子宮底の高さ
WordNet
- provide a fund for the redemption of principal or payment of interest
- a reserve of money set aside for some purpose (同)monetary fund
- accumulate a fund for the discharge of a recurrent liability; "fund a medical care plan"
- convert (short-term floating debt) into long-term debt that bears fixed interest and is represented by bonds
- furnish money for; "The government funds basic research in many areas"
- invest money in government securities
- place or store up in a fund for accumulation
- the vertical dimension of extension; distance from the base of something to the top (同)tallness
- the decade from 1880 to 1889 (同)1880s
- the decade from 1980 to 1989 (同)1980s
- the time of life between 80 and 90 (同)mid-eighties
PrepTutorEJDIC
- (特定の目的のための)『資金』,基金《+『for』+『名』》 / 《a ~》(すぐに役立つ知職などの)『蓄え』,蓄積(stock)《+『of』+『名』》 / 《複数形で》手元資金,所持金;《英》公債,国債 / 〈事業・研究など〉‘に'資金を提供する / 〈負債〉‘を'長期公債にする
- 〈U〉(物の)『高さ』《+『of』+『名』》 / 〈U〉《時にa~》(一定の平面からの)高さ,海抜,標高 / 〈U〉〈C〉身長 / 〈C〉《しばしば複数形で単数扱い》高い所,高台 / 〈C〉《the~》『絶頂』,極致,まっ最中
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/11/16 16:30:13」(JST)
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This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (December 2009) |
Fundal height, or McDonald's rule, is a measure of the size of the uterus used to assess fetal growth and development during pregnancy. It is measured from the top of the mother's uterus to the top of the mother's pubic symphysis. Fundal height, when expressed in centimeters, roughly corresponds to gestational age in weeks between 16 to 36 weeks for a vertex fetus. When a tape measure is unavailable, finger widths are used to estimate centimeter (week) distances from a corresponding anatomical landmark. However, landmark distances from the pubic symphysis are highly variable depending on body type. In clinical practice, recording the actual fundal height measurement from the palpable top of the uterus to the superior edge of the pubic symphysis is standard practice beginning around 20 weeks gestation.
Illustration of fundal height at various points during pregnancy
| Gestational age |
Fundal height landmark |
| 12 weeks |
Pubic Symphysis |
| 20 weeks |
Umbilicus |
| 36 weeks |
Xiphoid Process of Sternum |
| 37-40 weeks |
Regression of fundal height between 36-32 cm |
Most caregivers will record their patient's fundal height on every prenatal visit. Measuring the fundal height can be an indicator of proper fetal growth[1] and amniotic fluid development.
Knowledge of gestational age may impact how the height is measured.[2]
Shorter measure
A shorter measure can happen for one of the following reasons:
- Fetus descent into the pelvis, seen normally two to four weeks before delivery
- Error in estimated date of pregnancy based on first day of last menstrual period
- Fetus is healthy but physically small
- Oligohydramnios
- Non longitudinal lie
- Small for gestational age or Intrauterine Growth Restriction
Longer measure
On the other side, a longer measure can be caused by:
- Twins, or other types of multiple birth
- Error in estimated date of conception
- Fetus is healthy but physically large
- Gestational diabetes causing a larger baby
- Polyhydramnios
- Large for gestational age
- Hydatidiform Mole
- Breech birth
As a pregnancy approaches its end, the fundal height will become less accurate.
References
- ^ Morse K, Williams A, Gardosi J (December 2009). "Fetal growth screening by fundal height measurement". Best Pract Res Clin Obstet Gynaecol 23 (6): 809–18. doi:10.1016/j.bpobgyn.2009.09.004. PMID 19914874.
- ^ Jelks A, Cifuentes R, Ross MG (October 2007). "Clinician bias in fundal height measurement". Obstet Gynecol 110 (4): 892–9. doi:10.1097/01.AOG.0000282758.28533.d9. PMID 17906025.
