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      Symphysis‐fundal height measurement in pregnancy

      systematic-review
      Cochrane Pregnancy and Childbirth Group
      The Cochrane Database of Systematic Reviews
      John Wiley & Sons, Ltd

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          Abstract

          Background

          In many settings, symphysis‐fundal height measurement has replaced clinical assessment of fetal size by abdominal palpation because the latter has been reported to perform poorly.

          Objectives

          The objective of this review was to assess the effects of routine use of symphysis‐fundal height measurements (tape measurement of the distance from the pubic symphysis to the uterine fundus) during antenatal care on pregnancy outcome.

          Search methods

          Comprehensive electronic search of the Cochrane Pregnancy and Childbirth Group trials register (August 2002).

          Selection criteria

          Acceptably controlled trials comparing symphysis‐fundal height measurement with assessment by abdominal palpation alone.

          Data collection and analysis

          One reviewer assessed trial quality and extracted data.

          Main results

          One trial involving 1639 women was included. No obvious differences were detected in any of the outcomes measured.

          Authors' conclusions

          There is not enough evidence to evaluate the use of symphysis‐fundal height measurements during antenatal care.

          Plain language summary

          Symphysis‐fundal height measurement in pregnancy

          Too little evidence to show whether measuring the height of the pregnant belly at antenatal visits leads to better outcomes.

          Many pregnant women have the distance from the lowest part of their uterus (womb) (near the pubic bone) to the highest part of their uterus measured with a tape measure (symphysis fundal height). Their caregiver may also feel and gently press the outside of the woman's pregnant uterus (abdominal palpation). This is to check the baby's size and position, the quantity of fluid around the baby and to diagnose multiple pregnancy. The review found that there is too little evidence to show whether symphysis fundal height measurement during pregnancy is more beneficial than abdominal palpation. Further research is needed.

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          Author and article information

          Contributors
          jneilson@liverpool.ac.uk
          Journal
          Cochrane Database Syst Rev
          Cochrane Database Syst Rev
          14651858
          10.1002/14651858
          The Cochrane Database of Systematic Reviews
          John Wiley & Sons, Ltd (Chichester, UK )
          1469-493X
          26 January 1998
          January 1998
          4 November 2008
          : 1998
          : 1
          : CD000944
          Affiliations
          The University of Liverpool deptSchool of Reproductive and Developmental Medicine, Division of Perinatal and Reproductive Medicine First Floor, Liverpool Women's NHS Foundation Trust Crown Street Liverpool UK L8 7SS
          Article
          PMC7032650 PMC7032650 7032650 CD000944 CD000944
          10.1002/14651858.CD000944
          7032650
          10796225
          04e30f4b-03d1-4117-8086-de981325727f
          Copyright © 2010 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
          History
          Categories
          Pregnancy & childbirth
          Antenatal care

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