Characteristics associated with antenatally unidentified small-for-gestational-age fetuses: prospective cohort study nested within DESiGN randomized controlled trial.
SGA
antenatal screening
estimated fetal weight
fetal growth
maternal characteristics
risk factors
small-for-gestational age
ultrasound patterns
Journal
Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
ISSN: 1469-0705
Titre abrégé: Ultrasound Obstet Gynecol
Pays: England
ID NLM: 9108340
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
revised:
26
09
2022
received:
29
07
2022
accepted:
30
09
2022
pubmed:
8
10
2022
medline:
3
3
2023
entrez:
7
10
2022
Statut:
ppublish
Résumé
To identify the clinical characteristics and patterns of ultrasound use amongst pregnancies with an antenatally unidentified small-for-gestational-age (SGA) fetus, compared with those in which SGA is identified, to understand how to design interventions that improve antenatal SGA identification. This was a prospective cohort study of singleton, non-anomalous SGA (birth weight < 10 Of the 15 784 SGA babies included, SGA was not identified antenatally in 78.7% of cases. Of pregnancies with unidentified SGA, 47.1% had no recorded growth scan. Amongst 9410 pregnancies with complete data on key maternal comorbidities and antenatal complications, the risk of unidentified SGA was lower for women with any indication for serial scans (adjusted odds ratio (aOR), 0.56 (95% CI, 0.49-0.64)), for Asian compared with white women (aOR, 0.80 (95% CI, 0.69-0.93)) and for those with non-cephalic presentation at birth (aOR, 0.58 (95% CI, 0.46-0.73)). The risk of unidentified SGA was highest among women with a body mass index (BMI) of 25.0-29.9 kg/m Unidentified SGA was more common amongst women without an indication for serial ultrasound, and in those with cephalic presentation at birth, BMI of 25.0-29.9 kg/m
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
356-366Subventions
Organisme : Medical Research Council
ID : MC_UU_00011/6
Pays : United Kingdom
Organisme : Stillborn and Neonatal Death Charity
ID : RG1011/16
Organisme : Tommy's Baby Charity
Organisme : Guy's and St Thomas' Charity
ID : MAJ150704
Investigateurs
Kirstie Coxon
(K)
Andrew Healey
(A)
Donald Peebles
(D)
Baskaran Thilaganathan
(B)
Neil Marlow
(N)
Lesley McCowan
(L)
Informations de copyright
© 2022 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
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