The Accuracy of Ultrasound versus Clinical Methods for Estimating Fetal Weight among Term Pregnant Women Delivering at Kiryandongo General Hospital Uganda
| dc.contributor.author | Fred Mutabazi | |
| dc.date.accessioned | 2026-09-03T08:36:18Z | |
| dc.date.available | 2026-09-03T08:36:18Z | |
| dc.date.issued | 2023-11 | |
| dc.description.abstract | Background: The EFW established in the third trimester, usually around 30 weeks of gestation, is normally used to predict the fetal weight at term. Researchers have proposed various formulae to estimate fetal weight over the years, but no simple and easily applied formula has yet been proposed to transform an external maternal measurement into an EFW. Aim of the study: To determine the accuracy of ultrasound versus clinical methods for estimating fetal weight among term pregnant women delivering at Kiryandongo hospital. Materials and Methods: A 3-months cross-sectional study involving 246 participants was conducted from December 2022 to February 2023 at Kiryandongo general hospital. Interviewer administered questionnaires were used to obtain data. Data was analyzed in line with study objectives using STATA version 14.2. Correlation coefficient "r" was computed to determine the relationship between weight at birth and weight determined clinically and sonographically Results: A linear relationship (R2) between ultrasound scan fetal weight estimation and clinical methods with actual birth weights at varying levels; with ultrasound scan as the highest (R2 = 0.593) followed by Dares’ formula (R2 = 0.447) and lastly Johnson’s formula (R2 = 0.383) Conclusions: Hadlock ultrasonography EFW were more precise than the clinical methods used to estimate birth weight. Johnson's method was less accurate than both Hadlock ultrasonography method and Dare's clinical method. Dare's method was less accurate than Hadlock method, however was more accurate than Johnson's formula among the clinical techniques. Recommendation: Ultrasound scan should be emphasized in estimating fetal weight at this facility. Where ultrasound scan services are not available or affordable, a simple and low-cost Dare's clinical method over Johnson's clinical method should be employed by the attending doctor or midwife in estimating fetal weight at this facility Recommendations: The ministry of health and other pertinent individuals or groups must stress the significance of EFW during the prenatal and intrapattern phases. At this facility, the ultrasound scan should be prioritized for EFW. The attending physician or midwife at this facility should use the straightforward and less expensive Dare's method rather than Johnson's clinical method when calculating EFW in cases of no/expensive ultrasound scan services | |
| dc.identifier.uri | http://hdl.handle.net/20.500.12493/14996 | |
| dc.language.iso | en | |
| dc.publisher | Kampala International University; Faculty of Clinical Medicine and Dentistry | |
| dc.title | The Accuracy of Ultrasound versus Clinical Methods for Estimating Fetal Weight among Term Pregnant Women Delivering at Kiryandongo General Hospital Uganda | |
| dc.type | Thesis |