Individualized growth assessment: conceptual framework and practical implementation for the evaluation of fetal growth and neonatal growth outcome

Deter, Russell L.; Lee, Wesley; Yeo, Lami; Erez, Offer; Ramamurthy, Uma; Naik, Medha; Romero, Roberto

doi:10.1016/j.ajog.2017.12.210

Cited by 80Pregnancy and preeclampsia studiesBirth, Development, and HealthPrenatal Screening and Diagnostics

Individualized growth assessment: conceptual framework and practical implementation for the evaluation of fetal growth and neonatal growth outcome

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Deter, Russell L., Lee, Wesley, Yeo, Lami, Erez, Offer, Ramamurthy, Uma, Naik, Medha, Romero, Roberto·2018·American Journal of Obstetrics and Gynecology

DOI 10.1016/j.ajog.2017.12.210PMC PMC5882201

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Abstract

&NA; Fetal growth abnormalities can pose significant consequences on perinatal morbidity and mortality of nonanomalous fetuses. The most widely accepted definition of fetal growth restriction is an estimated fetal weight less than the 10th percentile for gestational age according to population‐based criteria. However, these criteria do not account for the growth potential of an individual fetus, nor do they effectively separate constitutionally small fetuses from ones that are malnourished. Furthermore, conventional approaches typically evaluate estimated fetal weight at a single time point, rather than using serial scans, to evaluate growth. This article provides a conceptual framework for the individualized growth assessment of a fetus/neonate based on measuring second‐trimester growth velocity of fetal size parameters to estimate growth potential. These estimates specify size models that generate individualized third‐trimester size trajectories and predict birth characteristics. Comparisons of measured and predicted values are used to separate normally growing fetuses from those with growth abnormalities. This can be accomplished with individual anatomical parameters or sets of parameters. A practical and freely available software (Individualized Growth Assessment Program) has been developed to allow implementation of this approach for clinical and research purposes.

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[9]Practice Bulletin No. 173: Fetal Macrosomia Obstet Gynecol 2016 128 e195 e209 27776071
[85]Dorland W Dorland’s medical dictionary for health consumers Saunders, an imprint of Elsevier 2007

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Authors: Deter, R. L., Lee, W., Yeo, L., Erez, O., Ramamurthy, U., Naik, M., & Romero, R.
Affiliations: Baylor College of Medicine (US)
National Institutes of Health (US)
Ben-Gurion University of the Negev (IL)
Corresponding author: Deter, Russell L.
ORCID: Deter, Russell L.
Lee, Wesley
Yeo, Lami
Erez, Offer
Ramamurthy, Uma
Romero, Roberto
Venue: American Journal of Obstetrics and Gynecology
Publisher: Elsevier BV
Published: 2018-02
Volume: 218
Issue: 2
Pages: S656-S678
ISSN: 0002-9378 (ISSN-L)
DOI: 10.1016/j.ajog.2017.12.210
PMC: PMC5882201
OpenAlex: W2791970015
Semantic Scholar: 8405b8251079972ccbc52ead444091b655c7353f
Cited by: 80
References: 99
Citations by year: 2026: 4 · 2025: 11 · 2024: 9 · 2023: 9 · 2022: 8 · 2021: 15 · 2020: 8 · 2019: 9 · 2018: 6 · 2017: 1
FWCI: 1.54
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (am, 370 d)
Locations: American Journal of Obstetrics and Gynecology (acceptedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Department of Health and Human Services (HSN275201300006C)
National Institutes of Health (HSN275201300006C)
National Institute of Child Health and Human Development (HSN275201300006C)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (HSN275201300006C, ZIAHD002401)
NHLBI Division of Intramural Research
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Keywords: fetal growth restriction, fetal growth rate, growth potential, estimated fetal weight, fetal malnutrition, birth weight prediction
MeSH terms: Child Development, Female, Fetal Growth Retardation, Fetal Macrosomia, Gestational Age, Humans, Infant, Newborn, Pregnancy, Pregnancy Trimester, Second, Pregnancy Trimester, Third, Fetal Weight, Fetal Development, Growth Charts

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Individualized growth assessment: conceptual framework and practical implementation for the evaluation of fetal growth and neonatal growth outcome

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