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- W2895833627 abstract "Small-for-gestational-age (SGA) infants have an increased risk of stillbirth, particularly if their weight is <5th percentile for gestational age. Growth scans are usually carried out for suspicion of SGA following symphysio-fundal height (SFH) measurements, unless there is another indication. We have reported a 29% antenatal detection rate for SGA infants <10th percentile. We hypothesised that the detection would be better for more extreme SGA infants (birth weight <5th percentile). A retrospective cohort study was conducted between October –December 2017 in a large London hospital trust. Infants born with a birthweight <5th percentile for gestational age (WHO criteria) after 36 weeks gestation were included. Exclusion criteria included multiple pregnancies, in-utero transfers, known fetal anomalies and late bookers. Patient demographics, pregnancy details and ultrasound scan data were collected using hospital computer databases. Of 2454 infants, 119 babies were born <5th birthweight percentile for gestational age, including 1 stillbirth. The median maternal age was 32 (range 19-45), BMI 22.5kg/m2 (range 16.9-52.5 kg/m2) and parity 0 (range 0-8). The antenatal detection rate of SGA (<10th percentile) was 33.6% (41/119). Growth scans were performed in 68.1 % (81/119) of cases. 70% of women diagnosed with a SGA infant had a scan within 2 weeks of delivery. 41 undiagnosed women received a growth scan, with 13 (31.7%) having a scan performed within 2 weeks of delivery which did not identify any concerns with fetal growth. Most infants <5th birthweight percentile were not diagnosed antenatally. The sensitivity for detection based on an ultrasound estimated fetal weight <10th percentile was similar to that for SGA<10th percentile. Despite regular antenatal SFH assessment and ultrasound scanning, SGA detection <5th percentile is poor and does not fulfil the normally accepted criteria for a screening test. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2895833627 date "2018-10-01" @default.
- W2895833627 modified "2023-09-27" @default.
- W2895833627 title "OP21.09: Routine antenatal screening for infants born below the 5th birthweight percentile" @default.
- W2895833627 doi "https://doi.org/10.1002/uog.19591" @default.
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