EFW was estimated by clinical method using Johnson's formula, Hadlock's formula & Dare's formula compared with the actual birth weight. Risantos Formulas is more Accurate in Determining Estimated Fetal Weight . weight estimation by Johnson's formula was most accurate in weight group 3001-3500 grams and less accurate in weight group 2501-3000 grams The aim of this report is to assess the accuracy of two different methods for fetal weight estimation. Clinical accuracy of estimated fetal weight in term pregnancies in a teaching hospital. B. Johnson's formula: Weight in grams=155x(SFH-X) X=13 when presenting part at minus station JOHNSON'S FORMULA: WEIGHT IN GRAMS = (SYMPHYSIOFUNDAL HEIGHT - x) X 155. . It was found that this formula tends to . some authors have identified the Dare's formula for the clinical estimation of fetal weight as superior to that of Johnson's and Dawn's at the lower limit of normal and below7. Where, X = 13, when presenting part is at the minus station; X = 12, when presenting part at 0 station Estimation of fetal weight (EFW) is an important component of maternity care management, especially in counselling, differential diagnoses and planning the mode of birth (Chauhan et al., 2006).In addition, labour abnormalities as well as neonatal complications may be associated with extremes of birth weight (Cunningham et al., 2005).An infant born with unsuspected growth . The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta. There were 66.1% (n=244) women had parity between 1-3 and 33.9% (n=125) had parity between 4-6.The Johnson's formula was seen to over-estimate the fetal weight. Accuracy of Risanto's Formula Compared with Johnson's to Estimate Fetal Weight in Overweight Mothers. Maternal obesity precluded clinical estimation of fetal weight in eight patients (12.9%) and a combination of maternal obesity, anterior placentation, and oligohydramnios prevented ultrasonographic fetal measurement in four patients (6.5% . Introduction. Estimation of fetal weight by Johnson's formula ; MC Donald's measurement of symphysis fundal height; Station of the presenting part by abdominal and vaginal examination when in labor. Intrauterine estimated fetal weight is 0-106 g higher than median birth weight in the preterm period. Johnson's formula to estimate fetal weight gave an average of 227 grams higher compared to their actual infant birth weight.9 The same result was demonstrated by the our previous study conducted in Yogyakarta showing that Johnson formula was 107.4 grams higher and Risanto's formula was 86,2 grams higher.6 60.8% cases the difference was within range of 10% and in 84.8% the difference was less than 15%. This equation further can be used for estimation of fetal weight without any ultrasonographic formula correlation co-efficient equal to (R2=0.997). Mean birth weight can be described as a function of gestational age. Clinical Endocrinology, Vol. Materials and methods: The study was performed to determine the fetal weight in term pregnancy using abdominal girth x symphysis fundal height (Insler's formula), Johnson's formula and Hadlock's The formula is as follows: Fetal weight (g) = [fundal height (cm) - n] x155 n = 12, if vertex is above the ischial spines n = 11, if vertex is below ischial spines. In. Since fetal weight cannot be directly measured, its reliable estimation at different stages of pregnancy has become an essential issue in obstetrics and gynecology and one of the critical elements in developing a fetal growth chart for estimated fetal weight. Fetal weight (gms) = (McDonald's measurement - X) 155. The. Introduction. A study in Johnson's formula :Fundal height measurement for estimation of birth weight.AU J.T.8(1):15-20(jul 2004). Estimated Fetal Weight (EFW) Calculator Normal fetal growth is important not only for a healthy pregnancy, but also for ensuring health and well-being throughout childhood and adolescence. Settings Maternity units of three teaching hospitals (Tikur Anbessa, Gandhi Memorial and Saint Paul's) in Addis Ababa, Ethiopia. 1954;68(3):891-6. . Measurements have been combined to estimate fetal weight by mathematically based non-linear regression analysis or physically based volumetric methods. n= 13, if the presenting part is at +1. Result The estimation of fetal weight at term pregnancy using Johnson's formula is as effective as sonological method. Here symphysiofundal height is taken after correcting the dextrorotation, from the upper border of symphysis to the height of the fundus. 