Clinical Versus Sonographic Estimation of Foetal Weight in Southwest Nigeria

A prospective study was conducted at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, between 3 January and 31May 2004, to compare the accuracy of clinical and ultrasonographic estimation of foetal weight at term. One hundred pregnant women who fulfilled the inclusion criteria...

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Veröffentlicht in:Journal of health, population and nutrition population and nutrition, 2007-03, Vol.25 (1), p.14-23
Hauptverfasser: Shittu, Akinola S, Kuti, Oluwafemi, Orji, Ernest O, Makinde, Niyi O, Ogunniyi, Solomon O, Ayoola, Oluwagbemiga O, Sule, Salami S
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container_title Journal of health, population and nutrition
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creator Shittu, Akinola S
Kuti, Oluwafemi
Orji, Ernest O
Makinde, Niyi O
Ogunniyi, Solomon O
Ayoola, Oluwagbemiga O
Sule, Salami S
description A prospective study was conducted at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, between 3 January and 31May 2004, to compare the accuracy of clinical and ultrasonographic estimation of foetal weight at term. One hundred pregnant women who fulfilled the inclusion criteria had their foetal weight estimated in dependently using clinical and ultrasonographic methods.Accuracy was determined by percentage error, absolute percentage error,and proportion of estimates within 10% of actual birth-weight (birth-weight of +10%). Statistical analysis was done using the paired t-test, the Wilcoxon signed-rank test, and the chi-square test. The study sample had an actual average birthweight of 3,255+622 (range 2,150-4,950) g. Overall, the clinical method overestimated birth-weight, while ultrasound underestimated it. The mean absolute percentage error of the clinical method was smaller than that of the sonographic method, and the number of estimates within 10% of actual birthweight for the clinical method (70%) was greater than for the sonographic method (68%); the difference was not statistically significant. In thelow birth-weight(
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One hundred pregnant women who fulfilled the inclusion criteria had their foetal weight estimated in dependently using clinical and ultrasonographic methods.Accuracy was determined by percentage error, absolute percentage error,and proportion of estimates within 10% of actual birth-weight (birth-weight of +10%). Statistical analysis was done using the paired t-test, the Wilcoxon signed-rank test, and the chi-square test. The study sample had an actual average birthweight of 3,255+622 (range 2,150-4,950) g. Overall, the clinical method overestimated birth-weight, while ultrasound underestimated it. The mean absolute percentage error of the clinical method was smaller than that of the sonographic method, and the number of estimates within 10% of actual birthweight for the clinical method (70%) was greater than for the sonographic method (68%); the difference was not statistically significant. In thelow birth-weight(&lt;&lt;2,500g)group, the mean errors of sonographic estimates were significantly smaller, and significantly more sonographic estimates (66.7%) were within 10% of actual birth-weight than those of the clinical method (41.7%). No statistically significant difference was observed in all the measures of accuracy for the normal birth-weight range of 2,500-&lt;4,000 g and in the macrosonic group (≥4,000 g), except that, while the ultrasonographic method underestimated birth-weight, the clinical method overestimated it. Clinical estimation of birth-weight is as accurate as routineultrasonographic estimation, except in low-birth-weight babies. Therefore, when the clinical method suggests weight smaller than 2,500 g, subsequent sonographic estimation is recommended to yield a better prediction and to further evaluate foetal well-being.