How to predict fetal weight after the hospital miscalculated the fetal weight, causing dystocia?

Because the maternal prenatal hospital misestimated the fetal weight, and the estimated weight differed by 900 grams from the actual birth weight, Ms. Zhang mistakenly chose to give birth on her own and encountered dystocia, which ultimately resulted in infertility. The child\’s left upper arm moved after birth, which constituted an eighth-level injury. Disabled. How is fetal weight estimated? What is the standard weight of the fetus in the mother\’s belly?

How to predict fetal weight?

Newborn disabled hospital compensated 200,000 yuan

Before giving birth, Ms. Zhang chose natural delivery because the doctor estimated the fetal weight to be 3,200 grams. Soon after, he gave birth to a baby boy whose actual weight was 4,100 grams and was a macrosomia. The child was found to be unable to move his left upper limb just after birth, and was diagnosed with left brachial plexus injury, which is an eighth-level disability. For this reason, Ms. Zhang took the hospital to court and demanded that the hospital compensate for more than 660,000 yuan in medical expenses, mental damage and other losses. The court of first instance comprehensively determined that Red Star Hospital bears 50% of the liability for compensation. The Municipal No. 2 Intermediate People\’s Court upheld the original verdict, found that the hospital was at fault, and ordered the hospital to compensate Ms. Zhang\’s son for various losses totaling more than 200,000 yuan.

Expert: Prediction error of fetal weight is within one pound

Before the expectant mother gives birth, the obstetrician will perform a four-step palpation to check the uterine height and abdominal circumference of the expectant mother. B-ultrasound can measure the child\’s head circumference, leg length, head circumference and abdominal circumference to provide a preliminary estimate of the child\’s weight. Generally, the child\’s size can be roughly estimated based on the child\’s palpation combined with B-ultrasound examination, but generally speaking, the error should be within one pound.

Warning: Overweight affects fertility

The weight of the fetus will have a decisive impact on the delivery process. Babies with large head circumferences are likely to cause delayed delivery; babies with large abdominal circumferences need to worry about \”shoulder dystocia\”; babies whose full-term fetal weight exceeds 3.5 kg may cause delayed delivery. It is difficult. If the weight is less than 2.5 kg, it is considered underweight and you need to worry about the health of the baby. The ideal range is for the child to weigh between 2.5kg and 3.5kg at birth.

Warm reminder: If the fetal weight growth \”always\” maintains an average of 1 to 2 weeks, it may be a miscalculation of the menstrual cycle. However, if the gap between the fetal weight and menstrual weeks becomes larger and larger, further examination is necessary to clarify the cause. .

Netizens have something to say

Having a baby is a big deal. I heard from my sister that I must find a reliable doctor and a reliable hospital. (Beijing correspondent)

Has this child been like this his whole life? What a lie. (Zhejiang Huo Yuanjia)

Objectively speaking, it is indeed difficult to accurately estimate the weight of the fetus. I am an obstetrician and gynecologist. (It’s dark in Hunan)

No wonder hospitals now offer caesarean sections and are afraid of taking on medical liability. This is all reasonable. (Hebei confused)

Learn more medical knowledge in the future and make your own diagnosis. (Liaoning Hulu Mama)

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