21.0 the analysis of Data had been performed. Frequency Distribution of Estimated Also abdominal circumference (mm) strongly related to the fetal Weight in (Gm) where logarithmic correlation was investigate this relationship reveals that (fetal weight = The following data were collected: age, body mass index, parity, values of symphysis-fundus evaluation according to Johnson's rule, ultrasound fetal weight estimation values, and birthweight. et al. Johnson's formula for estimation of foetal weight in vertex presentation is as follows: Foetal weight (g)=fH (cm)n 155. fH=fundal height and n=12 if vertex is above ischial spine or 11 if vertex is below ischial spine. Objective: This is a prospective study of 200 antenatal women of third trimester with a singleton pregnancy with reliable date/dating scan, with no fetal anomalies, undergoing obstetric scan at term. Another formula is the product of symphysiofundal height with abdominal girth in centimeters which gives a fairly good estimate of fetal weight. Estimation Of Fetal Weight By Clinical Methods And Ultrasonography And Comparing With Actual Birth Weight : Author(s): Mossayebnezhad Raziyeh, Niknami Maryam*, Pakseresht Sedigheh, Kazemnezhad Leili Ehsan * Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran : Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Johnson's and Toshach (1954), determined that a fetal birth weight of 3300 corresponded more closely with a fundal height of 34 cm and a centimeter change in fundal height Results: The new formula (estimated fetal weight = 5381.193 + 150.324 x head circumference + 2.069 x femur length3 + 0.0232 x abdominal circumference3-6235.478 x log(head circumference)) proved to be superior to established equations. Am J Obstet Gynecol. Using SPSS ver. With respect to ultrasound method, the fetal weight is found to be 45 gm and 132 gm at 95% confidence interval at p value < 0.001. Johnson's formulae's co-relates well with actual birth. It was observed that there were 36% (n=133) women had weight between 40-50 kg and 64% (n=236) had weight between 51-60 kg. . JOHNSON'S FORMULA: WEIGHT IN GRAMS = (SYMPHYSIOFUNDAL HEIGHT - x) X 155. Concordance analysis was performed between the estimated fetal weight obtained with the Johnson and Toshach's formula and the immediate neonatal weight, using the correlation coefficient - concordance of Lin and the limits according to the 95% of Bland-Altman. Which is the most accurate formula to estimate fetal weight in women with severe . In Indonesia, however, a reliable model and data for . 1954; . There were 66.1% (n=244) women had parity between 1-3 and 33.9% (n=125) had parity between 4-6.The Johnson's formula was seen to over-estimate the fetal weight. examination the status of the vertex was determind.3 The fetal weight was estimated by using:- JOHNSON'S FORMULA1,4,5-: Weight in grams = (Mcdonald's measurement of Symphysiofundal height in centimeters -x) 155 x = 13, when presenting part was floating x = 12, when presenting part was at brim For clinical method, the fetal weight falls between 95 gm and 183 gm at 95% confidence interval. 74, No. A . Risanto's formula based on Indonesian population had been already proven to be more accurate than Johnson's formula. International Journal of Scientific Study 2 , 163-170 (2014) A fetal growth chart is a vital tool for assessing fetal risk during pregnancy. 2009;99(6):457-60. measurements in ultrasound fetal weight estimation formulae in prediction of birth weight. The NICHD Fetal Growth Study, started in 2009, aims to set evidence-based standards for normal fetal growth and size for each stage of pregnancy. The difference in between fetal weight estimation by Dare's formula and true birth weight was statistically not significant. Correlation of ultrasonographic estimated fetal weight with actual birth weight in a tertiary hospital in Lagos, Nigeria. Results The estimated mean birth weight by clinical method was 3492.75393.16g, by Ultrasound was 3230.02407.22g and actual mean birth weight was 3236.32472.87g. . & Siswosudarmo, R. (2013). Johnson's formula is a formula for the estimation of fetal weight in vertex presentations. Results: There is no difference in fetal weight estimation between Johnson Toshach formula and Dare formula with the birth weight ( value> 0.1). and result expressed in grams to estimate foetal weight in uteru at term ,and the estimation correlated well with birth weight (21). S Afr Med J. Accuracy of fetal weight estimation is of key importance in antenatal care, as well as in the planning and management of labour and mode of delivery [1,2,3,4,5,6,7,8,9].In order to achieve more accurate prenatal fetal weight estimations and align these with a risk-optimizing mode of delivery, additional tools supporting the standard of use with ultrasound are needed. The NICHD Fetal Growth Study, started in 2009, aims to set evidence-based standards for normal fetal growth and size for each stage of pregnancy. Various clinical formulae like Johnson's