CONCLUSION:
Symphysis fundal height measurement plotted on 21stIntergrowth chart was found to be more sensitive and specific in detecting SGA new-borns compared to conventional fundal height palpation. The use of SFH measurement charts led to correct detection of additional cases, which were otherwise missed by palpation and timely initiation of management of the same. Hence, this method seems to be more reliable compared to conventional FH palpation for assessment of foetal growth on antenatal visits for screening SGA foetuses and possibly a more cost and time effective tool compared to serial growth monitoring by ultrasonography in low resource settings.
However, this study observed a higher birth weight cut offs corresponding to the 10th centile on the 21st Intergrowth chart with resultant overdiagnosis of SGA foetuses when applied to Indian population.
ACKNOWLEDGEMENT:
Disclosures: There is no conflict of interest among authors to declare.