Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit

<!DOCTYPE html> <html lang="en" dir="ltr"> <head>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-P63WKM1TM1"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-P63WKM1TM1'); </script>  <script type="text/javascript" > (function(m,e,t,r,i,k,a){m[i]=m[i]||function(){(m[i].a=m[i].a||[]).push(arguments)}; m[i].l=1*new Date(); for (var j = 0; j < document.scripts.length; j++) {if (document.scripts[j].src === r) { return; }} k=e.createElement(t),a=e.getElementsByTagName(t)[0],k.async=1,k.src=r,a.parentNode.insertBefore(k,a)}) (window, document, "script", "https://mc.yandex.ru/metrika/tag.js", "ym"); ym(55165297, "init", { clickmap:false, trackLinks:true, accurateTrackBounce:true, webvisor:false }); </script> <noscript><div><img src="https://mc.yandex.ru/watch/55165297" style="position:absolute; left:-9999px;" alt="" /></div></noscript>    <title>Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit</title> <meta name="description" content="Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit"> <meta name="keywords" content="Clinical palpation, estimated foetal weight, pregnancy, India, Johnson’s formula."> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <meta name="citation_title" content="Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit"> <meta name="citation_author" content="Aarati Susan Mathew"> <meta name="citation_author" content="Radhika Narendra Patel"> <meta name="citation_author" content="Jiji Mathew"> <meta 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mt-3 mb-3"> <h5 class="card-header" style="font-size:.9rem">Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/search?q=Aarati%20Susan%20Mathew">Aarati Susan Mathew</a>, <a href="https://publications.waset.org/search?q=Radhika%20Narendra%20Patel"> Radhika Narendra Patel</a>, <a href="https://publications.waset.org/search?q=Jiji%20Mathew"> Jiji Mathew</a> </p> <p class="card-text"><strong>Abstract:</strong></p> A retrospective study conducted at Christian Medical College (CMC) Teaching Hospital, Vellore, India on 14th August 2014 to assess the accuracy of clinically estimated foetal weight upon labour admission. Estimating foetal weight is a crucial factor in assessing maternal and foetal complications during and after labour. Medical notes of ninety-eight postnatal women who fulfilled the inclusion criteria were studied to evaluate the correlation between their recorded Estimated Foetal Weight (EFW) on admission and actual birth weight (ABW) of the newborn after delivery. Data concerning maternal and foetal demographics was also noted. Accuracy was determined by absolute percentage error and proportion of estimates within 10% of ABW. Actual birth weights ranged from 950-4080g. A strong positive correlation between EFW and ABW (r=0.904) was noted. Term deliveries (≥40 weeks) in the normal weight range (2500-4000g) had a 59.5% estimation accuracy (n=74) compared to pre-term (<40 weeks) with an estimation accuracy of 0% (n=2). Out of the term deliveries, macrosomic babies (>4000g) were underestimated by 25% (n=3) and low birthweight (LBW) babies were overestimated by 12.7% (n=9). Registrars who estimated foetal weight were accurate in babies within normal weight ranges. However, there needs to be an improvement in predicting weight of macrosomic and LBW foetuses. We have suggested the use of an amended version of the Johnson’s formula for the Indian population for improvement and a need to re-audit once implemented. <iframe src="https://publications.waset.org/10002899.pdf" style="width:100%; height:400px;" frameborder="0"></iframe> <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/search?q=Clinical%20palpation" title="Clinical palpation">Clinical palpation</a>, <a href="https://publications.waset.org/search?q=estimated%20foetal%20weight" title=" estimated foetal weight"> estimated foetal weight</a>, <a href="https://publications.waset.org/search?q=pregnancy" title=" pregnancy"> pregnancy</a>, <a href="https://publications.waset.org/search?q=India" title=" India"> India</a>, <a href="https://publications.waset.org/search?q=Johnson%E2%80%99s%20formula." title=" Johnson’s formula."> Johnson’s formula.</a> </p> <p class="card-text"><strong>Digital Object Identifier (DOI):</strong> <a href="https://doi.org/10.5281/zenodo.1110023" target="_blank">doi.org/10.5281/zenodo.1110023</a> </p> <a href="https://publications.waset.org/10002899/evaluating-accuracy-of-foetal-weight-estimation-by-clinicians-in-christian-medical-college-hospital-india-and-its-correlation-to-actual-birth-weight-a-clinical-audit" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/10002899/apa" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">APA</a> <a href="https://publications.waset.org/10002899/bibtex" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">BibTeX</a> <a href="https://publications.waset.org/10002899/chicago" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">Chicago</a> <a href="https://publications.waset.org/10002899/endnote" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">EndNote</a> <a href="https://publications.waset.org/10002899/harvard" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">Harvard</a> <a href="https://publications.waset.org/10002899/json" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">JSON</a> <a href="https://publications.waset.org/10002899/mla" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">MLA</a> <a href="https://publications.waset.org/10002899/ris" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">RIS</a> <a href="https://publications.waset.org/10002899/xml" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">XML</a> <a href="https://publications.waset.org/10002899/iso690" target="_blank" rel="nofollow" class="btn btn-primary btn-sm">ISO 690</a> <a href="https://publications.waset.org/10002899.