在412份分娩记录中发现了体重和宫高数据。平均体重为3108 +/- 533克。线性相关系数为0.59，相关系数的平方为0.35。检测低出生体重新生儿（小于2500克）的宫高最佳切点为31厘米，对应第19百分位数。线性回归模型预测出生体重的能力不够强。作为一种诊断测试，宫高在个体层面可能有用。对于大规模筛查应用，该程序必须纳入完整的母婴保健计划。
