Does antenatal identification of small‐for‐gestational age fetuses significantly improve their outcome?

@article{Lindqvist2005DoesAI,
  title={Does antenatal identification of small‐for‐gestational age fetuses significantly improve their outcome?},
  author={PG Lindqvist and Johan Molin},
  journal={Ultrasound in Obstetrics and Gynecology},
  year={2005},
  volume={25}
}
Most obstetric clinics have a program for the identification of small‐for‐gestational age (SGA) fetuses because of the increased risk of fetal complications that they present. We have a structured model for the identification and follow‐up of SGA pregnancies. We aimed to determine whether the recognition of SGA antepartum improves fetal outcome. 
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401 Citations

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TLDR
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To assess the proportion of small for gestational age (SGA) and normal birthweight infants suspected of fetal growth restriction (FGR) during pregnancy, and to investigate obstetric and neonatal…
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  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2017
To assess the ability of integrated first‐trimester screening, combining maternal characteristics and biophysical and biochemical markers, to predict delivery of a small‐for‐gestational‐age (SGA)…
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References

SHOWING 1-10 OF 18 REFERENCES
Ultrasound Screening for Detection of Intra‐Uterine Growth Retardation
TLDR
The results of one years ultrasound fetometric screening for IUGR of the pregnant population in the city of MalmO indicate that intra‐uterine growth retardation is a major problem in contemporary obstetrics and early antenatal diagnosis is important if morbidity and mortality are to be minimized.
Perinatal Outcome in Growth Retarded Pregnancies Dated by Ultrasound
TLDR
The IUGR group as a whole had an unexpectedly low neonatal complication rate, such complications as did occur being related to preterm birth rather than to growth retardation.
Obstetric Characteristics and Neonatal Performance in a Four-Year Small for Gestational Age Population
TLDR
It is concluded that the extra attention paid to the SGA population is well motivated, and future efforts should be directed toward improving the diagnostic techniques for IUGR, as most of the perinatal mortality occurred among SGA infants not identified before birth.
Comparison of umbilical-artery velocimetry and cardiotocography for surveillance of small-for-gestational-age fetuses
Abnormal fetal aortic velocity waveform and intellectual function at 7 years of age
TLDR
Measurements of fetal aortic blood flow velocity and fetal growth were performed in 178 pregnancies and an assessment of overall intellectual ability was performed in 148 children at 6.5 years of age.
Customised antenatal growth charts
Intra‐Uterine Weight Curves Obtained by Ultrasound
TLDR
The present two growth curves, based on fetometry and on birth weight, differ from previous curves used almost universally by pediatricians.
Intrauterine growth curves based on ultrasonically estimated foetal weights
TLDR
New growth curves are presented based on data from four Scandinavian centres for 759 ultrasonically estimated foetal weights in 86 uncomplicated pregnancies, revealing better the true distribution of SGA foetuses and neonates and are suggested for use in perinatological practice.
New score indicating placental vascular resistance
TLDR
Uterine artery Doppler seems to give comparable information, but it can be difficult to interpret as there are two arteries, which might show notching and/or increased pulsatility index (PI) as signs of increased vascular impedance.
Abnormal fetal aortic velocity waveform and minor neurological dysfunction at 7 years of age
  • D. LeyJ. LaurinI. BjerreK. Maršál
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 1996
TLDR
Logistic regression analysis revealed that abnormal blood flow class, both independently and in combination with other factors, was the most significant predictor of MND‐2.
...
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