Fetal weight estimation by fundus-pubis measurements : A comparison of two different methods

The abdominal examination is an important component of the physical examination and should take place at every prenatal visit and childbirth management. Abdominal palpation enables the nurse to assess both uterine size and fetal position. The fetal weight may be roughly estimated by attempting to palpate as much of the fetus as possible abdominally and then envisioning the remainder. The sum of the two estimates gives the examiner an approximate idea of the fetal weight. The height of the fundus should be compatible with the estimated date of delivery; otherwise, complications such as small gestational age, hydramnois, fetal macrosomia should be considered. in this study, fetal weight estimation was made prospectively by measuring two different methods symphisial - fundal height with Johnson's formula in 321 (single) gravid women in labor with vertex presentation, between 34 - 42 weeks of gestation, who were admitted Eskişehir Maternity and Child Hospital. There are two methods which are used in measuring fundal height. One of them includes the upper curve of the fundus in measuring fundal height but the other one does not. Estimated fetal weights were compared to real birth weights, in addition, the effects of diastasis recti on measurement of fundal heights. The findings of those methods about the fundal height are compared. in conclusion, fundal height measurement which is very simple and easy, should be widespread use and low cost make.