Factors Affecting the Accuracy of Ultrasound Fetal Weight Assessment among Diabetic Patients

Factors Affecting the Accuracy of Ultrasound Fetal Weight Assessment among Diabetic Patients

Author(s)

Dr. Aysha Nedham, Bahija Abdulhafid Mohmed Naas

Abstract

 Background: Antenatal ultrasound (US) Estimated Fetal Weight (EFW) is an important

component of antenatal care.

Objective:

To evaluate the accuracy and consequences of US EFW within one-week interval prior

to delivery in diabetic Bahraini population.

Design:

A Retrospective Cohort Study.

Setting:

Bahrain Defence Force Hospital, Bahrain.

Method:

 Two hundred eighty-four diabetic women deliveries were reviewed. EFW, actual birth

weight, gestational diabetes and mode of delivery were documented and analyzed via stats Direct.P-value of less than 0.05 was considered significant.

Result:

The study population was divided into two groups. Twenty-eight (10%) yield an accurate

EFW. Accurate fetal weight estimation was affected by GA, EFW and actual birthweight. Fetal

gender, parity, diabetic status, maternal BMI, maternal age, mode of delivery and induction of

labor was not altered by the inaccurate estimation.

Conclusion: Ultrasound EFW in diabetic patient is more accurate at early gestation and for

smaller fetuses.

Bahrain Medical Bulletin

Bahrain Med Bull 2019; 41(1): 21 - 24

Available on : https://www.bahrainmedicalbulletin.com/MARCH_2019/MARCH2019_FACTORS.pdf