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RMJ. 2025; 50(2): 404-407


Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia

Mavra Tufail, Huma Afridi, Beenish Riaz, Sadaf Afzal, Itaat Ulllah Khan Afridi, Angbeen Ahmad.


Abstract
Objective: To determine the diagnostic accuracy of clinical estimation of birth-weight using examination of the abdomen in the estimation of fetal macrosomia keeping actual birth weight as gold standard.
Methodology: This cross-sectional validation study was done at department of Obstetrics and Gynecology, Railway General Hospital, Rawalpindi from 1st July 2023 to 31st December 2023. A total of 476 pregnant women with gestational ages greater than 37 weeks were included in the study. All underwent clinical assessment, and fundal height and abdominal girth were measured; once the neonate was delivered, their birth weight was measured.
Result: The age range was 18 and 42 years (mean 30.048±3.60), mean weight by clinical estimation of 3182.905±435.08 grams and mean actual birth weight of 3091.991±437.17 grams. Clinical analysis of birth weight showed a sensitivity of 54.8%, specificity of 97.5% and diagnostic accuracy of 95%, PPV of 60.7%, and NPV 96.9% in the diagnosis of fetal macrosomia, while LR+ was 22.2 and LR- was 0.46.
Conclusion: Clinical estimation of birth weight has a role in the management of labor and delivery in a term pregnancy.

Key words: Macrosomia, birth weight, diagnostic accuracy.


 
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How to Cite this Article
Pubmed Style

Tufail M, Afridi H, Riaz B, Afzal S, Afridi IUK, Ahmad A. Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. RMJ. 2025; 50(2): 404-407.

Web Style

Tufail M, Afridi H, Riaz B, Afzal S, Afridi IUK, Ahmad A. Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. https://www.rmj.org.pk/?mno=219365 [Access: May 12, 2025].

AMA (American Medical Association) Style

Tufail M, Afridi H, Riaz B, Afzal S, Afridi IUK, Ahmad A. Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. RMJ. 2025; 50(2): 404-407.


Vancouver/ICMJE Style

Tufail M, Afridi H, Riaz B, Afzal S, Afridi IUK, Ahmad A. Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. RMJ. (2025), [cited May 12, 2025]; 50(2): 404-407.


Harvard Style

Tufail, M., Afridi, . H., Riaz, . B., Afzal, . S., Afridi, . I. U. K. & Ahmad, . A. (2025) Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. RMJ, 50 (2), 404-407.


Turabian Style

Tufail, Mavra, Huma Afridi, Beenish Riaz, Sadaf Afzal, Itaat Ulllah Khan Afridi, and Angbeen Ahmad. 2025. Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. Rawal Medical Journal, 50 (2), 404-407.


Chicago Style

Tufail, Mavra, Huma Afridi, Beenish Riaz, Sadaf Afzal, Itaat Ulllah Khan Afridi, and Angbeen Ahmad. "Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia." Rawal Medical Journal 50 (2025), 404-407.


MLA (The Modern Language Association) Style

Tufail, Mavra, Huma Afridi, Beenish Riaz, Sadaf Afzal, Itaat Ulllah Khan Afridi, and Angbeen Ahmad. "Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia." Rawal Medical Journal 50.2 (2025), 404-407. Print.


APA (American Psychological Association) Style

Tufail, M., Afridi, . H., Riaz, . B., Afzal, . S., Afridi, . I. U. K. & Ahmad, . A. (2025) Fetal weight estimation; diagnostic accuracy of clinical measurements at full-term in predicting fetal macrosomia. Rawal Medical Journal, 50 (2), 404-407.


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