{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T02:43:59Z","timestamp":1767840239589,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T00:00:00Z","timestamp":1675987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the performance of INTERGROWTH\u201021<jats:sup>st<\/jats:sup> (IG\u201021<jats:sup>st<\/jats:sup>) and World Health Organization (WHO) fetal growth charts to identify small\u2010for\u2010gestational\u2010age (SGA) and fetal growth restriction (FGR) neonates, as well as their specific risks for adverse neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Multicenter cross\u2010sectional study including 67\u2009968 live births from 10 maternity units across four Latin American countries. According to each standard, neonates were classified as SGA and FGR (birth weight &lt;10<jats:sup>th<\/jats:sup> and less than third centiles, respectively). The relative risk (RR) and diagnostic performance for a low APGAR score and low ponderal index were calculated for each standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>WHO charts identified more neonates as SGA than IG\u201021<jats:sup>st<\/jats:sup> (13.9% vs 7%, respectively). Neonates classified as having FGR by both standards had the highest RR for a low APGAR (RR, 5.57 [95% confidence interval (CI), 3.99\u20137.78]), followed by those who were SGA by both curves (RR, 3.27 [95% CI, 2.52\u20134.24]), while neonates with SGA identified by WHO alone did not have an additional risk (RR, 0.87 [95% CI, 0.55\u20131.39]). Furthermore, the diagnostic odds ratio for a low APGAR was higher when IG\u201021<jats:sup>st<\/jats:sup> was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a population from Latin America, the WHO charts seem to identify more SGA neonates, but the diagnostic performance of the IG\u201021<jats:sup>st<\/jats:sup> charts for low APGAR score and low ponderal index is better.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14657","type":"journal-article","created":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T13:44:42Z","timestamp":1673012682000},"page":"1083-1091","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Performance of the <scp>INTERGROWTH<\/scp>\u201021<sup>st<\/sup> and World Health Organization fetal growth charts for the detection of small\u2010for\u2010gestational age neonates in Latin America"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0372-8374","authenticated-orcid":false,"given":"Jezid","family":"Miranda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena  Cartagena de Indias Colombia"},{"name":"Department of Obstetrics and Gynecology Centro Hospitalario Serena del Mar  Cartagena de Indias Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Maestre","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Grupo de Investigaci\u00f3n en Cuidado Intensivo y Obstetricia (GRICIO) Universidad de Cartagena  Cartagena de Indias Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1ngel","family":"Paternina\u2010Caicedo","sequence":"additional","affiliation":[{"name":"School of Medicine Universidad del Sin\u00fa  Cartagena de Indias Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Parra\u2010Saavedra","sequence":"additional","affiliation":[{"name":"Centro de Diagnostico y Terapia Fetal del Caribe  Barranquilla Colombia"},{"name":"Centro de Investigaciones Cl\u00ednicas y traslacional La Misericordia Cl\u00ednica Internacional y Universidad Simon Bolivar  Barranquilla Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Caradeux","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Cl\u00ednica Santa Mar\u00eda  Santiago Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Sepulveda\u2010Martinez","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology Hospital Cl\u00ednico de la Universidad de Chile  Santiago de Chile Chile"},{"name":"Fetal Medicine Unit Department of Obstetrics and Gynecology Cl\u00ednica Alemana de Santiago  Santiago de Chile Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melisa","family":"Pelaez\u2010Chomba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hospital Nacional Docente Madre Ni\u00f1o San Bartolom\u00e9  Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Torres","sequence":"additional","affiliation":[{"name":"Instituto Mexicano del Seguro Social  Hermosillo Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Parra\u2010Cordero","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology Hospital Cl\u00ednico de la Universidad de Chile  Santiago de Chile Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pilar","family":"Diaz\u2010Corvill\u00f3n","sequence":"additional","affiliation":[{"name":"Maternal\u2010Fetal Medicine Unit Cl\u00ednica D\u00e1vila  Santiago de Chile Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dahiana M.","family":"Gallo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universidad del Valle  Cali Colombia"},{"name":"Department of Obstetrics and Gynecology Universidad Libre de Cali  Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dar\u00edo","family":"Santacruz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universidad del Valle  Cali Colombia"},{"name":"FECOPEN, Federaci\u00f3n Colombiana de Asociaciones de Perinatolog\u00eda y Medicina Materno Fetal  Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9s","family":"Sarmiento","sequence":"additional","affiliation":[{"name":"Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynecology Hospital Universitario Fundaci\u00f3n Santa Fe de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas A.","family":"Benavides","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Universidad Tecnol\u00f3gica de Pereira, Cl\u00ednica San Rafael  Pereira 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