</description><identifier>ISSN: 1606-0997</identifier><identifier>EISSN: 2072-1315</identifier><identifier>PMID: 17615900</identifier><language>eng</language><publisher>Bangladesh: icddr,b</publisher><subject>Accuracy ; Adult ; Birth size ; Birth Weight ; Chi-Square Test ; Comparative studies ; Delivery ; Demographic aspects ; Developing countries ; Diabetes complications ; Diagnosis ; Error rates ; Estimate reliability ; Estimation methods ; Female ; Fetal Weight ; Fetuses ; Foetal weight ; Humans ; Infant, Newborn ; LDCs ; Measurement ; Nigeria ; Obesity in children ; Obstetrics ; Original Papers ; Physical Examination - methods ; Physical Examination - standards ; Predictive Value of Tests ; Pregnancy ; Pregnant women ; Prevention ; Prospective Studies ; Reproducibility of Results ; Risk factors ; Sensitivity and Specificity ; Statistical significance ; Teaching hospitals ; Ultra wideband technologies ; Ultrasonics ; Ultrasonography ; Ultrasonography, Prenatal - methods ; Ultrasonography, Prenatal - standards ; Ultrasound imaging ; Wellbeing</subject><ispartof>Journal of health, population and nutrition, 2007-03, Vol.25 (1), p.14-23</ispartof><rights>Copyright 2007 - ICDDR,B: Centre for Health and Population Research</rights><rights>Copyright © 2007 International Centre for Diarrhoeal Disease Research</rights><rights>COPYRIGHT 2007 BioMed Central Ltd.</rights><rights>Copyright Intenational Centre for Diarrhoeal Disease Research, Bangladesh Mar 2007</rights><rights>INTERNATIONAL CENTRE FOR DIARRHOEAL DISEASE RESEARCH, BANGLADESH 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23499448$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23499448$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,12845,30998,30999,53790,53792,58016,58249,79197</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17615900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shittu, Akinola S</creatorcontrib><creatorcontrib>Kuti, Oluwafemi</creatorcontrib><creatorcontrib>Orji, Ernest O</creatorcontrib><creatorcontrib>Makinde, Niyi O</creatorcontrib><creatorcontrib>Ogunniyi, Solomon O</creatorcontrib><creatorcontrib>Ayoola, Oluwagbemiga O</creatorcontrib><creatorcontrib>Sule, Salami S</creatorcontrib><title>Clinical Versus Sonographic Estimation of Foetal Weight in Southwest Nigeria</title><title>Journal of health, population and nutrition</title><addtitle>J Health Popul Nutr</addtitle><description>A prospective study was conducted at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, between 3 January and 31May 2004, to compare the accuracy of clinical and ultrasonographic estimation of foetal weight at term. One hundred pregnant women who fulfilled the inclusion criteria had their foetal weight estimated in dependently using clinical and ultrasonographic methods.Accuracy was determined by percentage error, absolute percentage error,and proportion of estimates within 10% of actual birth-weight (birth-weight of +10%). Statistical analysis was done using the paired t-test, the Wilcoxon signed-rank test, and the chi-square test. The study sample had an actual average birthweight of 3,255+622 (range 2,150-4,950) g. Overall, the clinical method overestimated birth-weight, while ultrasound underestimated it. The mean absolute percentage error of the clinical method was smaller than that of the sonographic method, and the number of estimates within 10% of actual birthweight for the clinical method (70%) was greater than for the sonographic method (68%); the difference was not statistically significant. In thelow birth-weight(&lt;&lt;2,500g)group, the mean errors of sonographic estimates were significantly smaller, and significantly more sonographic estimates (66.7%) were within 10% of actual birth-weight than those of the clinical method (41.7%). No statistically significant difference was observed in all the measures of accuracy for the normal birth-weight range of 2,500-&lt;4,000 g and in the macrosonic group (≥4,000 g), except that, while the ultrasonographic method underestimated birth-weight, the clinical method overestimated it. Clinical estimation of birth-weight is as accurate as routineultrasonographic estimation, except in low-birth-weight babies. Therefore, when the clinical method suggests weight smaller than 2,500 g, subsequent sonographic estimation is recommended to yield a better prediction and to further evaluate foetal well-being.