|
Sign In to gain access to subscriptions and/or personal tools.
|
The Effect of Amniotic Fluid Index on the Accuracy of Sonographic Estimated Fetal Weight
Sharon A. Durbin, BSN, MS, RDMS
Luther-Midelfort Womens Health Ultrasound, Eau Claire, WI, durbin.sharon{at}mayo.edu
Connie W. Lee, EDD, ARNP, IBCLC
Luther-Midelfort Womens Health Ultrasound, Eau Claire, WI, School of Nursing, Clemson University, Clemson, SC
Veronica G. Parker, PHD
Luther-Midelfort Womens Health Ultrasound, Eau Claire, WI, School of Nursing, Clemson University, Clemson, SC
The objective of this study was to investigate whether there is a relationship between the amniotic fluid index (AFI) and the accuracy of the sonographic estimated fetal weight (EFW) as substantiated by the actual birth weight. This is a retrospective study where data of the sonographic estimated fetal weight and the birth weight at delivery were collected to calculate range of error when the amniotic fluid index was indicative of polyhydramnios or oligohydramnios, with normal amniotic fluid volumes as a control group. Results revealed significant, fairly strong to strong correlations between the variables within each group. Further analysis compared the mean scores of the three groups. Although differences in the mean values exist, large overlaps existed. This questions the usefulness of the correlation of the EFW and AFI in clinical use.
Key Words: amniotic fluid index birth weight estimated fetal weight ultrasound estimated fetal weight biparietal diameter head circumference abdominal circumference femur length
References
- Predanic M, Cho A, Ingrid F, Pellettieri J: Ultrasonographic estimation of fetal weight: acquiring accuracy in residency. J Ultrasound Med 2002;21: 495-500.[Abstract/Free Full Text]
- Benacerraf BR, Gelman R, Frigoletto FD Jr: Sonographically estimated fetal weights: accuracy and limitation. Am J Obstet Gynecol 1988;159: 1118-1121.[Medline]
[Order article via Infotrieve]
- Meyer WJ, Font GE, Gathier DW, et al: Effect of amniotic fluid volume on ultrasonic fetal weight estimation. J Ultrasound Med 1995;14: 193-197.[Abstract]
- Edwards A, Goff J, Baker L: Accuracy and modifying factors of the sonographic estimation of fetal weight in a high-risk population. Aust N Z Obstet Gynecol 2001;41: 187-190.
- Owen P, Osman I, Farrell T: Is there a relationship between fetal weight and amniotic fluid index? Ultrasound Obstet Gynecol 2002;20: 61-63.[Medline]
[Order article via Infotrieve]
- Perni SC, Predanic M, Cho JE, Kalish RB, Chasen ST: Association of amniotic fluid index with estimated fetal weight. J Ultrasound Med 2004;23: 1449-1452.[Abstract/Free Full Text]
- Moore TR, Cayle JE: The amniotic fluid index in normal human pregnancy. Am J Obstet Gynecol 1990;162: 1168-1173.[Medline]
[Order article via Infotrieve]
- Hadlock FP, Harrist RB, Sharman RS, Deter RL, Park SK: Estimation of fetal weight with the use of head, body and femur measurements: a prospective study. Am J Obstet Gynecol 1985;151: 333-337.[Medline]
[Order article via Infotrieve]
- Chien PF, Owen P, Khalid KS: Validity of ultrasound estimation of fetal weight. Obstet Gynecol 2000;95: 856-860.[CrossRef][Medline]
[Order article via Infotrieve]
- Cunningham F, MacDonald P, Leveno K, Gant N, Gilstrap L III: Williams Obstetrics. 19th ed. Norwalk, CT: Appleton & Lange, 1993.
- Myles TM, Nguyen TM: Relationship between normal amniotic fluid index and birth weight in term patients presenting for labor. J Reprod Med 2001;46: 685-690.[Medline]
[Order article via Infotrieve]
- Owen P, Donnet ML, Ogston SA, Christie AD, Howie PW, Patel NB: Standards for ultrasound fetal growth velocity. Br J Obstet Gynaecol 1996;103: 60-69.[Medline]
[Order article via Infotrieve]
- Hendrix N, Grady C, Chauhan S, Suneet CP: Clinical versus sonographic estimate of weight in term parturients. J Reprod Med 2000;45: 317-322.[Medline]
[Order article via Infotrieve]
- Baum J, Gussman D, Wirth J III: Clinical and patient estimation of fetal weight vs. ultrasound estimation. J Reprod Med 2002;20: 61-63.
- Pinette M: Estimation of fetal weight: mean value from multiple formulas. J Ultrasound Med 1999;18: 813-817.[Abstract]
Journal of Diagnostic Medical Sonography, Vol. 21, No. 4,
329-335 (2005)
DOI: 10.1177/8756479305278267

CiteULike Complore Connotea Del.icio.us Digg Reddit Technorati Twitter What's this?
|
|