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1.1 BACKGROUND Low birth weight (LBW) increases the risk of perinatal morbidity and mortality and of the long term neurologic and developmental disorders. Early identification of LBW is necessary to decrease complications and enhance the survival of the newborn. 1.2 OBJECTIVES To ascertain the usefulness of symphysio-fundal height as a predictor of LBW. 1.3 METHODOLOGY This was a prospective cross-sectional study of consecutive 214 parturients in early labour who presented at the Central Hospital Warri (CHW), from November 1, 2013 to February 28, 2014. Demographic and reproductive characteristics were obtained by a structured proforma. Measurements of three readings were taken by the author using a nonelastic tape to routinely measure the symphysio-fundal height (SFH). The mean of the three readings was obtained to the nearest centimeter. The birth weight of the baby was measured in grams to the nearest 50g by the midwife on duty within 30mins of delivery using a functional analog seca weighing scale. The collated data was analyzed using SPSS version-21.