</description><subject>Accuracy</subject><subject>Adult</subject><subject>Birth size</subject><subject>Birth Weight</subject><subject>Chi-Square Test</subject><subject>Comparative studies</subject><subject>Delivery</subject><subject>Demographic aspects</subject><subject>Developing countries</subject><subject>Diabetes complications</subject><subject>Diagnosis</subject><subject>Error rates</subject><subject>Estimate reliability</subject><subject>Estimation methods</subject><subject>Female</subject><subject>Fetal Weight</subject><subject>Fetuses</subject><subject>Foetal weight</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>LDCs</subject><subject>Measurement</subject><subject>Nigeria</subject><subject>Obesity in children</subject><subject>Obstetrics</subject><subject>Original Papers</subject><subject>Physical Examination - methods</subject><subject>Physical Examination - standards</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Prevention</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Risk factors</subject><subject>Sensitivity and Specificity</subject><subject>Statistical significance</subject><subject>Teaching hospitals</subject><subject>Ultra wideband technologies</subject><subject>Ultrasonics</subject><subject>Ultrasonography</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>Ultrasonography, Prenatal - standards</subject><subject>Ultrasound imaging</subject><subject>Wellbeing</subject><issn>1606-0997</issn><issn>2072-1315</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>RBI</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9km1rFDEQxxex2LP6EZRFodIXK0l2Nw9vhHK0WjgUrA8vQzY3u5tjLzk3WR--vVOuPbsikkDCzG8mM__Mg2zBiGAFLWn9MFtQTnhBlBLH2eMYN4QwRSR7lB1TwWmtCFlkq-XgvLNmyL_AGKeYXwcfutHsemfzi5jc1iQXfB7a_DJAQu4ruK5PufOITqn_ATHl710HozNPsqPWDBGe3p4n2efLi0_Ld8Xqw9ur5fmqaGrKUyGlBCIry1uQlgleMVOhTTYt56IFJsiaASXQrEklaF21ljKhbMPx2hLVlifZm33e3dRsYW3Bp9EMejditeMvHYzTc493ve7Cd10SWjJOMMGr2wRj-DZhB3rrooVhMB7CFLVkrFKSUIXk6X9JQbgSNRUIvvgL3IRp9CiDZqi7KlXNEHq5hzozgHa-DVievcmozxlllAjUBanX_6BwrWHrbPDQOrTPAs5mAcgk-Jk6M8Wor64_ztnTe2wPZkh9DMN088txDj6_L_JB3bvZQeDZHtjEFMaDn5WVUlUl_7TRuIBDBgfC4qjoO2PvceOLpCx_Aw4b18g</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Shittu, Akinola S</creator><creator>Kuti, Oluwafemi</creator><creator>Orji, Ernest O</creator><creator>Makinde, Niyi O</creator><creator>Ogunniyi, Solomon O</creator><creator>Ayoola, Oluwagbemiga O</creator><creator>Sule, Salami S</creator><general>icddr,b</general><general>ICDDR,B: Centre for Health and Population Research</general><general>BioMed Central Ltd</general><general>BioMed Central</general><general>International Centre for Diarrhoeal Disease Research, Bangladesh</general><scope>RBI</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>ISR</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7QL</scope><scope>7RQ</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070301</creationdate><title>Clinical Versus Sonographic Estimation of Foetal Weight in Southwest Nigeria</title><author>Shittu, Akinola S ; Kuti, Oluwafemi ; Orji, Ernest O ; Makinde, Niyi O ; Ogunniyi, Solomon O ; Ayoola, Oluwagbemiga O ; Sule, Salami S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b516t-888e084c6fe8c27642a48888bf667fe270d2e10ebd047154fc1279cb654ff09f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Accuracy</topic><topic>Adult</topic><topic>Birth size</topic><topic>Birth Weight</topic><topic>Chi-Square Test</topic><topic>Comparative studies</topic><topic>Delivery</topic><topic>Demographic aspects</topic><topic>Developing countries</topic><topic>Diabetes complications</topic><topic>Diagnosis</topic><topic>Error rates</topic><topic>Estimate reliability</topic><topic>Estimation methods</topic><topic>Female</topic><topic>Fetal Weight</topic><topic>Fetuses</topic><topic>Foetal weight</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>LDCs</topic><topic>Measurement</topic><topic>Nigeria</topic><topic>Obesity