SYMPHYSIS-PUBIS FUNDAL HEIGHT IN PREGNANT WOMEN AT MEDICAL UNIVERSITY HOSPITAL HO CHI MINH CITY, BRAND 2

Thi Hoan Nguyen1,, Thi Mai Vu1,2, Nguyen Thanh Truc Mai3
1 University of Medicine and Pharmacy at Ho Chi Minh city
2 Medical University Hospital Ho Chi Minh city
3 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Fundal height (FH) is one of the predictors to screen for abnormalities in fetal health. The study was conducted to determine the characteristic of fundal height growth. Then, comparing with other countries to see the different fundal height growth among countries. Objectives: To find out characteristics of fundal height growth from normal singleton pregnancy based on the last menstrual period (LMP) and/or ultrasound dating for women in the Obstetric Department, Medical University Hospital Ho Chi Minh City-Brand 2. Materials and methods: A prospective time-series study was conducted Obstetric Department, Medical University Hospital Ho Chi Minh City-Brand 2 between December 2021 and October 2022. Fundal height from 11 to 40 weeks was measured in centimeters. The fundal height growth was presented. Results: Fundal height growth characteristic was derived from measurements of 98 women. The fundal height increased from 8.5cm at 11 weeks to 16.6cm at 20 weeks and 32 cm at 39 weeks. Conclusions: The fundal height increased from 8.5cm at 11 weeks to 16.6cm at 20 weeks and 32cm at 39 weeks. Gestational age (week) always is higher than FH (cm) at 2.9±0.8, 3.2±0.34, and 4.5±1.37 for the first, second, and third trimesters. The fundal height growth of pregnant women at the Obstetric Department, Medical University Hospital Ho Chi Minh cityBrand 2 is not the same as that of Caucasian pregnant women. 

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References

1. Bộ môn Sản Đại Học Y Dược TPHCM (2020), Công cụ dánh giá tăng trưởng của thai nhi trong tử cung, Bài Giảng Sản Khoa, Nhà xuất bản Y Học, tr.148.
2. Bộ Y Tế (2017), Quản lý thai, Hướng Dẫn Quốc Gia về các Dịch Vụ Chăm Sóc
Sức Khoẻ Sinh Sản, tr.51.
3. Blue, N. R., Beddow, et al. (2018), “A Comparison of Methods for the Diagnosis of Fetal Growth Restriction Between the Royal College of Obstetricians and Gynaecologists and the American College of Obstetricians and Gynecologists”, Obstet Gynecol, 131(5), pp.835-841.
4. Buchmann E (2019), “Routine Symphysis-Fundal Height Measurement during Pregnancy: RHL Commentary”, Geneva, Switzerland: The WHO Reproductive Health Library, World Health Organization 2003ACOG Practice Bulletin No.204 Fetal Growth Restriction. Obstetric Gynecol, 133(2), 97-109.
5. Buhmann L, Elder WG, et al. (1998), “A comparison of Caucasian and Southeast Asian Hmong uterine fundal height during pregnancy”, Acta Obstet Gynecol Scand, 77(5), pp. 521-526.
6. Calvert JP, Crean EE, et al. (1982), “Antenatal screening by measurement of symphysis-fundus height”, British Medical Journal, 285(6345), pp.846-849.
7. Dias, T., Abeykoon, S., Kumarasiri, et al. (2016), “Symphysis-pubis fundal height charts to assess fetal size in women with a normal body mass index”, Ceylon Medical Journal, 61(3), pp.106-112.
8. Engstrom JL, Sittler CP (1993), “Fundal height measurement. Part 1-Techniques for measuring fundal height”, J Nurse Midwifery, 38(1), pp.5-16.
9. Hakansson A, Aberg A, et al. (1995), “A new symphysis-fundus height growth chart based on a well defined female population with ultrasound-dated singleton pregnancies”, Acta Obstetricia et Gynecologica Scandinavica, 74(9), pp.682-686.
10. Limpanyalert P, Manotaya S (2001), “Standard curve of symphysial-fundal height measurement and pregnancy characteristics in pregnant women at King Chulalongkorn Memorial Hospital”, Thai Journal of Obstetrics and Gynaecology, 13(4), pp.197-206
11. Ngan HYS, Woo JSK, et al. (1988), “A symphysis-fundal height nomogram for Hong Kong Chinese”, Journal of the Hong Kong Medical Association, 40(1), pp.55-57.
12. Robert Peter J, Ho JJ, et al. (2015), “Symphysial fundal height (SFH) measurement in pregnancy for detecting abnormal fetal growth”, Cochrane Database Syst Rev, 2015(9), CD008136.