Regimens of fetal surveillance for impaired fetal growth
Open accessAbstract
Background Policies and protocols for fetal surveillance in the pregnancy where impaired fetal growth is suspected vary widely, with numerous combinations of different surveillance methods.Objectives To assess the effects of antenatal fetal surveillance regimens on important perinatal and maternal outcomes.Search methods We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (29 February 2012).Selection criteria Randomised and quasi-randomised trials comparing the effects of described antenatal fetal surveillance regimens.Data collection and analysis Review authors R Grivell and L Wong independently assessed trial eligibility and quality and extracted data.Main results We included one trial of 167 women and their babies. This trial was a pilot study recruiting alongside another study, therefore, a separate sample size was not calculated. The trial compared a twice-weekly surveillance regimen (biophysical profile, nonstress tests, umbilical artery and middle cerebral artery Doppler and uterine artery Doppler) with the same regimen applied fortnightly (both groups had growth assessed fortnightly). There were insufficient data to assess this review's primary infant outcome of composite perinatal mortality and serious morbidity (although there were no perinatal deaths) and no difference was seen in the primary maternal outcome of emergency caesarean section for fetal distress (risk ratio (RR) 0.96; 95% confidence interval (CI) 0.35 to 2.63). In keeping with the more frequent monitoring, mean gestational age at birth was four days less for the twice-weekly surveillance group compared with the fortnightly surveillance group (mean difference (MD) -4.00; 95% CI -7.79 to -0.21). Women in the twice-weekly surveillance group were 25% more likely to have induction of labour than those in the fortnightly surveillance group (RR 1.25; 95% CI 1.04 to 1.50).Authors' conclusions There is limited evidence from randomised controlled trials to inform best practice for fetal surveillance regimens when caring for women with pregnancies affected by impaired fetal growth. More studies are needed to evaluate the effects of currently used fetal surveillance regimens in impaired fetal growth.
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There are currently no randomized trials with adequate sample size to inform recommendations regarding the optimal frequency of umbilical artery Doppler for FGR surveillance.
“There are currently no randomized trials with adequate sample size to inform recommendations regarding the optimal frequency of umbilical artery Doppler for FGR surveillance.107”
From Society for Maternal-Fetal Medicine Consult Series #52: Diagnosis and management of fetal growth restriction (2020) · cites this paper as [107]
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Bias in meta-analysis detected by a simple, graphical test
Egger, M., Smith, G. D., Schneider, M., & Minder, C. (1997) · BMJ · doi:10.1136/bmj.315.7109.629 · Cited by 56,722 · see citing works
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048 · see citing works
A modified test for small‐study effects in meta‐analyses of controlled trials with binary endpoints
Harbord, R. M., Egger, M., & Sterne, J. A. C. (2006) · Statistics in Medicine · doi:10.1002/sim.2380 · Cited by 2,267 · see citing works
Deeks, J. J., Altman, D. G., & Bradburn, M. J. (2001) · Systematic Reviews in Health Care · doi:10.1002/9780470693926.ch15 · Cited by 2,163 · see citing works
Antenatal cardiotocography for fetal assessment
Grivell, R. M., Alfirević, Ž., Gyte, G. M., & Devane, D. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007863.pub2 · Cited by 223 · see citing works
Self-citationBiophysical profile for fetal assessment in high risk pregnancies
Lalor, J. G., Fawole, B., Alfirevic, Z., & Devane, D. (2008) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000038.pub2 · Cited by 221 · see citing works
Analysis of birthweight and gestational age in antepartum stillbirths
Gardosi, J. O., Mul, T., Mongelli, M., & Fagan, D. G. (1998) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1998.tb10153.x · Cited by 217 · see citing works
Paediatric consequences of fetal growth restriction
Yanney, M. P., & Marlow, N. (2004) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2004.03.005 · Cited by 150 · see citing works
Fetal and umbilical Doppler ultrasound in high-risk pregnancies
Alfirević, Ž., Stampalija, T., & Gyte, G. M. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007529.pub2 · Cited by 126 · see citing works
Williams, K. P., Farquharson, D. F., Bebbington, M. W., Dansereau, J., Galerneau, F., Wilson, R. D., Shaw, D., & Kent, N. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2003.305 · Cited by 106 · see citing works
McCowan, L. M. E., Harding, J. E., Roberts, A. B., Barker, S. E., Ford, C., & Stewart, A. W. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(00)70494-7 · Cited by 101 · see citing works
Prediction and perinatal outcomes of fetal growth restriction
Breeze, A., & Lees, C. C. (2007) · Seminars in Fetal and Neonatal Medicine · doi:10.1016/j.siny.2007.07.002 · Cited by 93 · see citing works
Arterial and venous Doppler in the diagnosis and management of early onset fetal growth restriction
Baschat, A. A. (2005) · Early Human Development · doi:10.1016/j.earlhumdev.2005.09.008 · Cited by 81 · see citing works
Antenatal assessment of the growth restricted fetus
Baschat, A., & Harman, C. R. (2001) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/00001703-200104000-00011 · Cited by 81 · see citing works
Lees, C. C., & BAUMGARTNER, H. (2005) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.1836 · Cited by 49 · see citing works
Flagged first, then by citations
1 of the 16 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- [1]1. to studies excluded from Sood 2007 {published data only} Sood AK. Vibroacoustic stimulation and modified fetal biophysical profile in high risk pregnancy. Journal of Obstetrics and Gynaecology of India 2007;57(1):27-36.