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Pregnancy and childbirth
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| Planning |
- Birth control
- Natural family planning
- Pre-conception counseling
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| Conception |
- Assisted reproductive technology
- Artificial insemination
- Fertility medication
- In vitro fertilisation
- Fertility awareness
- Unintended pregnancy
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| Testing |
- 3D ultrasound
- Obstetric ultrasonography
- Pregnancy test
- Prenatal diagnosis
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| Prenatal |
| Anatomy |
- Amniotic fluid
- Amniotic sac
- Endometrium
- Placenta
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| Development |
- Fundal height
- Gestational age
- Human embryogenesis
- Maternal physiological changes
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| Care |
- Nutrition
- Environmental toxicants
- In pregnancy
- Prenatal
- Concomitant conditions
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| Procedures |
- Amniocentesis
- Cardiotocography
- Chorionic villus sampling
- Nonstress test
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| Childbirth |
| Preparation |
- Adaptation to extrauterine life
- Bradley method
- Hypnobirthing
- Lamaze
- Nesting instinct
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| Roles |
- Doula
- Men's roles
- Midwife
- Obstetrician
- Perinatal nurse
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| Delivery |
- Bloody show
- Childbirth positions
- Home birth
- Multiple birth
- Natural childbirth
- Pelvimetry / Bishop score
- Cervical dilation
- Cervical effacement
- Position
- Presentation
- Rupture of membranes
- Unassisted childbirth
- Uterine contraction
- Water birth
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| Postpartum |
- Child care
- Congenital disorders
- Sex after pregnancy
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| Obstetric history |
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Index of obstetrics
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| Description |
- Pregnancy
- Development
- Anatomy
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| Disease |
- Pregnancy and childbirth
- Placenta and neonate
- Infections
- Symptoms and signs
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| Treatment |
- Procedures
- Drugs
- oxytocins
- labor repressants
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UpToDate Contents
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English Journal
- Diagnostic accuracy of placental growth factor and ultrasound parameters to predict the small-for-gestational-age infant in women presenting with reduced symphysis-fundal height measurement.
- Griffin M1, Seed PT, Webster L, Myers J, Mackillop L, Simpson N, Anumba D, Khalil A, Denbow M, Sau A, Hinshaw K, Dadelszen PV, Benton S, Girling J, Redman CW, Chappell LC, Shennan AH.
- Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology.Ultrasound Obstet Gynecol.2015 Mar 31. doi: 10.1002/uog.14860. [Epub ahead of print]
- OBJECTIVES: To assess the diagnostic accuracy of placental growth factor (PlGF) and ultrasound parameters to predict delivery of a small-for-gestational-age (SGA) infant in women presenting with reduced symphysis-fundal height (SFH).METHODS: Multicentre, prospective observational study recruiting 60
- PMID 25826778
- Diagnostic accuracy of fundal height and handheld ultrasound-measured abdominal circumference to screen for fetal growth abnormalities.
- Haragan AF1, Hulsey TC2, Hawk AF3, Newman RB4, Chang EY4.
- American journal of obstetrics and gynecology.Am J Obstet Gynecol.2015 Mar 25. pii: S0002-9378(15)00323-3. doi: 10.1016/j.ajog.2015.03.042. [Epub ahead of print]
- OBJECTIVE: We sought to compare fundal height and handheld ultrasound-measured fetal abdominal circumference (HHAC) for the prediction of fetal growth restriction (FGR) or large for gestational age.STUDY DESIGN: This was a diagnostic accuracy study in nonanomalous singleton pregnancies between 24 an
- PMID 25818672
- Guidelines on fetal growth restriction: a comparison of recent national publications.
- Unterscheider J1, O'Donoghue K2, Malone FD1.
- American journal of perinatology.Am J Perinatol.2015 Mar;32(4):307-16. doi: 10.1055/s-0034-1387927. Epub 2014 Sep 13.
