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The risks of recurrent small for gestational age infants at term is dependent on the number of previous affected births

American Journal of Obstetrics and Gynecology Apr 14, 2021

Bhamidipaty-Pelosi S, Fox J, Greer RM, et al. - Via performing this retrospective analysis of women who had more than one consecutive non anomalous, singleton, term live births, the relationship between previous small-for-gestational age (SGA) births and the risk of recurrence at term was examined in a large Australian cohort. A total of 24,819 women were included in the final study; 9.4% of these women had a SGA infant in their first pregnancy, whilst the proportion of women that had an SGA infant in their second, third, and fourth pregnancies following the birth of a previous SGA infant were 20.5% (479/2338), 24.6% (63/256) and 30.4% (14/46) respectively. Increased risk of recurrence was evident in a subsequent pregnancy if there was a previous SGA birth. Risk of recurrence was noted to be the highest among women with consecutive SGA infants. Per these results, women with a previous SGA infant are at substantial risk of another small infant and require to be counselled and monitored properly.

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