{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:00:17Z","timestamp":1782187217759,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the comparative incidence, detection of small\u2010for\u2010gestational age (SGA), and composite perinatal morbidity (CPM) associated with diagnostic criteria of fetal growth restriction (FGR) by estimated fetal weight (EFW) &lt;10% with those with isolated abdominal circumference (AC) measurements &lt;10%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cohort study of 1587 patients receiving prenatal care and delivery at our institution. We included all patients with ultrasounds and delivery outcomes available, and excluded terminations, second trimester losses, and pregnancies without ultrasounds. EFW was calculated from Hadlock and use of the Duryea centiles, and AC from Hadlock's reference curves. We determined SGA at birth and defined CPM as birthweight less than 3% or birthweight less than 10% with neonatal morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1587 patients, 28 (1.8%) were classified as FGR by EFW &lt;10%. Three of 12 patients with isolated AC &lt;10% developed EFW &lt;10% later in pregnancy (25%). The performance of each diagnostic criteria were comparable for the outcomes of SGA and CPM, with similar sensitivities, but with decreased specificity for SGA outcome, and an increased false positive rate for patients classified as FGR by isolated AC &lt;10, with a tradeoff of decreased false negatives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Broadening the diagnosis of FGR to include patients with isolated AC &lt;10 did not significantly increase the detection of pregnancies at risk for SGA or CPM. Our conclusions may be limited by a lack of statistical power given a low frequency of SGA and CPM.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.16001","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T13:30:02Z","timestamp":1651584602000},"page":"477-485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparative Diagnostic Performance of Estimated Fetal Weight and Isolated Abdominal Circumference for the Detection of Fetal Growth Restriction"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6685-8881","authenticated-orcid":false,"given":"Megan D.","family":"Whitham","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Virginia School of Medicine  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Virginia School of Medicine  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda R.","family":"Urban","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Virginia School of Medicine  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Ennen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Virginia School of Medicine  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald J.","family":"Dudley","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Virginia School of Medicine  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.05.010"},{"key":"e_1_2_6_3_1","unstructured":"Royal College of Obstetricians and Gynaecologists.The investigation and management of the small\u2010for\u2010gestational\u2010age fetus;2013."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004350"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1604059"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70347-2"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.09.043"},{"key":"e_1_2_6_8_1","unstructured":"Updated Guidance Regarding Fetal Growth Restriction | ACOG.https:\/\/www.acog.org\/clinical\/clinical\u2010guidance\/practice\u2010advisory\/articles\/2020\/09\/updated\u2010guidance\u2010regarding\u2010fetal\u2010growth\u2010restriction. 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