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We estimated relative risks (RR) adjusted for known risk factors for fetal growth restriction (FGR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>The primary outcome was antenatal detection of FGR among SGA births (with birthweights below the tenth centile of French customised curves), defined as the mention of suspected FGR in medical records and either referral ultrasounds for growth monitoring or indicated delivery for FGR. Secondary outcomes were false\u2010positive rates, mode of delivery, perinatal morbidity and mortality, and number of antenatal visits and ultrasounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, seven intervention clusters (<jats:italic>n<\/jats:italic>\u00a0=\u20094349) and eight control clusters (<jats:italic>n<\/jats:italic>\u00a0=\u20094943) were analysed, after the exclusion of one intervention centre for a major deviation in protocol. SGA births represented 613 (14.1%) and 626 (12.7%) of all births, respectively. The rates of antenatal detection of FGR among SGA births were 40.0% in the intervention arm versus 37.1% in the control arm (crude RR\u00a01.08, 95%\u00a0CI 0.87\u20131.34; adj RR\u00a01.09, 95%\u00a0CI 0.88\u20131.35). No benefits of the intervention were detected in the analyses of secondary outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Serial plotting of SFH and EFW measurements on customised growth charts did not improve the antenatal detection of FGR among SGA births.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17399","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T09:09:09Z","timestamp":1674119349000},"page":"729-739","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Serial plotting of symphysis\u2013fundal height and estimated fetal weight to improve the antenatal detection of infants small for gestational age: A cluster randomised trial"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1025-910X","authenticated-orcid":false,"given":"Anne","family":"Ego","sequence":"first","affiliation":[{"name":"CNRS, TIMC UMR5525, MESP, Univ. 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Grenoble Alpes, Inserm CIC1406, CHU Grenoble Alpes  Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8218-8814","authenticated-orcid":false,"given":"Gilles","family":"Kayem","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Centre of Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9), Institut national de la sant\u00e9 et de la recherche m\u00e9dicale (INSERM), Institut national de la recherche agronomique (INRA)  Paris France"},{"name":"Department of Obstetrics and Gynecology Trousseau Hospital, AP\u2010HP, FHU PREMA, Sorbonne University  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7057-768X","authenticated-orcid":false,"given":"Christophe","family":"Vayssiere","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Paule de Viguier Hospital, CHU Toulouse  Toulouse France"},{"name":"UMR1295 CERPOP (Centre for Epidemiology and Population Health Research), Team SPHERE (Study of Perinatal, Paediatric and Adolescent Health: Epidemiological Research and Evaluation) Toulouse III University  Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7827-5595","authenticated-orcid":false,"given":"Eric","family":"Verspyck","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Rouen University Hospital  Rouen France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9568-2969","authenticated-orcid":false,"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9, Centre of Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOP\u00e9), Institut national de la sant\u00e9 et de la recherche m\u00e9dicale (INSERM), Institut national de la recherche agronomique (INRA)  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"for the HPAG (Hauteur ut\u00e9rine et Petit poids pour l'Age Gestationnel) Study Group and the Groupe de Recherche en Obst\u00e9trique et Gyn\u00e9cologie (GROG)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,14]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"The investigation and management of the small\u2010for\u2010gestational\u2010age fetus. 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