Fetal growth surveillance - Current guidelines, practices and challenges

Ultrasound : Journal of the British Medical Ultrasound Society
Mandy WilliamsJason Gardosi

Abstract

Antenatal surveillance of fetal growth is an essential part of good maternity care, as lack of detection of fetal growth restriction is directly associated with stillbirth and perinatal morbidity. New algorithms and guidelines provide care pathways which rely on regular third trimester ultrasound biometry and plotting of estimated fetal weight in pregnancies considered to be at increased risk, and their implementation has increased pressures on ultrasound resources. Customised growth charts have improved the distinction between constitutional and pathological smallness and reduced unnecessary referrals. Their introduction, together with clinicians' training, e-learning and audit as the key elements of the growth assessment protocol, has resulted in increased antenatal detection of small for gestational age babies and a reduction in avoidable stillbirths. However, missed case audits highlight that further improvements are needed, and point to the need to address quality assurance and resource issues in ultrasound services.

References

Feb 1, 1992·Lancet·J GardosiE M Symonds
Feb 1, 1985·American Journal of Obstetrics and Gynecology·F P HadlockS K Park
Aug 1, 1993·British Journal of Obstetrics and Gynaecology·B Backe, J Nakling
Sep 1, 1995·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J GardosiA Chang
Jul 30, 1999·British Journal of Obstetrics and Gynaecology·J Gardosi, A Francis
Oct 21, 2005·BMJ : British Medical Journal·Jason GardosiAnn Tonks
Sep 13, 2006·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Suneet P ChauhanJames A Scardo
Jun 23, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·J GardosiA Francis
Jan 11, 2011·American Journal of Obstetrics and Gynecology·Francesc Figueras, Jason Gardosi
Jan 26, 2013·BMJ : British Medical Journal·Jason GardosiAndré Francis
Jun 17, 2015·American Journal of Obstetrics and Gynecology·Mark HansonEric B Schneider
Nov 8, 2015·American Journal of Obstetrics and Gynecology·Ngaire H AndersonLesley M E McCowan
Jan 23, 2016·Lancet·Vicki FlenadyUNKNOWN Lancet Stillbirths In High-Income Countries Investigator Group
Nov 3, 2016·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·J StirnemannUNKNOWN In addition for INTERBIO-21st:
Feb 10, 2018·American Journal of Obstetrics and Gynecology·Jason GardosiMandy Williams
Feb 10, 2018·American Journal of Obstetrics and Gynecology·Andre FrancisJason Gardosi

❮ Previous
Next ❯

Citations

Feb 15, 2019·Journal of Computer Assisted Tomography·Ahmed Abdel Khalek Abdel RazekEman Abdel Salam
Apr 23, 2019·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·D KabiriA L Tarca
Apr 15, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Michelle S N LamLiona C Poon
Jun 13, 2020·Journal of Medical Imaging and Radiation Oncology·Sarah ConstantinePeter Anderson
Oct 25, 2020·Acta Obstetricia Et Gynecologica Scandinavica·Manel MendozaElena Carreras
Feb 9, 2021·Ultrasound : Journal of the British Medical Ultrasound Society·Nicholas John Dudley, Helen Varley
Aug 28, 2020·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·O HughJ Gardosi
Aug 24, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Anthony AtallahMuriel Doret-Dion

❮ Previous
Next ❯

Methods Mentioned

BETA
SGA

Software Mentioned

GROW
GAP
INTERGROWTH
EFW Audit Tool

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.