- [10]10. Baschat AA. Fetal growth disorders. High Risk Pregnancy Management Options. Philadelphia: Saunders, 2006.
Cited by
Sorted by citations
Martins, J. G., Biggio, J. R., & Abuhamad, A. (2020) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2020.05.010 · Cited by 549 · see citing works
Practice Bulletin No. 175: Ultrasound in Pregnancy
(2016) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000001815 · Cited by 282 · see citing works
Antenatal cardiotocography for fetal assessment
Grivell, R. M., Alfirević, Ž., Gyte, G. M., & Devane, D. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007863.pub4 · Cited by 280 · see citing works
Self-citationRETIRED: Intrauterine Growth Restriction: Screening, Diagnosis, and Management
Lausman, A. Y., Kingdom, J. C., Gagnon, R. J., Basso, M., Bos, H., Crane, J., Davies, G., Delisle, M., Hudon, L., Menticoglou, S. M., et al. (2013) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(15)30865-3 · Cited by 273 · see citing works
Devane, D., Lalor, J., Daly, S., McGuire, W. L., Cuthbert, A., & Smith, V. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd005122.pub5 · Cited by 218 · see citing works
Preventing deaths due to the hypertensive disorders of pregnancy
von Dadelszen, P., & Magee, L. A. (2016) · Best Practice & Research Clinical Obstetrics & Gynaecology · doi:10.1016/j.bpobgyn.2016.05.005 · Cited by 195 · see citing works
Reducing stillbirths: screening and monitoring during pregnancy and labour
Haws, R. A., Yakoob, M. Y., Soomro, T., Menezes, E. V., Darmstadt, G. L., & Bhutta, Z. A. (2009) · BMC Pregnancy and Childbirth · doi:10.1186/1471-2393-9-s1-s5 · Cited by 177 · see citing works
Early onset fetal growth restriction
Dall’Asta, A., Brunelli, V., Prefumo, F., Frusca, T., & Lees, C. C. (2017) · Maternal Health, Neonatology and Perinatology · doi:10.1186/s40748-016-0041-x · Cited by 110 · see citing works
Kehl, S., Dötsch, J., Hecher, K., Schlembach, D., Schmitz, D., Stepan, H., & Gembruch, U. (2017) · Geburtshilfe und Frauenheilkunde · doi:10.1055/s-0043-118908 · Cited by 80 · see citing works
Wilkinson, C., Bryce, R. L., Adelson, P. L., & Turnbull, D. A. (2014) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.12846 · Cited by 61 · see citing works
Antenatal cardiotocography for fetal assessment
Grivell, R. M., Alfirević, Ž., Gyte, G. M., & Devane, D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007863.pub3 · Cited by 55 · see citing works
Self-citationThe role of the fetal biophysical profile in the management of fetal growth restriction
Baschat, A. A., Galan, H. L., Lee, W., DeVore, G. R., Mari, G., Hobbins, J., Vintzileos, A., Platt, L. D., & Manning, F. A. (2022) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2022.01.020 · Cited by 42 · see citing works
Essential variables for reporting research studies on fetal growth restriction: a Delphi consensus
Khalil, A. A., Gordijn, S. J., Beune, I. M., Wynia, K., Ganzevoort, W., Figueras, F., Kingdom, J. C., Marlow, N., Papageorghiou, A. T., Sebire, N. J., et al. (2018) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.19196 · Cited by 34 · see citing works
