Description

The use of three parameters can offer improved accuracy when compared to equations using one or two parameters. Head circumference has advantage over biparietal diameter, as the head circumference tends to remain constant even when head shape and cephalic index change. Femur length has the advantage of accurately reflecting fetal growth patterns. The equation of Weiner (1985) is accurate for preterm and low birth weight infants.


 

Limitations: Abdominal circumference can be difficult to measure accurately by ultrasound.

 

Hadlock (1984)

 

estimated fetal weight in grams =

=10^(1.5662 - (0.0108 * (head circumference in cm)) + (0.00034 * ((head circumference in cm)^2)) + (0.0468 * (abdominal circumference in cm)) + (0.171 * (femoral diaphysis length in cm)) - (0.003685 * (abdominal circumference in cm) * (femoral diaphysis length in cm)))

 

Hadlock (1985)

 

estimated fetal weight in grams =

=10 ^ (1.326 + (0.0107 * (head circumference in cm)) + (0.0438 * (abdominal circumference in cm)) + (0.158 * (femoral diaphysis length in cm)) - (0.00326 * (abdominal circumference in cm) * (femoral diaphysis length in cm)))

 

Ott (1986)

 

estimated fetal weight in kilograms =

=10 ^ (-2.0661 + (0.04355 * (head circumference in cm)) + (0.05394 * (abdominal circumference in cm)) + (1.2594 * (femoral diaphysis length in cm) / (abdominal circumference in cm)) - (0.0008582 * (abdominal circumference in cm) * (head circumference in cm)))

 

where:

• The ratio of femur length to abdominal circumference reflects accurately fetal growth patterns.

• In the presence of oligohydramnios an additional 2.88% of the calculated body weight is added to the estimate, to compensate for a tendency to underestimate body weight.

 

Vintzileos (1986)

 

estimated fetal weight in grams =

=10 ^ (2.082 + (0.0018 * (abdominal circumference in cm)) + (0.004 * (femoral diaphysis length in cm) * (head circumference in cm)) - (0.00000001509 * (((femoral diaphysis length in cm) * (head circumference in cm)) ^ 3)))

 

Weiner (1985)

 

estimated fetal weight in grams =

=10 ^ (1.6961 + (0.02253 * (head circumference in cm)) + (0.01645 * (abdominal circumference in cm)) + (0.06439 * (femoral diaphysis length in cm)))

 


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