The World Health Organization Fetal Growth Charts: A Multinational Longitudinal Study of Ultrasound Biometric Measurements and Estimated Fetal Weight

  title={The World Health Organization Fetal Growth Charts: A Multinational Longitudinal Study of Ultrasound Biometric Measurements and Estimated Fetal Weight},
  author={Torvid Kiserud and Gilda Piaggio and Guillermo Carroli and Mariana Widmer and Jos{\'e} Carvalho and Lisa Neerup Jensen and Daniel Giordano and Jos{\'e} Guilherme Cecatti and Hany Abdel Aleem and Sameera A Talegawkar and Alexandra Benachi and Anke Diemert and Antoinette Tshefu Kitoto and Jadsada Thinkhamrop and Pisake Lumbiganon and Ann Tabor and Alka Kriplani and R Gonzalez P{\'e}rez and Kurt Hecher and Mark A. Hanson and Ahmet Metin G{\"u}lmezoglu and Lawrence D Platt},
  journal={PLoS Medicine},
BACKGROUND Perinatal mortality and morbidity continue to be major global health challenges strongly associated with prematurity and reduced fetal growth, an issue of further interest given the mounting evidence that fetal growth in general is linked to degrees of risk of common noncommunicable diseases in adulthood. [] Key Method Centers in ten countries (Argentina, Brazil, Democratic Republic of the Congo, Denmark, Egypt, France, Germany, India, Norway, and Thailand) recruited participants who had reliable…
Gestational diabetes and ultrasound-assessed fetal growth in South Asian and White European women: findings from a prospective pregnancy cohort
In both ethnic groups, GDM is associated with early fetal size deviations prior to GDM diagnosis, highlighting the need for novel strategies to diagnose pregnancy hyperglycemia earlier than current methods.
Assessing fetal growth in Africa: Application of the international WHO and INTERGROWTH-21st standards in a Beninese pregnancy cohort
The IG21st and WHO standards did not identify higher than expected proportions of fetuses under the 10th percentiles of ultrasound parameters or EFW, raising questions about its use to identify growth-restricted fetuses in Africa.
Swedish intrauterine growth reference ranges of biometric measurements of fetal head, abdomen and femur
The presented national reference ranges can be used for assessment of intrauterine size and growth of the fetal head, abdomen and femur in the second and third trimester of pregnancy.
Fetal size and growth velocity in chronic hypertension.
Swedish intrauterine growth reference ranges for estimated fetal weight
Fetal growth restriction is a strong risk factor for perinatal morbidity and mortality. Reliable standards are indispensable, both to assess fetal growth and to evaluate birthweight and early
Current use and performance of the different fetal growth charts in the Italian population.
Sonographic growth curves versus neonatal birthweight growth curves for the identification of fetal growth restriction.
  • Marva Bergman, O. Reichman, H. Sela
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2020
Pregnancies that are currently managed as appropriate for gestational age based on birthweight curves, but classified as growth restricted when prenatal sonographic curves are used, are associated with higher rates of small for Gestational age and poor perinatal outcomes, at rates comparable to pregnancies that are classified asgrowth restricted based onBirthweight curves.
Fetal growth velocity references from a Chinese population–based fetal growth study
Fetal growth velocity could provide more information to understand the risk of adverse perinatal outcomes, especially for appropriate–for–gestational age neonates, according to real–world clinical data.


WHO multicentre study for the development of growth standards from fetal life to childhood: the fetal component
The data from this study will be incorporated into obstetric practice and national health policies at country level in coordination with the activities presently conducted by WHO to implement the use of the Child Growth Standards.
Longitudinal reference ranges for estimated fetal weight
The present growth chart is recommended as robust reference ranges for assessing EFW and growth and Fetal and maternal variables can be added into the models to individualize the prediction of EFW.
Racial/ethnic standards for fetal growth: the NICHD Fetal Growth Studies.
Customised versus population-based growth charts as a screening tool for detecting small for gestational age infants in low-risk pregnant women.
Assessment of the benefits and harms of using population-based growth charts compared with customised growth charts as a screening tool for detection of fetal growth in pregnant women finds no randomised trial evidence currently available.
Customised antenatal growth charts
Worldwide variation in human growth and the World Health Organization growth standards: a systematic review
The findings indicate that the use of a single international standard for head circumference is not justified, and height and weight curves may not be optimal fits in all cases.
Conditional centiles for the quantification of fetal growth
  • P. Owen, S. Ogston
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 1998
A total of 274 low‐risk pregnancies underwent predetermined, scheduled, serial ultrasound examinations and measurement of the biparietal diameter, fetal abdominal area, femur length and estimated fetal weight, allowing the construction of conditional centiles for these measurements.