{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:36:08Z","timestamp":1747182968708,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T00:00:00Z","timestamp":1578528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["FB #1142636, ST #1062418 and LH #1105603"],"award-info":[{"award-number":["FB #1142636, ST #1062418 and LH #1105603"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Small for gestational age (SGA) is a major determinant of poor perinatal outcome. Detecting SGA at term using ultrasound is challenging and we often plan birth based on clinical assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine the incidence of SGA infants with birthweight &lt;10th centile among women undergoing planned birth at term for suspected SGA despite a normal estimated fetal weight (EFW) on ultrasound at 35\u201337\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We performed a retrospective study including all women with a fetal growth ultrasound at \u226535\u00a0weeks reporting an EFW\u00a0\u2265\u00a010th centile (appropriate for gestational age, AGA) who subsequently had an induction of labour or caesarean birth at \u226537\u00a0weeks due to ongoing clinical suspicion of SGA between 2012\u20132014. The primary outcome was the incidence of SGA newborns using customised centiles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 532 women who had a planned birth for clinical suspicion of SGA during the study period. Of these, 205 (38.5%) had an AGA fetus on ultrasound \u226535\u00a0weeks but were subsequently delivered because of a persisting clinical suspicion of SGA on abdominal assessment. Sixty\u2010eight percent (<jats:italic>n<\/jats:italic>\u00a0=\u00a0139\/205) delivered an SGA infant. Furthermore, almost half of these SGA infants (47.5%) had a birthweight &lt;3rd centile. Neonatal outcomes were worse for the SGA infants, with 15.1% (<jats:italic>n<\/jats:italic>\u00a0=\u00a021\/205) requiring special care nursery compared to 1.5% (<jats:italic>n<\/jats:italic>\u00a0=\u00a01\/205) of those AGA at birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A reassuring ultrasound with EFW \u226510th centile in the late third trimester should not override clinical concerns of impaired fetal growth at term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13111","type":"journal-article","created":{"date-parts":[[2020,1,10]],"date-time":"2020-01-10T02:53:03Z","timestamp":1578624783000},"page":"568-573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accuracy of clinical suspicion of growth restriction at term despite a normal growth ultrasound: A retrospective cohort study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5680-6853","authenticated-orcid":false,"given":"Brittany","family":"Green","sequence":"first","affiliation":[{"name":"Translational Obstetrics Group Department of Obstetrics and Gynaecology Mercy Hospital for Women University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Hui","sequence":"additional","affiliation":[{"name":"Mercy Perinatal Mercy Hospital for Women Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4342-1943","authenticated-orcid":false,"given":"Roxanne","family":"Hastie","sequence":"additional","affiliation":[{"name":"Translational Obstetrics Group Department of Obstetrics and Gynaecology Mercy Hospital for Women University of Melbourne Melbourne Victoria Australia"},{"name":"Mercy Perinatal Mercy Hospital for Women Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Tong","sequence":"additional","affiliation":[{"name":"Translational Obstetrics Group Department of Obstetrics and Gynaecology Mercy Hospital for Women University of Melbourne Melbourne Victoria Australia"},{"name":"Mercy Perinatal Mercy Hospital for Women Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1439-7016","authenticated-orcid":false,"given":"Fiona C.","family":"Brownfoot","sequence":"additional","affiliation":[{"name":"Translational Obstetrics Group Department of Obstetrics and Gynaecology Mercy Hospital for Women University of Melbourne Melbourne Victoria Australia"},{"name":"Mercy Perinatal Mercy Hospital for Women Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2007.00742.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12264"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00131-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c7087"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f108"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)03122-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31819930b0"},{"key":"e_1_2_8_10_1","first-page":"CD001451","article-title":"Routine ultrasound in late pregnancy (after 24 weeks' gestation)","author":"Bricker L","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.04.018"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2007.00698.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60364-4"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1995.06030168.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61490-2"},{"key":"e_1_2_8_16_1","unstructured":"HealthPIfMaC.Customised centile calculator. In: v6.7.6.2(AU) (ed.) ed.2015."},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)62233-7"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12205"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2014.961007"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.01.037"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13111","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.13111","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13111","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T17:29:51Z","timestamp":1693934991000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,9]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/ajo.13111"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13111","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2020,1,9]]},"assertion":[{"value":"2019-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-11-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}