Sensitivity and Specificity of Abdominal Circumference as Single Marker in Predicting Macrosomia at Haji Adam Malik Hospital Medan 2017-2021
DOI:
https://doi.org/10.3889/oamjms.2023.10318Keywords:
Macrosomia, Abdominal circumference, Pregnant woman, Birth weightAbstract
BACKGROUND: Macrosomia incidence rate seems continue to increase, especially in Indonesia with a fairly high incidence rate, macrosomia is associated with adverse complications; therefore, early detection is recommended so that optimal management can be determined. At present, abdominal circumferences are considered as most predictive of fetal weight and expected to be used for macrosomia screening.
AIM: This research purpose was to determine sensitivity and specificity of Abdominal Circumference (AC) as a single marker in predicting macrosomia at Haji Adam Malik Hospital Medan 2017–2021.
METHODS: This research is an analytical study with diagnostic test of secondary data from medical records on February 7, 2022–April 30, 2022. Research sample was pregnant women with macrosomia or non-macrosomia fetuses who gave birth in obstetrics department at H. Adam Malik Hospital Medan and met inclusion criteria. Calculation sensitivity and specificity of AC values was carried out to diagnose macrosomia. An analysis of area under the curve (AUC) curve will be carried out to determine cut off AC value in diagnosing macrosomia.
RESULTS: Based on ROC curve, AUC is 0.923 which means AC can diagnose macrosomia by 92.3%. After calculation of sensitivity and specificity values, it was found that AC value with cut off 34.56 had sensitivity 83% and specificity 89% in predicting macrosomia.
CONCLUSION: AC measurement is considered most effective method for predict baby’s birth weight with fairly good level of sensitivity (83%) and specificity (89%).
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Copyright (c) 2023 Johny Marpaung, Vivi Yovita, Dwi Faradina, Makmur Sitepu, Yostoto B. Kaban, Deri Edianto, Putri C. Eyanoer (Author)
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