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ACCURATE PRENATAL ESTIMATION OF BIRTH WEIGHT IS USEFUL IN THE MANAGEMENT OF LABOUR AND DELIVERY

Dr. Waqas Ahmad, Dr. Javeria Gul, Dr Maniba Habib

Objective: Our purpose was to determine whether clinical or ultrasonographic prediction of fetal macrosomia influences subsequent delivery route and birth outcome in a clinical setting where macrosomia is not considered an indication for cesarean delivery. Methodology: A prospective observational study was undertaken at Name of the hospital, City, Country from [Duration of the study]. A total of 90 pregnant women were enrolled in the study. Women with multiple gestations and those with cardiac heart disease or diabetes mellitus (type 1 or type 2) were excluded from the study. Estimation for prenatal birth weight was done for all participants using clinical and ultrasonographic approach. The Statistical Package for the Social Sciences (SPSS v.25) was used to analyze the data. P-value of <0.05 was considered statistically significant. Results: The mean maternal age + SD of the participants reported was 23.6 + 6.3 years with the mean parity of 4.6 + 1.2. The mean + SD actual birth weight was 3422 + 426 g, while the mean estimated fetal weights by ultrasound and clinical approach was 3263 + 325 g and 3369 + 449 g, respectively. The ultrasound and clinical sensitivity of predicting the birth weights were 16.7% and 25.0% with specificity of 94.0% and 98.8% respectively. Conclusion: In the present study, it has been shown that both the clinical and ultrasonographic approach to estimate the birth weight of the infant prior to the delivery are equal in terms of sensitivity, specificity, and predictor of mode of mode of delivery outcome. Key words: birth weight; fetal weight; leopold’s maneuver; prenatal; ultrasound