formula and Dawn's formula have come into usage for fetal weight estimation. If a birth occurs at the end of this period, the pregnancy is considered the full term. A linear regression was performed to adjust the fetal weight in preterm pregnancies. the method of Johnson and Toshach and the immediate fetal weight in term pregnancies was 0.62 (95% CI 0.53 to 0.70). Measurement of the symphysis-fundal height (SFH) is a common screening method used to estimate the gestational age and fetal growth after 24 weeks gestation. The calculated mean of fetal weight estimation by Dare's Formula was 2902.24274.85gms. CONCLUSIONS: The Johnson and Toshach method is useful with a 95% confiability because there was not significant difference between the fetal weight measured and the weigth estimated by the formula, it is a non invasive method, of easy application that permits to detect fetal macrosomia with a variation of +/- 126 g (limit of variation . Gayatri D, Afiyanti Y. Validation of fetal weight estimation formula (TBJ) for prediction of birth weight based on uterine fundal height of pregnant women (Validasi rumus taksiran berat janin (TBJ) untuk prediksi berat . criteria. Background: Clinical estimation of fetal weight is a basic skill an obstetrician should master. Estimate the accuracy of the Johnson's formula and the palpation methods of fetal weight estimation and their correlation. Shepard's formula in fetal weight estimation with lower mean absolute percentage errors of 8.67.5 (Hadlock BPD/FL/AC), 9.07.9 (Hadlock FL/AC . The clinical fetal weight in (grams) was calculated by Johnson's formula principle (Fetal weight (g) = Symphysiofundal height in (cm) -n) multiply by 155 and also the maternal obesity and the fetal head engagements are very important for further adjustments in that formula. . Comparison of these different methods with the actual birth weight of these babies after delivered. Fetal birth weight, Hadlock formula, Johnson's formula Access this article online www.ijss-sn.com Month of Submission : 06-2021 Month of Peer Review : 07-2021 Learn more about the Study's findings. Rumus Johnson-Toshack merupakan formula TBJ yang umum digunakan di Indonesia sedangkan Rumus Risanto adalah rumus TBJ buatan peneliti Indonesia yang diklaim lebih sesuai untuk populasi ibu di Indonesia namun belum banyak digunakan. Johnsons formula Fetal weight in grams = (symphysio fundal height in cm - X) *155 Where, X=13, when presenting part is not engaged X= 12, when presenting part is at station 0 X= 11, when presenting part is at station" +1 13 Fetal Outcome (weight in grams) . sufficient. Comparative study of various methods of fetal weight estimation at term pregnancy. Johnson's formulae's co-relates well with actual birth. Johnson's technique and ultrasound in the estimation of fetal weight in Northern Iran . Johnson's formula for estimation of foetal weight in vertex presentation is as follows: Foetal weight (g)=fH (cm)n 155. fH=fundal height and n=12 if vertex is above ischial spine or 11 if vertex is below ischial spine. Am J Obstet Gynecol. Ultrasonic measurements are made with linear array real time ultrasound Another formula is the product of symphysiofundal height with abdominal girth in centimeters which gives a fairly good estimate of fetal weight. The sample size was determined to be 170 using the formula for comparative studies as detailed below: . Methods: The fetal Birth weights vary. Fetal weight (gms) = (McDonald's measurement - X) 155. July 2004: 54(4) 336-339; Watchree Numprasert. Estimation of fetal weight (EFW) is an important component of maternity care management, especially in counselling, differential diagnoses and planning the mode of birth (Chauhan et al., 2006). . JOHNSON'S FORMULA: WEIGHT IN GRAMS = (SYMPHYSIOFUNDAL HEIGHT - x) X 155. Macrosomia: a new formula for optimized fetal weight estimation 2009 . The present study was undertaken to determine the accuracy of birth weight estimation by USG and Johnson's formula. Two ultrasound formulae (Hadlock et al, 1985 and Vintzileos et al, 1987) and . Clinical estimation of fetal weight with reference to Johnson's formula: An alternative solution adjacent to sonographic estimation of fetal . Johnson-Tohsach formula is one formula that is frequently used by midwives in knowing the . Sonographic estimation of fetal weight in utero was performed in 167 live-born fetuses examined within one week of delivery. The new population-based birth-weight prediction model provides a simple summary measure, the 'percentage birth-weight deviation', to be used for fetal size monitoring throughout the third trimester. The estimation of fetal weight by the method of Johnson and Toshach was not modified nor had significant changes during the analysis