Andersson R, Bergström S
Centre Médical, Gamboula, Central African Republic.
J Trop Med Hyg. 1995 Jun;98(3):169-72.
Lack of information on the date of the last menstrual period is a common problem in antenatal care in developing countries. The aim of this study was to see whether the fundal height can be used as a proxy for the length of gestation. A graph representing the expected remaining time to delivery was constructed from fundal height measurements in 7790 pregnant women delivered in a rural African hospital from 1970 to 1988. The graph was used to predict the probable week of delivery in 604 pregnant women giving birth to a singleton child in 1989. The mean deviation of the actual week of delivery from the predicted week was -0.6 (s.d. 3.4) weeks. In 270/604 cases (45%) delivery occurred within 2 weeks of the predicted week. Birthweight and perinatal mortality were strongly related to the deviation from the predicted week of delivery. The majority of perinatal deaths (34/50, 68%) occurred in children delivered early. The fundal height, as measured by paramedicals in routine antenatal care in rural Africa, may be used as a proxy for the length of gestation when the date of the last menstrual period is not known.
在发展中国家的产前护理中，缺乏末次月经日期的信息是一个常见问题。本研究的目的是探讨宫高是否可作为妊娠期长度的替代指标。根据1970年至1988年在非洲一家农村医院分娩的7790名孕妇的宫高测量值，绘制了一张表示预计剩余分娩时间的图表。该图表用于预测1989年604名单胎分娩孕妇的可能分娩周数。实际分娩周数与预测周数的平均偏差为-0.6（标准差3.4）周。在604例病例中的270例（45%），分娩发生在预测周数的2周内。出生体重和围产期死亡率与偏离预测分娩周数密切相关。大多数围产期死亡（50例中的34例，68%）发生在早产的婴儿中。在非洲农村常规产前护理中，由辅助医务人员测量的宫高，在不知道末次月经日期时，可作为妊娠期长度的替代指标。
