Altered fetal growth: antenatal diagnosis by symphysis-fundal height in India and comparison with western charts.
Antenatal identification of altered fetal growth is a significant problem in spite of the availability of sophisticated technology. The present study was undertaken to generate symphysis-fundal height curves locally for an Indian population and to assess their value in predicting altered fetal growth. The measurements were found to have a high sensitivity of 80.8% and specificity of 93.5% in detection of small for date babies and a sensitivity and specificity of 72.2% and 95.2%, respectively in detection of fetal macrosomia. The locally generated symphysis-fundal height charts have been compared with the western charts and the differences stressed. It is concluded that symphysis-fundal height curves should be locally generated for best results.
Department of Obstetrics and Gynaecology, Lady Hardinge Medical College, New Delhi, India.
V
V
Grover
R
R
Usha
S
S
Kalra
S
S
Sachdeva
D000886:Anthropometry / Q000379:methods*; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D005865:Gestational Age; D006784:Hospitals, Teaching; D006801:Humans; D007194:India / Q000453:epidemiology; D008403:Mass Screening; D011237:Predictive Value of Tests; D011296:Prenatal Diagnosis / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D011631:Pubic Symphysis; D012016:Reference Values; D012680:Sensitivity and Specificity; D014599:Uterus / Q000033:anatomy & histology*