Ghate M, Pratinidhi A, Gupte A
Department Preventive and Social Medicine, B.J. Medical College, Pune.
Indian Pediatr. 1996 Jan;33(1):15-8.
To develop intrauterine fetal growth monitoring charts for prediction of babies with low birth weight (LBW).
Prospective study.
Antenastal clinic of a government and a private hospital.
Two hundred and eighty one healthy pregnant women were enrolled before 28 weeks of pregnancy.
The uterine fundal height and abdominal girth were recorded fortnightly. Following delivery, the neonatal birth weight was correlated with these measurements.
Graphs were plotted for the mean fundal height and abdominal girth in relation to gestational age for neonatal weight categories of 2000 g, 2500 g and 3000 +/- 200 g. Measurement of the fundal height and abdominal girth predicted the neonatal weight category with a sensitivity of 87.5%, specificity of 90% and positive predictive value of 77.8%.
The uterine fundal height and abdominal girth, when related to the gestational age, can accurately predict the neonatal birth weight category. The charts prepared in this study can help in prediction of LBW babies and allow appropriate intervention to be undertaken in the antenatal period at grass root level.
制定用于预测低出生体重儿的宫内胎儿生长监测图表。
前瞻性研究。
一家政府医院和一家私立医院的产前诊所。
281名健康孕妇在妊娠28周前入组。
每两周记录一次宫高和腹围。分娩后，将新生儿出生体重与这些测量值进行关联。
针对出生体重分别为2000克、2500克和3000 +/- 200克的新生儿体重类别，绘制了宫高和腹围平均值与孕周的关系图。宫高和腹围测量对新生儿体重类别的预测灵敏度为87.5%，特异度为90%，阳性预测值为77.8%。
与孕周相关的宫高和腹围能够准确预测新生儿出生体重类别。本研究编制的图表有助于预测低出生体重儿，并能在基层产前阶段进行适当干预。
