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Published on: February 5, 2021
[FETAL WEIGHT CHARTS IN THE ISRAELI POPULATION]
Etty Daniel-Spiegel1,2, Micha Mandel3, Simcha Yagel4,5
1Ultrasound Unit, Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel.
Insights
New sonographic fetal weight charts tailored for the Israeli population were developed using Hadlock and Souka formulas. These charts improve accuracy in assessing fetal growth and are recommended for perinatal care professionals in Israel.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Diagnostic Ultrasound
Background:
- Sonographic estimated fetal weight (EFW) relies on fetal biometry and formulas, crucial for pregnancy monitoring.
- Existing reference charts ideally should reflect specific population data for accuracy.
- Population-specific charts enhance the reliability of EFW assessments in clinical practice.
Purpose of the Study:
- To develop and validate sonographic-based intrauterine fetal weight curves specific to the Israeli population.
- To provide accurate reference charts for fetal weight estimation in Israeli pregnancies.
Main Methods:
- Utilized over 70,000 ultrasound examinations from Israel.
- Applied Hadlock's formula for pregnancies under 30 weeks and Souka's formula from 31 to 42 weeks.
- Validated charts by comparing sonographic EFW with actual birth weights in 6389 women.
Main Results:
- Constructed sonographic fetal weight charts for the Israeli population.
- Both Hadlock and Souka formulas demonstrated efficiency.
- A combination of Hadlock (≤30 weeks) and Souka (>30 weeks) showed enhanced accuracy.
Conclusions:
- Presented Israeli-specific fetal weight charts based on established formulas and local biometric data.
- Recommended these charts as a universal reference for perinatal care providers in Israel.
- Sonographic biometric curves more reliably represent physiological fetal growth compared to birthweight curves.
Background:
Sonographic estimated fetal weight is performed by measuring the fetal organs' biometry and introducing the data into a formula. The calculated value is then compared with reference charts and serves as a critical component in pregnancy follow-up. Ideally the charts should be appropriate to the specific population.
Objectives:
To display and validate sonographic based Israeli-matched, intrauterine fetal weight curves.
Methods:
The international Hadlock and Souka formulas, were chosen and assessed using over 70,000 ultrasound examinations from Israel. Since the Souka formula is appropriate only after 30 weeks of pregnancy, we used Hadlock's formula for pregnancies under 30 weeks and the comparison between the Hadlock and Souka formulas was made thereafter. In order to evaluate the Israeli population charts, 6389 pregnant women were examined sonographically in the last three days of pregnancy, and the estimated fetal weights were compared with the actual newborn weights.
Results:
Fetal weight charts were constructed. Both equations were efficient, but the combination of Hadlock formula until 30 weeks and Souka between 31 to 42 weeks tended to be more accurate.
Conclusions:
We described fetal weight charts based on common equations, using biometric measurements derived from the Israeli population. We recommend the charts presented here as the universal reference for all the professionals involved in perinatal care in Israel.
Discussion:
Fetal growth abnormalities are determined by the curve chosen. Birthweight curves may underdiagnose restrictions in fetal growth because of the disorders associated with preterm delivery. Sonographic biometric curves represent physiological growth more reliably.
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