An audit of the detection and management of small-for-gestational age babies

HEPBURN, MARY; ROSENBERG, KATHRYN

doi:10.1111/j.1471-0528.1986.tb07895.x

Cited by 100Pregnancy and preeclampsia studiesMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

An audit of the detection and management of small-for-gestational age babies

HEPBURN, MARY, ROSENBERG, KATHRYN·1986·BJOG: An International Journal of Obstetrics & Gynaecology

DOI 10.1111/j.1471-0528.1986.tb07895.x

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Abstract

The detection and management of small-for-gestational age babies (SGA) was assessed in a case record review of 1302 randomly selected pregnancies. Of the 129 babies with birthweights below the 10th centile for gestational age, 34 (26%) were identified antenatally. For every two correctly identified SGA babies there were three false positive predictions. In-patient monitoring and early elective delivery occurred both in the correctly identified pregnancies (24%) and in the false positives (12%). The management of suspected pregnancies bore no apparent relation to test results and appeared arbitrary. Mortality and morbidity, as measured by nursery admission for greater than 48 h and retention in the nursery after the mother's discharge, were higher in SGA babies than in the hospital population as a whole. The number of ill babies was small, however, reflecting the heterogeneous aetiology of small size for gestational age. Moreover, antenatal detection had little influence on these measures of outcome. It is concluded that tests for detection of SGA babies remain imprecise in practice, gestational weight alone correlates poorly with fetal well-being, and the need remains for sensitive tests to detect babies with genuine morbidity.

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The majority of FGR is not diagnosed prior to birth.
“As the majority of FGR is not diagnosed prior to birth [8, 9], early identification triggering appropriate management may prove to be the key to reducing this dismal figure.”
From Volume and vascularity: Using ultrasound to unlock the secrets of the first trimester placenta (2019) · cites this paper as [8]

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Authors: HEPBURN, M., & ROSENBERG, K.
Affiliations: NHS Greater Glasgow and Clyde (GB)
Corresponding author: HEPBURN, MARY
Venue: BJOG: An International Journal of Obstetrics & Gynaecology
Publisher: Wiley
Published: 1986-03
Volume: 93
Issue: 3
Pages: 212-216
ISSN: 0306-5456 (ISSN-L)
1470-0328
1471-0528
DOI: 10.1111/j.1471-0528.1986.tb07895.x
OpenAlex: W2150136389
Cited by: 100
References: 7
Citations by year: 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 6 · 2018: 5 · 2017: 1 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 5 · 2012: 5
FWCI: 8.20
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 7115 d)
Locations: BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords: false positive prediction, fetal well-being, neonatal morbidity, neonatal mortality, gestational weight, birthweight centiles
MeSH terms: Birth Weight, False Positive Reactions, Female, Humans, Infant Mortality, Infant, Newborn, Infant, Small for Gestational Age, Intensive Care Units, Neonatal, Pregnancy

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An audit of the detection and management of small-for-gestational age babies

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