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.