Importance of Estimated Fetal Weight

Oct 13, 2025 by wbrum.org 66 views

Introduction

Estimating fetal weight is a crucial aspect of prenatal care, as it helps healthcare providers to monitor the health and development of the fetus. Two commonly used formulas for estimating fetal weight are the Dare's formula and the Johnson-Tausack formula. However, there is limited research on the accuracy of these formulas, and it is essential to compare their performance to determine which one is more accurate. This study aims to compare the estimated level of fetal weight accuracy using the Dare's formula with Johnson-Tausack.

Methodology

This study uses a cross-sectional design by involving pregnant women as research subjects. The data collected includes the characteristics of pregnant women and birth weight as the gold standard. Data collection was carried out at the Obstetrics and Gynecology Department of Hospital H. Adam Malik Hospital, namely Medan Sundari Hospital, from March 2014 to the number of samples fulfilled. The sampling method used is consecutive sampling. Data analysis is done by calculating sensitivity, specificity, and accuracy of the two formulas.

Results

The results of the study showed that:

The majority of research subjects aged 26-30 years (37%), are primigravids (39%), with 36-38 weeks' gestation (44%).
Most subjects have female sex (53%).
Body weight is divided into two groups: less than 3000 grams (39%) and more than 3000 grams (61%).

Accuracy Analysis

The accuracy analysis of the two formulas showed that:

Dare's formula has a sensitivity of 59% and 96% specificity. This formula has an accuracy of up to 30% for infants weighing less than 3000 grams.
Johnson-Tausack formula has 33% sensitivity and 98% specificity. This formula has an accuracy of 17% for infants weighing less than 3000 grams, and 34% for infants weighing more than 3000 grams.

T-test Analysis

The T-test analysis showed that:

Average fetal weight based on the Johnson-Tausack formula is 3251.9 gr ± 285,532 with a p value <0.05. This shows that there is a significant difference between the estimated fetal weight and the actual weight of birth.
Average fetal weight based on the Dare's formula is 3160.45 ± 38.152 with a value of P> 0.05. This shows there is no significant difference between the estimated fetal weight and the actual weight of birth.

Conclusion

Based on the results of the analysis, the Dare's formula has proven to be more accurate in estimating fetal body weight compared to Johnson-Tausack. This is evidenced by the sensitivity value, specificity, accuracy, and the results of the T-test that shows the Dare's formula has better performance.

Recommendation

Further research with a larger number of samples and longer span of time is needed to strengthen this conclusion. In addition, it is necessary to examine other factors that can affect the estimated accuracy of fetal body weight such as pregnancy history, maternal health conditions, and genetic factors.

Importance of Estimated Fetal Weight

The estimated accuracy of fetal body weight is very important in managing pregnancy and childbirth. With accurate predictions, doctors and midwives can do appropriate treatment to prevent complications that might occur.

Limitations of Estimated Fetal Weight

It is essential to know that:

Estimated fetal weight is only predictions and not a definite value.
Each formula has advantages and disadvantages of each.
Formula options must be adjusted to the needs and conditions of each pregnant woman.

Suggestion

Discuss with your doctor about the estimated method of fetal weight that is most appropriate for you.
Monitor fetal development regularly to get accurate information about fetal body weight.

Conclusion

In conclusion, this study has compared the estimated accuracy of fetal weight using the Dare's formula with Johnson-Tausack. The results showed that the Dare's formula has better performance in estimating fetal body weight. However, further research is needed to strengthen this conclusion and to examine other factors that can affect the estimated accuracy of fetal body weight.

Recommendation for Future Research

Future research should focus on:

Conducting a larger-scale study with a longer span of time to strengthen the conclusion.
Examining other factors that can affect the estimated accuracy of fetal body weight such as pregnancy history, maternal health conditions, and genetic factors.
Comparing the performance of other formulas with Dare's and Johnson-Tausack formulas.

Importance of Accurate Fetal Weight Estimation

Accurate fetal weight estimation is crucial in managing pregnancy and childbirth. With accurate predictions, doctors and midwives can do appropriate treatment to prevent complications that might occur. Therefore, it is essential to choose the most accurate formula for estimating fetal weight.

Limitations of the Study

This study has some limitations, including:

The sample size was relatively small.
The study was conducted in a single hospital.
The study only compared two formulas, and other formulas were not included.

Future Directions

Future research should focus on addressing these limitations and exploring other factors that can affect the estimated accuracy of fetal body weight.

Conclusion

Q: What is estimated fetal weight?

A: Estimated fetal weight (EFW) is a calculation used to predict the weight of a fetus based on various factors, such as the mother's age, weight, and height, as well as the gestational age of the fetus.

Q: Why is estimated fetal weight important?

A: Estimated fetal weight is important because it helps healthcare providers to monitor the health and development of the fetus. Accurate predictions can help prevent complications during pregnancy and childbirth.

Q: What are the two formulas used to estimate fetal weight?

A: The two formulas used to estimate fetal weight are the Dare's formula and the Johnson-Tausack formula.

Q: Which formula is more accurate?

A: According to our study, the Dare's formula has proven to be more accurate in estimating fetal body weight compared to Johnson-Tausack.

Q: What are the limitations of estimated fetal weight?

A: Estimated fetal weight is only a prediction and not a definite value. Each formula has its advantages and disadvantages, and formula options must be adjusted to the needs and conditions of each pregnant woman.

Q: How can I choose the most accurate formula for estimating fetal weight?

A: You should discuss with your doctor about the estimated method of fetal weight that is most appropriate for you.

Q: What are the factors that can affect the estimated accuracy of fetal body weight?

A: Factors that can affect the estimated accuracy of fetal body weight include pregnancy history, maternal health conditions, and genetic factors.

Q: Why is it essential to monitor fetal development regularly?

A: Monitoring fetal development regularly can help you get accurate information about fetal body weight and prevent complications during pregnancy and childbirth.

Q: What are the benefits of accurate fetal weight estimation?

A: Accurate fetal weight estimation can help prevent complications during pregnancy and childbirth, and ensure a healthy outcome for both the mother and the baby.

Q: Can I use other formulas to estimate fetal weight?

A: Yes, there are other formulas available to estimate fetal weight, but it is essential to discuss with your doctor about the most accurate formula for you.

Q: How can I stay informed about the latest research on estimated fetal weight?

A: You can stay informed by following reputable health sources, such as the American College of Obstetricians and Gynecologists (ACOG) or the National Institute of Child Health and Human Development (NICHD).

Q: What are the next steps after estimating fetal weight?

A: After estimating fetal weight, your healthcare provider will use the results to monitor your pregnancy and make any necessary adjustments to your care.

Q: Can I estimate fetal weight at home?

A: No, it is not recommended to estimate fetal weight at home. This should be done by a healthcare provider using a reliable formula and accurate measurements.

Q: How often should I have my fetal weight estimated?

A: Your healthcare provider will determine how often to estimate fetal weight based on your individual needs and the stage of your pregnancy.

Q: What are the risks associated with inaccurate fetal weight estimation?

A: Inaccurate fetal weight estimation can lead to complications during pregnancy and childbirth, such as preterm labor, fetal distress, or birth asphyxia.

Q: Can I use technology to estimate fetal weight?

A: Yes, there are various technologies available to estimate fetal weight, such as ultrasound and fetal monitoring devices. However, these should be used in conjunction with a healthcare provider's assessment.

Q: How can I ensure accurate fetal weight estimation?

A: You can ensure accurate fetal weight estimation by working closely with your healthcare provider, following their recommendations, and staying informed about the latest research and guidelines.