Suspected versus non-suspected small-for-gestational age fetuses at term: perinatal outcomes

Jan-Willem Verlijsdonk, Bjorn Winkens, Kim Boers, Sicco Scherjon, Frans Roumen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

34 Citations (Web of Science)

Abstract

Objective: To compare perinatal outcomes of suspected versus non-suspected small-for-gestational age fetuses (SGA) at term. Methods: Retrospective cohort study among all term singleton neonates with a birth weight = 7 days. Results: 430 subjects were included in the study; 36.7% was suspected of SGA. In the suspected SGA group mean gestational age at birth and birth weight were significantly lower, whereas maternal morbidity was significantly higher. The incidence of labor induction and elective cesarean section were also significantly higher in the suspected SGA group. Total perinatal mortality was 2.1%. Identification of SGA and subsequent management led to a significant decrease of adverse neonatal outcome at birth, but did not lead to a significant decrease in NMCU admission >= 7 days. Conclusions: Suspicion of SGA was associated with a more active management of labor and delivery, resulting in a better neonatal outcome at birth.
Original languageEnglish
Pages (from-to)938-943
JournalJournal of Maternal-Fetal & Neonatal Medicine
Volume25
Issue number7
DOIs
Publication statusPublished - Jul 2012

Keywords

  • Fetal growth restriction
  • maternal morbidity
  • neonatal mortality
  • prenatal care
  • admission

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