Grewal J, Siu SC, D'Souza R, et al. - Researchers conducted this prospective cohort study to identify cardiac determinants/derive a risk score of clinically relevant small for gestational age (SGA) < 5 ^th percentile (SGA-5 ^th). The sample consisted of 1,812 pregnancies in women with heart disease. Findings revealed that there are a number of cardiac predictors that are linked to an increased risk of SGA-5 ^th. This is a prognostically significant outcome, and whenever possible, consideration should be given to routinely predicting and modifying the risk.