@article { , title = {Is the use of symphysis-fundal height measurement and ultrasound examination effective in detecting small or large fetuses?}, abstract = {We investigated the accuracy of using symphysis pubis-fundal height measurement and ultrasonically derived estimation of fetal weight for identifying small-for-gestational-age (SGA) and large-for-gestational-age (LGA) fetuses. A retrospective cohort study was performed using computerised records of all non-diabetic women referred for an ultrasound growth scan (US) with clinically suspected SGA or LGA singleton fetuses from 35 weeks' gestation between October 2008 and March 2009 (n = 185). Birth weight data were also collected for all births over the study period (n = 3200). One-third (34\%) of ultrasound estimated fetal weights were inaccurate by >10\%. However, an inaccurate ultrasound estimation did not significantly increase the likelihood of spontaneous or induced onset of labour or delivery by caesarean section. Most (79\%) growth scans were performed on well-grown fetuses. The majority (80\%) of SGA and LGA babies in our cohort were not identified by clinicians during routine antenatal care. From 3,200 live births, there were a total of 59 infants weighing 5,000 Å g. Of these, only 12 had been referred for an ultrasound growth scan, indicating that abdominal palpation and fundal height measurement has a 20\% sensitivity in detecting SGA or LGA fetuses. Of the 12, four were detected using ultrasound, indicating a 33\% detection rate. Although ultrasound has a slightly higher sensitivity, neither clinical examination using fundal height measurements nor 3rd trimester ultrasound examinations are effective at detecting SGA or LGA fetuses. © 2011 Informa UK, Ltd.}, doi = {10.3109/01443615.2011.567343}, eissn = {1364-6893}, issn = {0144-3615}, issue = {5}, journal = {Journal of Obstetrics and Gynaecology}, pages = {380-383}, publicationstatus = {Published}, publisher = {Taylor \& Francis}, url = {https://uwe-repository.worktribe.com/output/960658}, volume = {31}, keyword = {estimated fetal weight, fetus, fundal height, labour outcome, LGA, SGA, ultrasound}, year = {2011}, author = {Hargreaves, K. and Cameron, M. and Edwards, H. and Gray, Richard and Deane, K.} }