Kuwait Medical Journal, cilt.52, sa.4, ss.406-411, 2020 (SCI-Expanded)
Objectives: The aim of the study to compare the accuracy of
different ultrasonographic weight estimating equations for
predicting the fetal weight in pregnant patients on insulin
therapy.
Design: Prospective clinical study
Setting: Erciyes University Obstetric Clinic Perinatology
Unit, Turkey
Subjects: One hundred and eleven diabetic pregnant women
using insulin
Intervention(s): The fetal weight estimations were calculated
off-line using the two previously investigated methods
(Hadlock 1 and Shepard) and abdominal circumference
(AC).
Main outcome measure(s): The accuracy of different weight
estimating equations for predicting fetal weight in pregnant
patients on insulin therapy
Results: Hadlock 1 and Shepard methods had estimated fetal
weight values close to the actual birth weight whereas AC
had not. The success rates and the sensitivity of the methods
for detecting macrosomic fetuses weighing over 4000 g in
insulin using diabetic women were low and the rates were
0.65 (95% CI: 0.40-0.84), 0.13 (95% CI: 0.01-0.40) and 0.55 (95%
CI: 0.31-0.76), for the Hadlock 1, AC and Shepard formulae
respectively (P<.05).
Conclusion(s): The study showed that Hadlock 1 and Shepard
methods were significantly better for estimating fetal weight
than AC. The success rates of the methods for detecting
macrosomic fetuses weighing over 4000 g were similar, but
the methods did not have high sensitivity.