Intrauterine Growth Restriction

Planned Delivery

INTRAUTERINE GROWTH RESTRICTION

Cochrane Database Syst Rev.

2000;(2):CD000944.

Symphysis-fundal height measurement in pregnancy.

Neilson JP.

Department of Obstetrics and Gynaecology, University of Liverpool, Liverpool, UK, L69 3BX. jneilson@liverpool. Ac.uk

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 Strategy:

The Cochrane Pregnancy and Childbirth Group trials register was searched.

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 differences were detected in any of the outcomes measured. REVIEWER'S

Conclusions:

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

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