according to the final BMI, membrane status and parity. Objective: To make a comparative evaluation of estimation of fetal weight in term pregnancy by using a) abdominal girth (AG) X symphysiofundal height (SFH) b) Hadlock's formula using ultrasonography c) Johnson's formula. The assessment of fetal growth has been well documented as one of the objectives of antenatal care (ANC) to reduce the risk of neonatal mortality and morbidity [1-3].Monitoring the intrauterine development of the fetus at different stages of pregnancy, even at earlier gestational ages (GAs . The results of the diagnostic test for Johnson Toshach formula provides the accuracy (87.5%) and the Dare formula (91.7%). Chithra, S.C., Kumari, L.K., Sangeereni, M.: Comparative study of fetal weight estimation using Hadlock's and Johnson's formula and its correlation with actual birth weight. Bhandary Amritha A, Pinto Patric J, Shettv Ashwin P. Comparative Study of Various Methods of Fetal Weight Estimation at term pregnancy. The range and use of ultrasound fetal measurements have gradually been extended. Various clinical formulae like Johnson's formula and Dawn's formula have come into usage for fetal weight estimation. Both measurements (SFH and AG) and information on the fetal station were recorded on the individual data sheet and later used to calculate the fetal weight according following formula; A. Dare's formula: Weight in grams=AGxSFH. The fetal weight estimated by Johnson's formula was recorded in the predesigned data sheet and then was compared with birth weight following delivery of the fetus. 325.01). . Collected data were compiled and . Estimation of fetal weight by Johnson's formula ; MC Donald's measurement of symphysis fundal height; Station of the presenting part by abdominal and vaginal examination when in labor. (1.4015.54). The Dare's . For estimation of fetal growth, two different routine methods are commonly used clinical examination and ultrasonography. Johnson'sformulabirthweightestimationhasbeendonealongwiththeresultswerecorrelatedwithdenite birth weight. Fetal weight estimation is inaccurate, with poor sensitivity for prediction of fetal compromise. Objective: To evaluates the antenatal assessments of fetal weight in pregnancies by using Johnson's formula, Hadlock's formula and Ultrasonography. conversion of a measurement to fetal weight estimate. Expected fetal weight was estimated by clinical method (Johnson's formula), which was compared with Ultrasound weight estimation (Hadlock method) and actual birth weight. Standard fetal-growth curves are used to estimate the range of expected fetal weight for populations of women at any particular gestational age, but they are not applicable to specific individual women because of variations in fetal weight and in birth weights in neonates among different racial groups. . Background: Estimated fetal weight (EFW) is becoming important because it is used as a guidence for determining mode of delivery. It should be about 2100-2300 g. From 34 to 38 weeks, the baby grows fast and gains about 200 g every day. The mother's bladder should be empty when the measurement is done. Eze CU, Abonyi LC, Njoku J, Okorie U, Owonifari O. Johnson RW, Toshach CE. 50 term pregnant women were selected by conventional sampling method irrespective of age, parity and medical . prediction formula for birth weight has been first deduced from SFH by Johnson. B. Johnson's formula: Weight in grams=155x(SFH-X) X=13 when presenting part at minus station growth restriction. analysis using Johnson's and Insler's formula in all these patients. A Study in Johnson's Formula: Fundal Height Measurement for Estimation of Birth Weight. Methods: The fetal The calculated mean of estimation of fetal weight by Johnson's Formula was 3091.08340.96gms. Sex and fetal density were taken into consideration before the final analysis was reported. DAWN'S FORMULA HADLOCK'S FORMULA USING ULTRASOUND. Results Considering the whole sample, fetal weight was estimated similarly by the manual method and with the ultrasound (79.5 versus 85% of the cases; n . Johnson's formula, ultrasound and actual weight had the different means . Johnson's formula for estimation of foetal weight in vertex presentation is as follows Foetal weight (grams) = (Mc Donald's measurement of symphysiofundal height in cm -X) x 155 where X = 13, when DOI: 10.1016/j.midw.2009.10.005 Corpus ID: 206954768; Comparison of abdominal palpation, Johnson's technique and ultrasound in the estimation of fetal weight in Northern Iran. . Background : An estimated 90% of maternal deaths occur at the time of delivery and approximately 95% of the causes of maternal mortality are obstetric complications can not be predicted in advance.One way to prevent