Antenatal detection of fetal growth restriction and stillbirth risk: A population-based case–control study
Ultrasound in Obstetrics & Gynecology Aug 16, 2019
Ego A, et al. - The correlation between antenatal detection of small for gestational age (SGA) and stillbirth risk in France was determined via performing REPERE study, a case-control study performed in 3 French districts with approximately 30,000 births annually. Using a population-based stillbirth registry, researchers identified cases comprising singleton SGA stillbirths at ≥ 24 weeks of gestational age (GA) without severe congenital anomalies from 2012 to 2014; live births fulfilling the same inclusion criteria over 3 months in 2014 were included as controls. They identified 92,182 births at ≥ 22 weeks GA including 669 stillbirths. Of these, inclusion criteria were fulfilled by 79. Findings revealed a protective effect of antenatal detection of fetal growth restriction against stillbirth. However, despite detection, over 40% of stillbirths occurred among SGA fetuses. This highlights the need to enhance management after detection.
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