SynthesisThe Cochrane database of systematic reviews2012
Symphysial fundal height (SFH) measurement in pregnancy for detecting abnormal fetal growth.
Synthesis in The Cochrane database of systematic reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Regimens of fetal surveillance of suspected large-for-gestational-age fetuses for improving health outcomes.The Cochrane database of systematic reviews · 2016Pooled it
- Symphysial fundal height (SFH) measurement in pregnancy for detecting abnormal fetal growth.The Cochrane database of systematic reviews · 2015Pooled it
- Symphysis-fundus height measurement to predict small-for-gestational-age status at birth: a systematic review.BMC pregnancy and childbirth · 2015Pooled it
- Observational
- Timing and cause of perinatal mortality for small-for-gestational-age babies in South Africa: critical periods and challenges with detection.Maternal health, neonatology and perinatology · 2016Article
- Diagnostic accuracy of fundal height and handheld ultrasound-measured abdominal circumference to screen for fetal growth abnormalities.American journal of obstetrics and gynecology · 2015Article
- Causes of perinatal mortality and associated maternal complications in a South African province: challenges in predicting poor outcomes.BMC pregnancy and childbirth · 2015Article
- Growth assessment in diagnosis of Fetal Growth Restriction. Review.Journal of medicine and life · 2014Review
- Maternal KIR in combination with paternal HLA-C2 regulate human birth weight.Journal of immunology (Baltimore, Md. : 1950) · 2014Article
- Fundal height growth curve for underweight and overweight and obese pregnant women in Thai population.ISRN obstetrics and gynecology · 2013Article
- Fundal height growth curve for thai women.ISRN obstetrics and gynecology · 2013Article
Corrections and comments
- Updated by
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSymphysis fundal height (SFH) measurement is commonly practiced primarily to detect fetal intrauterine growth restriction (IUGR). Undiagnosed IUGR may lead to fetal death as well as increase perinatal mortality and morbidity.
objectivesThe objective of this review is to compare SFH measurement with serial ultrasound measurement of fetal parameters or clinical palpation to detect abnormal fetal growth (IUGR and large-for-gestational age), and improving perinatal outcome. SEARCH
methodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (20 January 2012) and reference lists of retrieved articles. SELECTION CRITERIA: Randomised controlled trials including quasi-randomised and cluster-randomised trials involving pregnant women with singleton fetuses at 20 weeks' gestation and above comparing tape measurement of SFH with serial ultrasound measurement of fetal parameters or clinical palpation using anatomical landmarks. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion, trial quality and extracted data. Data were checked for accuracy. MAIN
resultsOne trial involving 1639 women was included. It compared SFH measurement with clinical abdominal palpation.There was no difference in the two reported primary outcomes of incidence of small-for-gestational age (risk ratio (RR) 1.32; 95% confidence interval (CI) 0.92 to 1.90) or perinatal death. There was no difference in the reported secondary outcomes of neonatal hypoglycaemia, admission to neonatal nursery, admission to the neonatal nursery for IUGR, induction of labour and caesarean section. AUTHORS'
conclusionsThere is insufficient evidence to determine whether SFH measurement is effective in detecting IUGR. We cannot therefore recommended any change of current practice. Further trials are needed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.