obstetric complications by knowing the estimated fetal weight by the formula Johnson. Au JT. Both measurements (SFH and AG) and information on the fetal station were recorded on the individual data sheet and later used to calculate the fetal weight according following formula; A. Dare's formula: Weight in grams=AGxSFH. As per the prediction of Mean birth weight by clinical (Johnson's formulae) and actual birth weight was 3.13 Kg and 2.89 Kg correspondingly. Fetal growth is one of the critical indicators for assessing fetal risk during pregnancy. Johnson R, Toshach C. Estimation of fetal weight using longitudinal mensuration. Where, X = 13, when presenting part is at the minus station; X = 12, when presenting part at 0 station The SFH is measured using a tape placed over the mother's abdomen. MATERIALS AND METHOD: Prospective study conducted at Navodaya Medical College Raichur during January to march 2012. Objective: To make a comparative evaluation of estimation of fetal weight in term pregnancy by using a) abdominal girth (AG) X symphysiofundal height (SFH) b) Hadlock&#39;s formula using ultrasonography c) Johnson&#39;s formula. Weight per prenatal ultrasound was calculated using the Hadlock et al method. Estimated Fetal Weight by Johnson Toshach Formula towards Babies Birth Weight Based on table 1, it shows that the estimated fetal weight by the formula Johnson Toshach as much (82.3%) in the category 2500-4000 grams and no estimate fetal weight in the category of <1500 g. Table 2. Weight per magnetic imaging was calculated using the Baker et al method. Accuracy of Risanto's Formula Compared with Johnson's to Estimate Fetal Weight in Overweight Mothers. . Results: As per the prediction of Mean birth weight by clinical (Johnson's formulae) and actual birth weight was 3.13 Kg and 2.89 Kg correspondingly. estimation of birth weight by johnson's formula based on symphysiofundal height has advantages of speed, economy & general applicability.3 in developing countries like india estimation of fetal weight by clinical method is important in managing the high risk pregnancies and the care of neonate.1 obstetrics ultrasound has revolutionized the Estimated Fetal Weight B Sindhuja1, B Preethi2 1Senior Resident, Department of Obstetrics and Gynecology, Sree Balaji Medical College and Hospital, . Estimated Fetal Weight (EFW) Calculator Normal fetal growth is important not only for a healthy pregnancy, but also for ensuring health and well-being throughout childhood and adolescence. JOHNSON'S FORMULA SYMPHYSIOFUNDAL HEIGHT X ABDOMINAL GIRTH. A simple clinical formula for predicting fetal weight in labour at term-derivation and validation. If a patient weighs more than 91 kg, 1 cm is subtracted from the fundal height. Although the use of ultrasound has gained much popularity in the recent decade, in low resource settings, most patients do not have the luxury to have an ultrasound done for their babies, more so a sonographic estimate. (estimated fetal weight) with palpation method were significantly smaller than those of . The Symphysio-fundal height was measured, and fetal weight was estimated using Johnson's formula [10]: Johnson's formula-Foetal weight (in grams)=(symphysiofundal height-x) X 155 Where x=13, when presenting part is not engaged Where x=12, when presenting part at 0 station Where x=11, when the presenting part is at station+1 Material and methods: Two hundred singleton term pregnancies within 48 hours were randomly . The Johnson . 2004;8(1):15 . J Obstet Gynecol Ind 2004; 54: 336-339 ; 19 Goetzinger KR, Odibo AO, Shanks AL. To check the equality of means weight, one way ANOVA was applied, it was seen that all the variables i.e. The study measured the weight of 188 fetuses ranging from 20 weeks and 42 weeks gestation. Conclusions. J Matern Fetal Neonatal Med 2014; 27: 89-93 Keywords: Birth weight, Birth weight estimation, Johnson's . J Obstet Gynecol of India. The weight of the fetus reaches 1100-1300 g. Measuring fetal weight becomes mandatory at 34 weeks. 2. Fetal birth weight, Hadlock formula, Johnson's formula Access this article online www.ijss-sn.com Month of Submission : 06-2021 Month of Peer Review : 07-2021 weight (r-0.86; 95% CI: 0.84-0.88), though prediction of fetal weight was slightly on a higher side. . Estimation of foetal weight using longitudinal measurement. Learn more about the Study's findings. Estimated Fetal Weight B Sindhuja1, B Preethi2 1Senior Resident, Department of Obstetrics and Gynecology, Sree Balaji Medical College and Hospital, . Abstract: Objective: To make a comparative evaluation of estimated fetal weight using Johnson'sformula and Hadlock's formula. Fetal weight was estimated clinically and by two ultrasonographic methods in 62 patients in labor at term.