ArticleObstetrics and gynecology international2026
Accuracy of Ultrasound Estimation of Fetal Weight (EFW) at Term: Insights From a Malaysian Tertiary Hospital for Primary Care Implementation.
Article in Obstetrics and gynecology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Accuracy of Ultrasound Estimation of Fetal Weight (EFW) at Term: Insights From a Malaysian Tertiary Hospital for Primary Care Implementation.Obstetrics and gynecology international · 2026Article
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4 authors.
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Abstract
Background: Estimated fetal weight (EFW) is a key determinant of obstetrical decision-making and an independent risk factor of high perinatal morbidity and mortality. However, routine ultrasound during pregnancy test is not universally available in the Malaysia primary care settings. Objective: To compare the accuracy of ultrasonographic EFW to the actual birth weight (ABW). Study DesignThis was a prospective cohort study involving women with singleton pregnancies, at term (37-38 + 6 weeks) and age ≥ 18 years. The accuracy of EFW was evaluated by calculating the percentage error (PE). PE of < 10% was regarded as "accurate." Results: A total of 153 participants were recruited. The majority of the participants were Malay (77.8%), followed by Indian (12.4%), Chinese (4.6%), and others. There was no significant association between ethnicity and ultrasound accuracy. The mean maternal weight at booking was 64.10 kg, while the mean body mass index (BMI) was 26.09 kg/m Conclusion: The accuracy of EFW in our study was comparable to similar studies done in other countries. There was a strong positive correlation between ultrasound EFW using the Hadlock-4 weight estimation model with ABW in our population. The accuracy of EFW within 24 h prior to delivery warranted a calculated decision on the induction of labor. Adequate training of examiners was crucial. Routine ultrasound EFW services should be made available and accessible in all healthcare settings in Malaysia.
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