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">2927</span> </span> <p class="card-text"><strong>References:</strong></p> <br>[1] Jolly MC, Sebire NJ, Harris JP, Regan L, Robinson S. 2003. “Risk factors for macrosomia and its clinical consequences: a study of 350,311 pregnancies”, European Journal of Obstetrics & Gynecology and Reproductive Biology, Vol. 111, no.1, pp. 9-14 <br>[2] Patterson RM, Prihoda TJ, Gibbs CE, Wood RC. 1986. “Analysis of birth weight percentile as a predictor of perinatal outcome”, Obstetrics and Gynecology, Vol. 68, no. 4, pp. 459-63. <br>[3] Wilcox AJ, Skjaerven R. 1992, “Birth weight and perinatal mortality: the effect of gestational age”, American Journal of Public Health, Vol. 82, no. 3, pp. 378-82 <br>[4] Baskett TF, Allen AC. 1995, “Perinatal implications of shoulder dystocia”, Obstetrics and Gynecology. Vol. 86, no. 1, pp. 14-7. <br>[5] Boyd ME, Usher RH, McLean FH. 1983, “Fetal macrosomia: prediction, risks, proposed management”, Obstetrics and Gynecology, Vol. 61, no. 6, pp. 715-22. <br>[6] Ugwa EA, Gaya S, Ashimi A. 2015, “Estimation of fetal weight before delivery in low-resource setting of North-west Nigeria: can we rely on our clinical skills?”, Journal of Maternal and Fetal Neonatal Medicine, Vol. 28, no. 8, pp. 949-53 <br>[7] Nahum G, 2014. “Estimation of Fetal Weight”, Article last updated Sept 2014. Last accessed 10/7/15. Available at: http://emedicine.medscape.com/article/262865-overview#showall <br>[8] Sherman DJ, Arieli S, Tovbin J, Siegel G, Caspi E, Bukovsky IA. 1998, “A comparison of clinical and ultrasound estimation of fetal weight”, Obstetrics and Gynaecology, Vol. 91, no. 2, pp. 212-7 <br>[9] Shittu, A.S., Kuti, O., Orji, E.O., Makinde, N.O., Ogunniy, S.O., Ayoola, O.O. & Sule, S.S. 2007, "Clinical versus sonographic estimation of foetal weight in southwest Nigeria", Journal of health, population, and nutrition, vol. 25, no. 1, pp. 14-23. <br>[10] Levin I, Gamzu R, Buchman V, Skornick Rapaport A, Pauzner D, Lessing JB, Almog B. 2011, “Clinical estimation of fetal weight: Is accuracy acquired with professional experience? Fetal Diagnosis and Therapy, Vol no. 4, pp. 321–324. <br>[11] Belete, W. & Gaym, A. 2008, "Clinical estimation of fetal weight in low resource settings: comparison of Johnson's formula and the palpation method", Ethiopian Medical Journal, Vol. 46, no. 1, pp. 37-46. </div> </div> </div> </main> <footer> <div id="infolinks" class="pt-3 pb-2"> <div class="container"> <div style="background-color:#f5f5f5;" class="p-3"> <div class="row"> <div class="col-md-2"> <ul class="list-unstyled"> About <li><a href="https://waset.org/page/support">About Us</a></li> <li><a href="https://waset.org/page/support#legal-information">Legal</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/WASET-16th-foundational-anniversary.pdf">WASET celebrates its 16th foundational anniversary</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Account <li><a href="https://waset.org/profile">My Account</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Explore <li><a href="https://waset.org/disciplines">Disciplines</a></li> <li><a href="https://waset.org/conferences">Conferences</a></li> <li><a href="https://waset.org/conference-programs">Conference Program</a></li> <li><a href="https://waset.org/committees">Committees</a></li> <li><a href="https://publications.waset.org">Publications</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Research <li><a href="https://publications.waset.org/abstracts">Abstracts</a></li> <li><a href="https://publications.waset.org">Periodicals</a></li> <li><a href="https://publications.waset.org/archive">Archive</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Open Science <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Philosophy.pdf">Open Science Philosophy</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Science-Award.pdf">Open Science Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Open-Society-Open-Science-and-Open-Innovation.pdf">Open Innovation</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Postdoctoral-Fellowship-Award.pdf">Postdoctoral Fellowship Award</a></li> <li><a target="_blank" rel="nofollow" href="https://publications.waset.org/static/files/Scholarly-Research-Review.pdf">Scholarly Research Review</a></li> </ul> </div> <div class="col-md-2"> <ul class="list-unstyled"> Support <li><a href="https://waset.org/page/support">Support</a></li> <li><a href="https://waset.org/profile/messages/create">Contact Us</a></li> <li><a href="https://waset.org/profile/messages/create">Report Abuse</a></li> </ul> </div> </div> </div> </div> </div> <div class="container text-center"> <hr style="margin-top:0;margin-bottom:.3rem;"> <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank" class="text-muted small">Creative Commons Attribution 4.0 International License</a> <div id="copy" class="mt-2">© 2024 World Academy of Science, Engineering and Technology</div> </div> </footer> <a href="javascript:" id="return-to-top"><i class="fas fa-arrow-up"></i></a> <div class="modal" id="modal-template"> <div class="modal-dialog"> <div class="modal-content"> <div class="row m-0 mt-1"> <div class="col-md-12"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> </div> </div> <div class="modal-body"></div> </div> </div> </div> <script src="https://cdn.waset.org/static/plugins/jquery-3.3.1.min.js"></script> <script src="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/js/bootstrap.bundle.min.js"></script> <script src="https://cdn.waset.org/static/js/site.js?v=150220211556"></script> <script> jQuery(document).ready(function() { /*jQuery.get("https://publications.waset.org/xhr/user-menu", function (response) { jQuery('#mainNavMenu').append(response); });*/ jQuery.get({ url: "https://publications.waset.org/xhr/user-menu", cache: false }).then(function(response){ jQuery('#mainNavMenu').append(response); }); }); </script> </body> </html>

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Evaluating Accuracy of Foetal Weight Estimation by Clinicians in Christian Medical College Hospital, India and Its Correlation to Actual Birth Weight: A Clinical Audit