{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T06:01:34Z","timestamp":1785132094492,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001677","name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001677","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004690","name":"Minist\u00e8re de la Sant\u00e9","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004690","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study assesses whether fetal growth trajectories are associated with neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study population included 8537 singleton liveborn infants from the 2021 French National Perinatal Survey. Fetal growth trajectories were assessed between second and third trimester routine ultrasounds and between the third trimester ultrasound and birth, and classified for each period as constant (C, fetal weight variation &lt;\u00b11 standard deviation [SD]), accelerated (A, \u2265\u20091 SD), or declining (D, \u2264\u2009\u22121 SD). Seven combined trajectory groups were defined over both periods: CC, AC, CA, AA, DC, CD, and DD. A composite neonatal outcome included 5\u2010min Apgar score &lt;\u20097, pH &lt;\u20097.10, birth resuscitation, neonatal transfer, or death. Adjusted odds ratios (aOR) for potential confounders with 95% confidence intervals (CI) were estimated for the full cohort and by small for gestational age (SGA, birthweight &lt;\u200910th centile) status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The fetal trajectory was constant (CC), declining (DC, CD, DD) or accelerated (AC, CA, AA) for 54%, 27%, and 18% of fetuses, respectively. In the overall population, the risk of poor neonatal outcomes was higher in the CD group (aOR, 1.6 [95% CI, 1.3\u20132.0]) and the DD group (aOR, 2.0 [95% CI, 1.3\u20133.2]). This risk was also increased in the DD group (aOR, 3.7 [95% CI, 1.8\u20137.9]) among SGA births and in the CD group (aOR, 1.5 [95% CI, 1.2\u20132.0]) among non\u2010SGA births.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Declining fetal growth trajectories throughout and during the third trimester of pregnancy were associated with an increased risk of poor neonatal outcomes among both SGA and non\u2010SGA infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71233","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:39:57Z","timestamp":1785130797000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fetal growth trajectories and neonatal outcomes: A French population\u2010based study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4490-8697","authenticated-orcid":false,"given":"Pierre","family":"Gibert","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7905-7098","authenticated-orcid":false,"given":"Alice","family":"Hocquette","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0891-1063","authenticated-orcid":false,"given":"Camille","family":"Le Ray","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"},{"name":"Department of Obstetrics and Gynecology, Port\u2010Royal Maternity Hospital, AP\u2010HP Cochin Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9568-2969","authenticated-orcid":false,"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2755-7322","authenticated-orcid":false,"given":"Isabelle","family":"Monier","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1025-910X","authenticated-orcid":false,"given":"Anne","family":"Ego","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and Statistics, Obstetrical Perinatal and Pediatric Life Course Epidemiology Research Team (OPPaLE)  Paris France"},{"name":"Univ. Grenoble Alpes, Inserm CIC1406 CHU Grenoble Alpes  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"ENP2021 Study Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.10.889"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62233-7"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15884"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.22134"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.26250"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1684470"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2022.100780"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.27610"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-025-04117-8"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23111"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.08.041"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000001387"},{"key":"e_1_2_10_14_1","unstructured":"Coll\u00e8ge National des \u00c9chographistes Obst\u00e9triciens et F\u0153taux (CNEOF).Recommandations pour les examens \u00e9chographiques au cours de la grossesse. 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