Journal article
Estimation of gestational age from fundal height: A solution for resource-poor settings
LJ White, SJ Lee, K Stepniewska, JA Simpson, SLM Dwell, R Arunjerdja, P Singhasivanon, NJ White, F Nosten, R McGready
Journal of the Royal Society Interface | ROYAL SOC | Published : 2012
Open access
Abstract
Many women in resource-poor settings lack access to reliable gestational age assessment because they do not know their last menstrual period; there is no ultrasound (US) and methods of newborn gestational age dating are not practised by birth attendants. A bespoke multiple-measures model was developed to predict the expected date of delivery determined by US. The results are compared with both a linear and a nonlinear model. Prospectively collected early US and serial symphysis-pubis fundal height (SFH) data were used in the models. The data were collected from Karen and Burmese women attending antenatal care on the Thai-Burmese border. The multiple-measures model performed best, resulting i..
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Awarded by Wellcome Trust
Funding Acknowledgements
This research was a part of the Wellcome Trust Mahidol University Oxford Tropical Medicine Research Programme, supported by the Wellcome Trust of Great Britain (Major Overseas Programme Thailand Unit Core Grant) and the Li Ka Shing Foundation-University of Oxford Global Health Programme. The authors acknowledge Marcus Rijken for his helpful comments and suggestions. L.J.W., S.J.L., K. S. and J.A.S. developed the model structures and performed the mathematical analysis. S. L. M. D., R. A. and R. M. participated in collecting the data. R. M., F.N., P. S. and N.J.W. participated in developing the initial concept of the study and manuscript revision. All authors read and approved the final manuscript.