Stock, S. J., Bricker, L., Norman, J. E., & West, H. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008968.pub3 · Cited by 19 · see citing works
Culliney, K. A., Parry, G. K., Brown, J., & Crowther, C. A. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011739.pub2 · Cited by 17 · see citing works
Birth Weights in Sickle Cell Disease Pregnancies: A Cohort Study
Meeks, D., Robinson, S. E., Macleod, D., & Oteng‐Ntim, E. (2016) · PLoS ONE · doi:10.1371/journal.pone.0165238 · Cited by 17 · see citing works
Surveillance anténatale, prise en charge et indications de naissance en cas de RCIU vasculaire isolé
Sénat, M., & Tsatsaris, V. (2013) · Journal de gynécologie, obstétrique et biologie de la reproduction. Supplément/Journal de gynécologie obstétrique et biologie de la reproduction · doi:10.1016/j.jgyn.2013.09.017 · Cited by 16 · see citing works
Applicability of pocket ultrasound during the first trimester of pregnancy.
Bruns, R. F., Menegatti, C. M., Martins, W. P., & Júnior, E. A. (2015) · Medical Ultrasonography · doi:10.11152/mu.2013.2066.173.rfb · Cited by 16 · see citing works
Kapaya, H., Jacques, R., & Anumba, D. O. C. (2018) · PLoS ONE · doi:10.1371/journal.pone.0193908 · Cited by 14 · see citing works
Prognostic value of the aortic isthmus Doppler assessment on late onset fetal growth restriction
Villalaín, C., Herraı̀z, I., Quezada, M. S., Gómez‐Arriaga, P. I., Simon, E. D. S., Gómez‐Montes, E., & Galindo, A. (2018) · Journal of Perinatal Medicine · doi:10.1515/jpm-2018-0185 · Cited by 14 · see citing works
Screening and management of the small for gestational age fetus in the UK: A survey of practice
Sharp, A., Duong, C., Agarwal, U., & Alfirević, Ž. (2018) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2018.10.039 · Cited by 11 · see citing works
Intrauterine Growth Restriction—Prediction and Peripartum Data on Hospital Care
Dinu, M., Stancioi-Cismaru, A. F., Gheonea, M., Luciu, E. D., Aron, R. M., Pana, R. C., Marinas, C., Degeratu, S., Șorop-Florea, M., Carp-Velişcu, A., et al. (2023) · Medicina · doi:10.3390/medicina59040773 · Cited by 10 · see citing works
Geerts, L., der Merwe, E. V., Theron, A. M., & Rademan, K. (2016) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2016.03.038 · Cited by 10 · see citing works
Digital auscultation of the uterine artery: a measure of uteroplacental perfusion
Riknagel, D., Dinesen, B., Zimmermann, H., Farlie, R., Schmidt, S. E., Toft, E. S., & Struijk, J. J. (2016) · Physiological Measurement · doi:10.1088/0967-3334/37/7/1163 · Cited by 8 · see citing works
Culliney, K. A., Parry, G. K., Brown, J., & Crowther, C. A. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011739 · Cited by 7 · see citing works
Gent, J., Bullough, S., Harrold, J. A., Jackson, R., Woolfall, K., Andronis, L., Kenny, L. C., Cornforth, C., Heazell, A. E. P., Benbow, E., et al. (2020) · Pilot and Feasibility Studies · doi:10.1186/s40814-020-00722-x · Cited by 6 · see citing works
Global reproductive health: is diagnostic ultrasound appropriate technology?
