{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:35:41Z","timestamp":1791246941778,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,10,27]],"date-time":"2014-10-27T00:00:00Z","timestamp":1414368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"funder":[{"name":"Ministry of Health, France"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2015,3]]},"abstract":"\n Objective<\/jats:title>\n \n To assess the proportion of small for gestational age (\n SGA<\/jats:styled-content>\n ) and normal birthweight infants suspected of fetal growth restriction (\n FGR<\/jats:styled-content>\n ) during pregnancy, and to investigate obstetric and neonatal outcomes by suspicion of\n FGR<\/jats:styled-content>\n and\n SGA<\/jats:styled-content>\n status at birth.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Population\u2010based study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n All French maternity units in 2010.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n \n Representative sample of singleton births (\n n<\/jats:italic>\n \u00a0=\u00a014\u00a0100).\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We compared\n SGA<\/jats:styled-content>\n infants with a birthweight of less than the 10th percentile suspected of\n FGR<\/jats:styled-content>\n , defined as mention of\n FGR<\/jats:styled-content>\n in medical charts (true positives), non\u2010\n SGA<\/jats:styled-content>\n infants suspected of\n FGR<\/jats:styled-content>\n (false positives),\n SGA<\/jats:styled-content>\n infants without suspicion of\n FGR<\/jats:styled-content>\n (false negatives) and non\u2010\n SGA<\/jats:styled-content>\n infants without suspicion of\n FGR<\/jats:styled-content>\n (true negatives). Multivariable analyses were adjusted for maternal and neonatal characteristics hypothesised to affect closer surveillance for\n FGR<\/jats:styled-content>\n and our outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Obstetric management (caesarean, provider\u2010initiated preterm and early term delivery) and neonatal outcomes (late fetal death, preterm birth, Apgar score, resuscitation at birth).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n 21.7% of SGA infants (\n n<\/jats:italic>\n \u00a0=\u00a0265) and 2.1% of non\u2010SGA infants (\n n<\/jats:italic>\n \u00a0=\u00a0271) were suspected of FGR during pregnancy. Compared with true negatives, provider\u2010initiated preterm deliveries were higher for true and false positives (adjusted risk ratio [\n aRR<\/jats:styled-content>\n ], 6.1 [95% CI, 3.8\u20139.8] and 4.6 [95% CI, 3.2\u20136.7]), but not for false negatives (\n aRR<\/jats:styled-content>\n , 1.1 [95% CI, 0.6\u20131.9]). Neonatal outcomes were not better for SGA infants if FGR was suspected.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Antenatal suspicion of\n FGR<\/jats:styled-content>\n among\n SGA<\/jats:styled-content>\n infants was low and one\u2010half of infants suspected of\n FGR<\/jats:styled-content>\n were not\n SGA<\/jats:styled-content>\n . The increased risk of provider\u2010initiated delivery observed in non\u2010\n SGA<\/jats:styled-content>\n infants suspected of\n FGR<\/jats:styled-content>\n raises concerns about the iatrogenic consequences of screening.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.13148","type":"journal-article","created":{"date-parts":[[2014,10,27]],"date-time":"2014-10-27T05:12:17Z","timestamp":1414386737000},"page":"518-527","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":158,"title":["Poor effectiveness of antenatal detection of fetal growth restriction and consequences for obstetric management and neonatal outcomes: a\n F<\/scp>\n rench national study"],"prefix":"10.1111","volume":"122","author":[{"given":"I","family":"Monier","sequence":"first","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Blondel","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Ego","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"},{"name":"Clinical Research Center (CICO3) Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Kaminiski","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Goffinet","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"},{"name":"Port\u2010Royal Maternity Unit Department of Obstetrics and Gynaecology Cochin University Hospital Assistance Publique H\u00f4pitaux de Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153 Obstetrical Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,10,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000429658.85846.f9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6286"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200002000-00009"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62233-7"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199904223401603"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.02.030"},{"key":"e_1_2_6_9_1","volume-title":"The Investigation and Management of the Small\u2010for\u2010Gestational Age Fetus. 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Suivi et orientation des femmes enceintes en fonction des situations \u00e0 risque identifi\u00e9es. Recommandations professionnelles. 2007 [www.has-sante.fr]. Accessed 20 June 2013."},{"key":"e_1_2_6_27_1","unstructured":"Haute Autorit\u00e9 de Sant\u00e9.Grossesses \u00e0 risque: orientation des femmes enceintes entre les maternit\u00e9s en vue de l'accouchement. Recommandations de bonne pratique.2009[www.has-sante.fr]. Accessed 20 June 2013."},{"key":"e_1_2_6_28_1","unstructured":"Rapport du Comit\u00e9 National Technique de l'Echographie de d\u00e9pistage pr\u00e9natal. Avril2005[www.cfef.org\/archives\/lettres\/DocusCTE\/rapportCTE.pdf]. Accessed 1 September 2012."},{"key":"e_1_2_6_29_1","first-page":"61","article-title":"Fetal growth from the AUDIPOG study. I. 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