In summary, the process included: identification of priority questions and outcomes, retrieval of evidence, assessment and synthesis of the evidence, formulation of recommendations, and planning for the implementation, dissemination, impact evaluation and updating of the guideline. Although ultrasound is more accurate during the first half of pregnancy [ 7 ], both methods are still applied in most antenatal care services. British Medical Journal. All measurements were performed by or under supervision of registered nurses or obstetricians who had at least 2 years of experience with obstetric prenatal care, in order to minimize measurement error and bias [ 21 ]. For fetuses growing normally, from 24 weeks of gestation, the SFH measurement in centimetres should correspond to the number of weeks of gestation, with an allowance of a 2-cm difference either way Thai women are relatively smaller and have relatively smaller pelvis compared to Caucasian women [ 22 ], causing an increase in a fundal height early in pregnancy Figure 2.
Evidence-based information on Measuring Fundal Height from hundreds of trustworthy sources for health and social care.
Fetal Growth FAQ
Evidence-based information on SYMPHYSIS FUNDAL HEIGHT MEASUREMENT from hundreds of trustworthy sources for health and social care. Recommendation. Replacing abdominal palpation with symphysis-fundal height (SFH) measurement for the assessment of fetal growth is not.
Walrath D. What should we do? SFH and clinical palpation are non-invasive approaches for fetal assessment, which are widely used and not known to be associated with acceptability issues.
WHO recommendation on symphysisfundal height measurement. RHL
Fundal height at the 10th, 50th, and 90th percentiles in centimeters between 20 and 40 weeks of gestation, derived from a quadratic regression model. According to Cochrane review, there is not enough evidence to evaluate the use of fundal height measurement during antenatal care [ 2 ]; on the other hand, there is also insufficient evidence to determine whether fundal height measurement is not effective [ 9 ].
Our study, however, tried to collect a large sample sized data to allow for missing values.
B3 Is it ok to start fundal height measurements from 25 weeks as we have an However according to NICE guidelines multiparous women should not have a. A fetal growth scan should be offered if the first fundal height measurement is below the 10th centile on the customised chart or serial measurements have.
Black women with African ethnicity with anthropoid typed pelvis long anteroposterior diameter, short transverse diameter [ 24 ] had similar fundal height pattern of growth curve to Thai women but did not decline around term due to unengagement [ 15 ].
Figure 3. FGR and be an indication for review.
Abnormal fundal height smaller or larger than gestational age may indicate abnormal uterus, fetal growth, and amniotic fluid development.
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|These could be due to differences in ethnicity, socioeconomic, life style, nutritional status, study methodology, eligible criteria, gestational age definition, fundal height measurement, and statistical analysis.
Twin and triplet pregnancy : guidance NG Accreditation Programme assesses the quality of the processes guidance producers use to develop their guidance.
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Challis et al. E - Technical queries. WHO handbook for guideline development, 2nd edition.
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International Journal of Gynecology and Obstetrics. A new symphysis-fundus height growth chart based on a well defined female population with ultrasound-dated singleton pregnancies.