Cargando…

Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation

CONTEXT: The primary objective of this study was to examine the impact of maternal age, parity, gestational age, fetal gender, gestational diabetes mellitus, and pregnancy-induced hypertension on the accuracy of ultrasonography-based fetal weight estimation. The secondary objective was to find the i...

Descripción completa

Detalles Bibliográficos
Autores principales: Hiwale, Sujitkumar, Firtion, Celine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546305/
https://www.ncbi.nlm.nih.gov/pubmed/33100682
http://dx.doi.org/10.4103/ijri.IJRI_167_19
_version_ 1783592205018988544
author Hiwale, Sujitkumar
Firtion, Celine
author_facet Hiwale, Sujitkumar
Firtion, Celine
author_sort Hiwale, Sujitkumar
collection PubMed
description CONTEXT: The primary objective of this study was to examine the impact of maternal age, parity, gestational age, fetal gender, gestational diabetes mellitus, and pregnancy-induced hypertension on the accuracy of ultrasonography-based fetal weight estimation. The secondary objective was to find the impact of a formula selection on the accuracy of fetal weight estimation. SUBJECTS AND METHODS: The inclusion criteria were a live-birth singleton pregnancy and the last ultrasound scan to delivery interval ≤7 days. Fetal weight was estimated using the Hadlock-4 formula. To study the concurrent impact of all the factors on the accuracy, cases were divided into two subcategories based on percentage error, with ±10% as a threshold. The accuracy of Hadlock-4 formula was compared with the two Indian population-based formulas, Hiwale-1 and Hiwale-2. RESULTS: In total, 184 cases were included in the study. It was observed that the systematic error in weight estimation was significantly less in the male fetuses (8.45 ± 9.34%) in comparison to the female fetuses (11.71 ± 10.34%). The combined impact of all the factors on the accuracy was found to be nonsignificant by the multivariate analysis. The Hiwale-1 (-0.59 ± 8.75%) and Hiwale-2 (-0.65 ± 8.7%) formulas had statistically significant less errors compared to the Hadlock-4 formula (11.67 ± 7.95%). CONCLUSION: All the studied clinical factors were found to have a limited impact on the overall accuracy of fetal weight estimation. However, the formula selection was found to have a significant impact on the accuracy, with the native population-based formulas being significantly more accurate.
format Online
Article
Text
id pubmed-7546305
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-75463052020-10-22 Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation Hiwale, Sujitkumar Firtion, Celine Indian J Radiol Imaging Fetal Imaging CONTEXT: The primary objective of this study was to examine the impact of maternal age, parity, gestational age, fetal gender, gestational diabetes mellitus, and pregnancy-induced hypertension on the accuracy of ultrasonography-based fetal weight estimation. The secondary objective was to find the impact of a formula selection on the accuracy of fetal weight estimation. SUBJECTS AND METHODS: The inclusion criteria were a live-birth singleton pregnancy and the last ultrasound scan to delivery interval ≤7 days. Fetal weight was estimated using the Hadlock-4 formula. To study the concurrent impact of all the factors on the accuracy, cases were divided into two subcategories based on percentage error, with ±10% as a threshold. The accuracy of Hadlock-4 formula was compared with the two Indian population-based formulas, Hiwale-1 and Hiwale-2. RESULTS: In total, 184 cases were included in the study. It was observed that the systematic error in weight estimation was significantly less in the male fetuses (8.45 ± 9.34%) in comparison to the female fetuses (11.71 ± 10.34%). The combined impact of all the factors on the accuracy was found to be nonsignificant by the multivariate analysis. The Hiwale-1 (-0.59 ± 8.75%) and Hiwale-2 (-0.65 ± 8.7%) formulas had statistically significant less errors compared to the Hadlock-4 formula (11.67 ± 7.95%). CONCLUSION: All the studied clinical factors were found to have a limited impact on the overall accuracy of fetal weight estimation. However, the formula selection was found to have a significant impact on the accuracy, with the native population-based formulas being significantly more accurate. Wolters Kluwer - Medknow 2020 2020-07-13 /pmc/articles/PMC7546305/ /pubmed/33100682 http://dx.doi.org/10.4103/ijri.IJRI_167_19 Text en Copyright: © 2020 Indian Journal of Radiology and Imaging http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Fetal Imaging
Hiwale, Sujitkumar
Firtion, Celine
Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title_full Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title_fullStr Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title_full_unstemmed Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title_short Analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
title_sort analysis of factors influencing accuracy of ultrasound-based fetal weight estimation
topic Fetal Imaging
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546305/
https://www.ncbi.nlm.nih.gov/pubmed/33100682
http://dx.doi.org/10.4103/ijri.IJRI_167_19
work_keys_str_mv AT hiwalesujitkumar analysisoffactorsinfluencingaccuracyofultrasoundbasedfetalweightestimation
AT firtionceline analysisoffactorsinfluencingaccuracyofultrasoundbasedfetalweightestimation