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Prenatal identification of small‐for‐gestational age and risk of neonatal morbidity and stillbirth

Ultrasound in Obstetrics & Gynecology Apr 19, 2020

Nohuz E, et al. - Researchers examined if prenatal recognition of small‐for‐gestational age (SGA) is correlated with reduction in the rates of the primary composite outcome of stillbirth, death in the delivery room or neonatal complications, and secondary outcomes of the composite outcome according to gestational age at delivery, stillbirth and low 5‐min Apgar score. Women who had a singleton delivery (≥ 32 weeks) between 1994 and 2011 at one of 247 French maternity units were included in this historical cohort study. They identified 24,946 infants who were born SGA (< 5th percentile; mean ± SD birth weight: 2449.1 ± 368.3 g); among these, those who had been identified as such prenatally (n = 5,093; 20%), were compared with those who had not (n = 19,853; 80%). Observations revealed no correlation of prenatal identification of SGA with lower fetal or neonatal morbidity overall, although it was linked with a lower rate of stillbirth.

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