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Assessment of risk for small for gestational age at midgestation to define subsequent care

  • Ioannis Papastefanou
  • , Argyro Syngelaki
  • , Vasileios Logdanidis
  • , Ranjit Akolekar
  • , Kypros H. Nicolaides
    • King’s College Hospital
    • Fetal Medicine Research Institute
    • Institute of Women and Children’s Health
    • School of Life Course and Population Sciences
    • King’s College London
    • Fetal Medicine Unit
    • Medway Maritime Hospital

    Research output: Contribution to journalArticlepeer-review

    2 Citations (Scopus)

    Abstract

    Background Previous studies have demonstrated that a competing risks model for the prediction of small-for-gestational-age neonates has a superior performance than traditional risk scoring methods. The Fetal Medicine Foundation fetal and neonatal population weight charts are derived from sonographic estimated fetal weight rather than birthweight because a large proportion of neonates born before term result from pathologic pregnancy. The individualized risk assessment for small for gestational age at midgestation could be the basis of an antenatal plan that aims to improve the management of preterm pregnancies with small for gestational age with minimum resources. Objective This study aimed to stratify subsequent assessments after 24 weeks of gestation based on the estimated risk of delivery of small-for-gestational-age neonates at
    Original languageEnglish
    Pages (from-to)494.e1-494.e8
    JournalAmerican Journal of Obstetrics and Gynecology
    Volume233
    Issue number5
    Early online date27 Oct 2025
    DOIs
    Publication statusPublished - Nov 2025

    Keywords

    • Estimated fetal weight
    • Fetal biometry
    • Fetal growth
    • Precision medicine
    • Small for gestational age
    • Stratification
    • Uterine artery pulsatility index

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