- OBJECTIVE: This study aims to compare recommendations from recently published national clinical guidelines for pregnancies complicated by fetal growth restriction (FGR).MATERIALS AND METHODS: Clinical guidelines informing best practice management of pregnancies with FGR issued by the American Congre
- PMID 25217738
Japanese Journal
- 橋本 佳奈,山村 省吾,冨田 裕之 [他],泉 有希子,川村 洋介,野々垣 比路史
- 産婦人科の進歩 65(1), 95-99, 2013
- 新生児における頭蓋骨陥没骨折の発生はまれであるが，その大部分は妊娠・分娩中の外傷に起因し，外傷既往のない先天性頭蓋骨陥没骨折の発生は4000～10,000分娩と極めてまれである．今回われわれは，受傷機転の明らかでない妊娠および分娩経過を経て出生した児に，右前頭骨陥没骨折を認めた1症例を経験した．26歳，1経産，身長149cmと低身長であるが狭骨盤や扁平仙骨は認めない．妊娠中の外傷既往はなく，妊娠3 …
- NAID 130003362659
- 唐沢 泉
- 岐阜医療科学大学紀要 4, 79-86, 2010
- 産婦が入院した時,助産師は問診,内診,外診を行い,母児の現在の状態と経過を予測する助産診断を行う。外診の中には,視診・聴診・触診・測定がある。これらの客観的データをアセスメントし,分娩に影響する因子やリスクの有無を判断するのが助産師の専門性である。特に子宮底長,腹囲測定と腹部の触診により,胎児の大きさを推測することは,分娩介助にとって重要な情報となる。最近,超音波診断の普及により,腹部の測定はしな …
- NAID 110008791071
- ESTIMATION OF GESTOSIS OF PREGNANCY (EPHGESTOSIS), RELATIONSHIP BETWEEN FETAL DEVELOPMENT AND GESTOSIS INDEX
- 赤堀 周一郎 [他],EGUCHI Katsuto,HASEGAWA Toshimi,Tai Tung Lin,Sekiba Kaoru
- 日本産科婦人科學會雜誌 33(3), 395-402, 1981-03-01
- … The prediction of small for date(SFD) was performed by means of multivariate analysis of 10 variables, i.e. gestosis index, maternal body weight, height, uterine fundal length, abdominal circumferance, maternal age at delivery and urinary estriol within one week prior to deliver. … The result was that gestosis index was as useful as uterine fundal length in predicting SFD. …
- NAID 110002210603
Related Links
- Fundal height — Understand how this pregnancy measurement is taken and what it means. ... Fundal height is generally defined as the distance from the pubic bone to the top of the uterus measured in centimeters. After the first 16 ...
- fundal height [fun′dəl] Etymology: L, fundus, bottom; AS, heightho the height of the fundus of the uterus, measured in centimeters from the top of the symphysis pubis to the highest point in the midline at the top of the uterus. Fundal ...
★リンクテーブル★
[★]
- 英
- fundal height, height of fundus uteri
- 関
- 子宮底長
妊娠
| 妊娠月数
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子宮底の高さ
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| 第1月末
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| 第2月末
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| 第3月末
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| 第4月末
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恥骨結合上2-3横指
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| 第5月末
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恥骨結合と臍との中央
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| 第6月末
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臍高
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| 第7月末
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臍上2-3横指
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| 第8月末
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剣状突起と臍との中央
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| 第9月末
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剣状突起下2-3横指
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| 第10月末
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剣状突起と臍との中央
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- G10M.307
| 産褥
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子宮底の高さ
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| 0日分娩直後
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臍下3横指
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| 0日12時間後
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臍高(右に傾く)
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| 1-2日
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臍下1-2横指
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| 3日
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臍下3横指
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| 5日
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臍高と恥骨結合上縁との中間
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| 7日
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恥骨結合上縁
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| 10日
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腹壁から触れない
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[★]
- 関
- acme、body height、culminant、culmination、pitch、stature
[★]
- 関
- endowment、foundation
[★]
- 関
- eyeground、fundi、fundus、fundus oculi、ocular fundus