in children</topic><topic>Obstetrics</topic><topic>Original Papers</topic><topic>Physical Examination - methods</topic><topic>Physical Examination - standards</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Prevention</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Risk factors</topic><topic>Sensitivity and Specificity</topic><topic>Statistical significance</topic><topic>Teaching hospitals</topic><topic>Ultra wideband technologies</topic><topic>Ultrasonics</topic><topic>Ultrasonography</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>Ultrasonography, Prenatal - standards</topic><topic>Ultrasound imaging</topic><topic>Wellbeing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shittu, Akinola S</creatorcontrib><creatorcontrib>Kuti, Oluwafemi</creatorcontrib><creatorcontrib>Orji, Ernest O</creatorcontrib><creatorcontrib>Makinde, Niyi O</creatorcontrib><creatorcontrib>Ogunniyi, Solomon O</creatorcontrib><creatorcontrib>Ayoola, Oluwagbemiga O</creatorcontrib><creatorcontrib>Sule, Salami S</creatorcontrib><collection>Bioline International</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Gale In Context: Science</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; 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One hundred pregnant women who fulfilled the inclusion criteria had their foetal weight estimated in dependently using clinical and ultrasonographic methods.Accuracy was determined by percentage error, absolute percentage error,and proportion of estimates within 10% of actual birth-weight (birth-weight of +10%). Statistical analysis was done using the paired t-test, the Wilcoxon signed-rank test, and the chi-square test. The study sample had an actual average birthweight of 3,255+622 (range 2,150-4,950) g. Overall, the clinical method overestimated birth-weight, while ultrasound underestimated it. The mean absolute percentage error of the clinical method was smaller than that of the sonographic method, and the number of estimates within 10% of actual birthweight for the clinical method (70%) was greater than for the sonographic method (68%); the difference was not statistically significant. In thelow birth-weight(&lt;&lt;2,500g)group, the mean errors of sonographic estimates were significantly smaller, and significantly more sonographic estimates (66.7%) were within 10% of actual birth-weight than those of the clinical method (41.7%). No statistically significant difference was observed in all the measures of accuracy for the normal birth-weight range of 2,500-&lt;4,000 g and in the macrosonic group (≥4,000 g), except that, while the ultrasonographic method underestimated birth-weight, the clinical method overestimated it. Clinical estimation of birth-weight is as accurate as routineultrasonographic estimation, except in low-birth-weight babies. Therefore, when the clinical method suggests weight smaller than 2,500 g, subsequent sonographic estimation is recommended to yield a better prediction and to further evaluate foetal well-being.</abstract><cop>Bangladesh</cop><pub>icddr,b</pub><pmid>17615900</pmid><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Accuracy
Adult
Birth size
Birth Weight
Chi-Square Test
Comparative studies
Delivery
Demographic aspects
Developing countries
Diabetes complications
Diagnosis
Error rates
Estimate reliability
Estimation methods
Female
Fetal Weight
Fetuses
Foetal weight
Humans
Infant, Newborn
LDCs
Measurement
Nigeria
Obesity in children
Obstetrics
Original Papers
Physical Examination - methods
Physical Examination - standards
Predictive Value of Tests
Pregnancy
Pregnant women
Prevention
Prospective Studies
Reproducibility of Results
Risk factors
Sensitivity and Specificity
Statistical significance
Teaching hospitals
Ultra wideband technologies
Ultrasonics
Ultrasonography
Ultrasonography, Prenatal - methods
Ultrasonography, Prenatal - standards
Ultrasound imaging
Wellbeing
title Clinical Versus Sonographic Estimation of Foetal Weight in Southwest Nigeria
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