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Title
Disadvantages of a weight estimation formula for macrosomic fetuses: the Hart formula from a clinical perspective
AuthorWeiss, Christoph
Published in
Archives of Gynecology and Obstetrics, Berlin Heidelberg, Vol. k.A, Issue k.A
PublishedBerlin Heidelberg : Springe
LanguageEnglish
Document typeJournal Article
Keywords (EN)Macrosomia · Sonography · Fetal weight estimation · Formula · Hart · Hadlock
URNurn:nbn:at:at-ubl:3-403 Persistent Identifier (URN)
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 The work is publicly available
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Disadvantages of a weight estimation formula for macrosomic fetuses: the Hart formula from a clinical perspective [0.81 mb]
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Abstract (English)

Purpose Sonographic fetal weight (FW) estimation to detect macrosomic fetuses is an essential part of everyday routine work in obstetrics departments. Most of the commonly used weight estimation formulas underestimate FW when the actual birth weight (BW) exceeds 4000 g. One of the best-established weight estimation formulas is the Hadlock formula. In an effort to improve the detection rates of macrosomic infants, Hart et al. published a specially designed formula including maternal weight at booking. The usefulness of the Hart formula was tested. Methods Retrospective study of 3304 singleton pregnancies, birth weight 3500 g. The accuracy of the Hadlock and Hart formula were tested. A subgroup analysis examined the influence of the maternal weight. The Chi-squared test and one-way analysis of variation were carried out. For all analyses, p < 0.05 was considered statistically significant. Results The overall percentages of births falling within 5% and 10% of the BW using the Hadlock formula were 27% and 53%, respectively. Using the Hart formula, 24% and 54% were identified within these levels. With the Hart formula, 94% of all weight estimations fall within 4200 g 5% and nearly 100% fall within 4200 g 10%. Conclusions Applying the Hart formula results in an overestimation of fetal weight in neonates with a birth weight < 4000 g and fails to identify high-risk fetuses. We, therefore, do not consider Harts formula to be of clinical relevance.

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CC-BY-License (4.0)Creative Commons Attribution 4.0 International License