Accuracy of symphysis-Fundal Height (SFH) in estimation gestational age in second half of pregnancy in Tishreen University Hospital outpatients in Lattakia 2020-2021
Abstract
Background. Accurate determination of the gestational age is extremely important, and an appropriate approach to the gestational age is essential in obstetric care. Since the date of the last menstrual period (LMP) may not be accurately remembered by the pregnant, it was necessary to resort to another method for determining the gestational age in the absence of ultrasound devices, which is to measure the Symphysis –Fundal Height (SFH).
Objective: to compare the gestational age based on SFH measurement with the gestational age based on the first day of the last menstrual period (LMP) to find out the accuracy of this measurement
Patients and methods:. The study was conducted in Lattakia city, Tishreen University Hospital, during the period between 2020 and 2021. The study included 100 pregnant women with gestational ages between 22 and 35 weeks of gestation, where the measurement of Symphysis-Fundal Height (SFH) was taken for each pregnant after emptying the bladder and the gestational age was calculated based on it and compared with the gestational age based on the last menstrual period (LMP).
Results: Symphysis- Fundal Height measurement is a reliable method for estimating the gestational age in the second half of pregnancy, especially in the case of inaccurate determination of the last menstrual period, where the correlation coefficient between LMP and SFH in estimating the gestational age in all pregnants was 0.89, but it is preferable not to resort to measuring SFH In the intercepted because of the lack of accuracy.
Conclusion: Symphysis- Fundal Height measurement is an inexpensive clinical method for determining gestational age, but it requires expertise.
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