Prenatal identification of small‐for‐gestational age and risk of neonatal morbidity and stillbirth
Ultrasound in Obstetrics & Gynecology Apr 10, 2020
Nohuz E, et al. - This historical cohort study was undertaken to determine if prenatal identification of small‐for‐gestational age (SGA) was correlated with lower 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. Participants in the study were women who had a singleton delivery (≥ 32 weeks) between 1994 and 2011 at one of 247 French maternity units. Among the 24,946 infants born SGA (< 5th percentile), the authors compared those who were identified as prenatal (n = 5,093) with those were not (n = 19,853). Data reported that the mean ± SD birth weight was 2449.1 ± 368.3 g. The main composite outcome rate was higher in the prenatal SGA group compared with non-identified SGA fetuses. This correlation was not found in the subgroups delivered before 37 weeks. Prenatal SGA identification was not correlated with lower fetal or neonatal morbidity overall, although it was related to a lower stillbirth rates.
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