{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:22:00Z","timestamp":1790493720325,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T00:00:00Z","timestamp":1586131200000},"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":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether prenatal identification of small\u2010for\u2010gestational age (SGA) was associated with lower rates of the primary composite outcome of stillbirth, death in the delivery room or neonatal complications, and secondary outcomes of the composite outcome according to gestational age at delivery, stillbirth and low 5\u2010min Apgar score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This historical cohort study included women who had a singleton delivery (\u2265\u200932\u2009weeks) between 1994 and 2011 at one of 247 French maternity units. We excluded pregnancies terminated medically, infants with malformations or with missing data on estimated fetal weight or birth weight, and women with missing delivery data. Among the 24\u2009946 infants born SGA (&lt;\u20095<jats:sup>th<\/jats:sup> percentile), we compared those who had been identified as such prenatally (<jats:italic>n<\/jats:italic>\u2009=\u20095093; 20%), with those who had not (<jats:italic>n<\/jats:italic>\u2009=\u200919\u2009853; 80%). The main outcome was a composite variable defined as stillbirth or death in the delivery room, or transfer to a neonatal department either immediately or during the neonatal stay in the obstetrics ward. Secondary outcomes were the composite outcome according to gestational age at delivery (32 to &lt;\u200935\u2009weeks; 35 to &lt;\u200937\u2009weeks, 37 to &lt;\u200940\u2009weeks, or \u2265\u200940\u2009weeks), stillbirth and low 5\u2010min Apgar score (\u2264\u20094 and &lt;\u20097).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean\u2009\u00b1\u2009SD birth weight was 2449.1\u2009\u00b1\u2009368.3\u2009g. The rate of the main composite outcome was higher in the group identified prenatally as SGA compared with non\u2010identified SGA fetuses (39.5% <jats:italic>vs<\/jats:italic> 13.5%; adjusted relative risk (aRR), 1.29; 95%\u2009CI, 1.21\u20131.38). This association was not observed in the subgroups delivered before 37\u2009weeks. The stillbirth rate was lower in fetuses with prenatal suspicion of SGA (aRR, 0.47; 95%\u2009CI, 0.27\u20130.79), while the 5\u2010min Apgar score did not differ between the two groups. The <jats:italic>a\u2010posteriori<\/jats:italic> study power with \u03b1\u2009=\u20090.05 was 99%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prenatal identification of SGA was not associated with lower fetal or neonatal morbidity overall, although it was associated with a lower rate of stillbirth. Copyright \u00a9 2019 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.20282","type":"journal-article","created":{"date-parts":[[2019,4,5]],"date-time":"2019-04-05T12:59:55Z","timestamp":1554469195000},"page":"621-628","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Prenatal identification of small\u2010for\u2010gestational age and risk of neonatal morbidity and stillbirth"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8577-0682","authenticated-orcid":false,"given":"E.","family":"Nohuz","sequence":"first","affiliation":[{"name":"AUDIPOG (Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie, Obst\u00e9trique et Gyn\u00e9cologie) Faculty of Medicine RTH Laennec  Lyon France"},{"name":"Department of Obstetrics and Gynecology General Hospital of Thiers  Thiers France"},{"name":"Universit\u00e9 Clermont Auvergne, CHU Clermont\u2010Ferrand, CNRS, SIGMA Clermont Institut Pascal  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0046-2937","authenticated-orcid":false,"given":"O.","family":"Rivi\u00e8re","sequence":"additional","affiliation":[{"name":"AUDIPOG (Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie, Obst\u00e9trique et Gyn\u00e9cologie) Faculty of Medicine RTH Laennec  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0429-6964","authenticated-orcid":false,"given":"K.","family":"Coste","sequence":"additional","affiliation":[{"name":"AUDIPOG (Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie, Obst\u00e9trique et Gyn\u00e9cologie) Faculty of Medicine RTH Laennec  Lyon France"},{"name":"Universit\u00e9 Clermont Auvergne, CHU de Clermont\u2010Ferrand, GRED, CNRS 6293, Inserm U1103, Institut Pascal  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7183-7607","authenticated-orcid":false,"given":"F.","family":"Vendittelli","sequence":"additional","affiliation":[{"name":"AUDIPOG (Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie, Obst\u00e9trique et Gyn\u00e9cologie) Faculty of Medicine RTH Laennec  Lyon France"},{"name":"Universit\u00e9 Clermont Auvergne, CHU Clermont\u2010Ferrand, CNRS, SIGMA Clermont Institut Pascal  Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,6]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Association des Utilisateurs de Dossiers Informatis\u00e9s en P\u00e9diatrie Obst\u00e9trique et Gyn\u00e9cologie.https:\/\/www.audipog.net[Accessed 15 January2018]."},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12020"},{"key":"e_1_2_6_4_1","first-page":"231","article-title":"Intrauterine growth restriction and pregnancy outcome","volume":"60","author":"Driul L","year":"2008","journal-title":"Minerva Ginecol"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.600793"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13148"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.06.039"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62233-7"},{"key":"e_1_2_6_10_1","first-page":"CD001451","article-title":"Routine ultrasound in late pregnancy (after 24\u2009weeks' gestation)","volume":"29","author":"Bricker L","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gofs.2017.12.004"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.961912"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.1998.770611.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(96)02730-0"},{"key":"e_1_2_6_15_1","first-page":"187","article-title":"Prenatal detection of fetal growth restriction in newborns classified as small for gestational age: correlates and risk of neonatal morbidity","volume":"31","author":"Chauhan SP","year":"2014","journal-title":"Am J Perinatal"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.06.032"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.11.009"},{"key":"e_1_2_6_18_1","unstructured":"Rapport du comit\u00e9 national technique de l'\u00e9chographie de d\u00e9pistage pr\u00e9natal.2005.https:\/\/www.cfef.org\/archives\/lettres\/DocusCTE\/01.html[Accessed 17 January 2018]."},{"key":"e_1_2_6_19_1","unstructured":"Coll\u00e8ge Fran\u00e7ais d'Echographie F\u0153tale (CFEF). 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