Kiserud, T. (2012) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.12260 · Cited by 6 · see citing works
Monitoring, Delivery and Outcome in Early Onset Fetal Growth Restriction
Dall’Asta, A., Minopoli, M., Ghi, T., & Frusca, T. (2021) · Reproductive Medicine · doi:10.3390/reprodmed2020009 · Cited by 8 · see citing works
Dinu, M., Badiu, A. M., Hodorog, A. D., Stancioi-Cismaru, A. F., Gheonea, M., Capitanescu, R. G., Sîrbu, O. C., Tanase, F., Bernad, E. S., & Tudorache, Ş. (2022) · Medicina · doi:10.3390/medicina59010017 · Cited by 5 · see citing works
Ibrahim, W., Mira, I. M., & Sedek, A. E.-M. A. E.-H. (2021) · Al-Azhar Medical Journal · doi:10.21608/amj.2021.178503 · Cited by 4 · see citing works
Kehl, S., Bahlmann, F., Dötsch, J., Felderhoff‐Müser, U., Groten, T., Manegold‐Brauer, G., Hecher, K., Klaritsch, P., Lobmaier, S. M., Pecks, U., et al. (2025) · Geburtshilfe und Frauenheilkunde · doi:10.1055/a-2535-0528 · Cited by 5 · see citing works
Retard de croissance intra-utérin : Dépistage, diagnostic et prise en charge
Lausman, A. Y., & Kingdom, J. C. (2016) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2016.09.038 · Cited by 3 · see citing works
Fetal Growth and Growth Restriction
Su, E. J., & Galan, H. L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-7020-6956-7.00039-7 · Cited by 3 · see citing works
Archivée: Retard de croissance intra-utérin : Dépistage, diagnostic et prise en charge
Lausman, A. Y., Kingdom, J. C., Gagnon, R. J., Basso, M., Bos, H., Crane, J. M. G., Davies, G., Delisle, M., Hudon, L., Menticoglou, S. M., et al. (2013) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(15)30866-5 · Cited by 3 · see citing works
Sandoval, I., Véliz, R., Sepúlveda, Á., Candia, A. A., & Herrera, E. A. (2022) · Revista chilena de obstetricia y ginecología · doi:10.24875/rechog.21000011 · Cited by 3 · see citing works
Rüegg, L., Vonzun, L., Latal, B., Moehrlen, U., Mazzone, L., Meuli, M., Krähenmann, F., & Ochsenbein‐Kölble, N. (2022) · Ultrasound in Obstetrics and Gynecology · doi:10.1002/uog.26118 · Cited by 2 · see citing works
Salama, M. H. A.-A., Rizk, H. H., & Nawara, M. (2023) · Obstetrics & Gynecology Science · doi:10.5468/ogs.22130 · Cited by 1 · see citing works
Castillo-Urquiaga, W., Novoa, R. H., & Flores-Aparco, G. (2023) · Revista Peruana de Investigación Materno Perinatal · doi:10.33421/inmp.2022315 · Cited by 1 · see citing works
Vonzun, L., Rüegg, L., Zepf, J., Strübing, N., Grehten, P., Meuli, M., Mazzone, L., Moehrlen, U., Spina Bifida Study Group Zurich, & Ochsenbein-Koelble, N. (2024) · Fetal Diagnosis and Therapy · doi:10.1159/000539773 · Cited by 1 · see citing works
Mehdi, S. A., Bukhari, H., Dogar, I. H., & Shabbir, I. (2020) · The Professional Medical Journal · doi:10.29309/tpmj/2020.27.03.4309
Kehl, S., Bahlmann, F., Dötsch, J., Felderhoff-Müser, U., Groten, T., Manegold‐Brauer, G., Hecher, K., Klaritsch, P., Lobmaier, S. M., Pecks, U., et al. (2026) · Zeitschrift für Geburtshilfe und Neonatologie · doi:10.1055/a-2725-6794
- Authors
- Grivell, R. M., Wong, L., & Bhatia, V.
- Affiliations
- Women's and Children's Hospital (AU)
- ORCID
- Grivell, Rosalie M
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2012-06-13
- Volume
- 2012
- Issue
- 6
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- OpenAlex
- W4210652690
- Semantic Scholar
- 5e88210c06083270b9b332396286ebc7c37737d8
- Cited by
- 40
- References
- 16
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 4 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 2
- FWCI
- 3.42
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- Funders
- National Institute for Health and Care Research (10/4001/02, SRP/10/4001/02)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
- Keywords
- fetal monitoring, fetal growth restriction, pregnancy monitoring, fetal biometry
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