Re: EFW

From: Allen Worrall (jworrall@alaska.net)
Wed Aug 28 11:11:52 2002


I presume these were patients who delivered within a few days of your examination. I find that doing ultrasound measurements that late in pregnancy can be difficult if the position of the fetus is not favorable. Particularly the AC: you will be lucky if you can see the entire periphery of the abdomen outlined by amniotic fluid. If the baby is prone, it may be difficult or impossible to obtain a lateral axial view of the head for the BPD/HC, or you may have to obtain the BPD/HC from a posterior or anterior axial view. And the femur might be buried under the baby, etc, etc.

My machine gives a +/- with the EFW. I am not sure what the latest thoughts are, but I understood EFW could be +/- 20%.

I have had 1 or 2 cases that delivered shortly after I did an ultrasound exam, but I did not bother to check the delivery weight against my EFW.

Allen

>----- Original Message -----
From: "art fougner, md" <evsono@pipeline.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.medispecialty.com> Sent: Wednesday, August 28, 2002 5:23 AM Subject: EFW

> ok new topic - what's the largest error of weight estimation by
> ultrasound you've made? mine so far was 1200 gm - estimated 4500 and
> actual weight was 5700g. also had one the other direction - EFW was
> 4000 actual weight 4550.
> we use the hadlock formula built into machine - any thoughts,
> experiences, etc?
>
> art
>
> --
> art fougner, md
> ich bin ein New Yorker




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