Evidence map›Paper›PMID 36964980›Full record

ArticleActa obstetricia et gynecologica Scandinavica2023

Accuracy and precision of sonographic fetal weight estimation in Sweden.

Linda Lindström, Sven Cnattingius, Ove Axelsson, Michaela Granfors

Registry-linked trialOpen access · diamondAbstract readEvaluation Study
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06456957 (Fetal Abdominal Subcutaneous Tissue Thickness in Prediction of Fetal Weight in Term Pregnant Women), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06456957 unknown statusnot on this mapstarted 2024, after this paper: background citation

Fetal Abdominal Subcutaneous Tissue Thickness in Prediction of Fetal Weight in Term Pregnant Women: A Prospective Cohort Study

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled240ConditionsUltrasound, Fetal Weight
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Stillbirth in Iceland 1996-2021: Incidence and etiology.Acta obstetricia et gynecologica Scandinavica · 2025
    Article
  10. Article
  11. Article
  12. Accuracy and precision of sonographic fetal weight estimation in Sweden.Acta obstetricia et gynecologica Scandinavica · 2023
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Linda LindströmDivision of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-4427-1075
Sven CnattingiusDivision of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.
Ove AxelssonDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Michaela GranforsDivision of Clinical Epidemiology, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-2925-3779
Uppsala University · SEKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

Swedish Infant Death Foundation (Spädbarnsfonden)
6 · The paper itself

Abstract

introductionFetal growth assessment by ultrasound is an essential part of modern obstetric care. The formula by Persson and Weldner for estimated fetal weight (EFW), used in Sweden since decades, has not yet been evaluated. The objective of this study was to evaluate accuracy and precision of the formula by Persson and Weldner, and to compare it to two other formulae using biparietal diameter instead of head circumference. MATERIAL AND

methodsThe study population consisted of 31 521 singleton pregnancies delivered at 22

resultsFor the formula by Persson and Weldner, MPE was -2.7 (SD 8.9) and the proportion of EFW within ±10% from actual birthweight was 76.0%. MPE was largest for fetuses estimated as severe SGA (<3rd percentile, -5.4) and for the most preterm fetuses (<24 weeks, -5.4). For Hadlock 2 and Shepard's formulae, MPE were 3.9 (SD 8.9) and 3.4 (SD 9.7), respectively, and the proportions of EFW within ±10% from actual birthweight were 69.4% and 67.1%, respectively. MPE was largest for fetuses estimated as severe LGA (>97th percentile), 7.6 and 9.4, respectively.

conclusionsThe recommended Swedish formula by Persson and Weldner is generally accurate for fetal weight estimation. The systematic underestimation of EFW and random error is largest in extreme preterm and estimated SGA-fetuses, which is of importance in clinical decision making. The accuracy of EFW with the formula by Persson and Weldner is as good as or better than Hadlock 2 and Shepard's formulae.

Indexed as

Fetal WeightInfant, Newborn, DiseasesBirth WeightFemaleFetal DevelopmentFetal Growth RetardationGestational AgeHumansInfant, NewbornPregnancySwedenUltrasonography, Prenatalbiparietal diameterestimated fetal weightfetal growthgestational agehead circumferencePersson and Weldner

Identifiers

PMID36964980
PMCPMC10201965
OpenAlexW4360938265

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.