Walraven G E, Mkanje R J, van Roosmalen J, van Dongen P W, van Asten H A, Dolmans W M
Sumve Designated District Hospital, Mwanza Region, Tanzania.
Br J Obstet Gynaecol. 1995 Jul;102(7):525-9. doi: 10.1111/j.1471-0528.1995.tb11354.x.
To compare the value of different pre-delivery maternal indices for predicting birthweight, and to examine the usefulness of a single pre-delivery symphysis-fundal height measurement for the detection of low birthweight and twin pregnancy or macrosomia.
Symphysis-fundal height measurements were gathered from 1509 women who had both a singleton delivery and available data of pre-delivery weight, height and mid-upper arm circumference, and from 73 women who had a twin delivery.
A district hospital in rural Tanzania.
Symphysis-fundal height, pre-delivery weight and mid-upper arm circumference, respectively, explain 41%, 13% and 4% of the observed variation in birthweight. At a cut-off level of 30 cm for symphysis-fundal height, the detection rate for birthweight below 2500 g and 2000 g was 66% and 68%, respectively, and the false positive rate was 9% and 14%, respectively. At a cut-off level of 38 cm for symphysis-fundal height the detection rate for twin pregnancy or birthweight > or = 4000 g was 76%, and the false positive rate was 4%.
Symphysis-fundal height was a better predictor of birthweight than maternal height, pre-delivery weight or mid-upper arm circumference. It seems justified to investigate the value of a simple tricoloured symphysis-fundal height measuring tape for use in antenatal care in developing countries at village level.
比较不同产前母体指标对预测出生体重的价值，并检验单次产前耻骨联合上缘至宫底高度测量对检测低出生体重、双胎妊娠或巨大儿的有效性。
收集了1509名单胎分娩且有产前体重、身高和上臂中段周长可用数据的妇女以及73名双胎分娩妇女的耻骨联合上缘至宫底高度测量值。
坦桑尼亚农村的一家地区医院。
耻骨联合上缘至宫底高度、产前体重和上臂中段周长分别解释了观察到的出生体重变化的41%、13%和4%。耻骨联合上缘至宫底高度的截断值为30 cm时，出生体重低于2500 g和2000 g的检出率分别为66%和68%，假阳性率分别为9%和14%。耻骨联合上缘至宫底高度的截断值为38 cm时，双胎妊娠或出生体重≥4000 g的检出率为76%，假阳性率为4%。
耻骨联合上缘至宫底高度比母体身高、产前体重或上臂中段周长更能准确预测出生体重。研究一种简单的三色耻骨联合上缘至宫底高度测量带在发展中国家村级产前护理中的应用价值似乎是合理的。
