{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:01:10Z","timestamp":1765231270895,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T00:00:00Z","timestamp":1664668800000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Antenatal detection of fetal growth restriction allows the opportunity to increase surveillance and initiate intervention to prevent adverse outcomes. Detection of small for gestational age (SGA) fetuses with risk factor screening and selective ultrasonography is the standard of care in Australia, but evidence regarding performance is lacking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the diagnostic performance of a risk factor\u2010based screening approach in detection of SGA neonates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Retrospective cohort study conducted in a metropolitan maternity service, including all consecutive singleton deliveries over 20\u2009weeks gestation from July 2016 to December 2017, and excluding terminations of pregnancy. An SGA neonate was defined by birthweight below the tenth percentile according to Australian reference ranges. Antenatally detected SGA cases were defined by estimated fetal weight or abdominal circumference below the tenth percentile for gestational age, or abnormal symphysio\u2010fundal height. The diagnostic accuracy of the screening protocol was calculated using detection rates and false\u2010positive rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 13\u2009384 singleton pregnancies included. There were 1330 infants (10.0%) who were SGA at birth. Antenatal detection rate of SGA neonates was 39.6% (95% confidence interval (CI) 37.0\u201342.3%), with a false\u2010positive rate of 10.2% (95% CI 9.6\u201310.7%). There were 10\u2009266 pregnancies (77.0%) which had at least one risk factor for an SGA infant. Of these, 6650 (64.8%) underwent at least one fetal growth ultrasound after 24\u2009weeks gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Antenatal recognition of poor fetal growth is suboptimal using our current screening protocol. Three\u2010quarters of pregnancies demonstrated risk factors for delivering an SGA infant, but growth ultrasonography may be underutilised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13620","type":"journal-article","created":{"date-parts":[[2022,10,2]],"date-time":"2022-10-02T23:33:30Z","timestamp":1664753610000},"page":"321-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Performance of a risk factor\u2010based approach in the detection of small for gestational age neonates: A cohort study"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1776-7545","authenticated-orcid":false,"given":"Anna","family":"Wan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Zampogna","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Monash Women's Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Robinson","sequence":"additional","affiliation":[{"name":"Monash Women's Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Hodges","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Monash Women's Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Lorber","family":"Rolnik","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Monash University  Melbourne Victoria Australia"},{"name":"Monash Women's Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,2]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"34","volume-title":"Green\u2010Top Guideline No. 31","author":"Royal College of Obstetricians and Gynaecologists","year":"2014"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2014.06.022"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23663"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpm.2010.027"},{"key":"e_1_2_6_7_1","first-page":"17","volume-title":"Screening in Early Pregnancy for Adverse Perinatal Outcomes","author":"Walker S","year":"2015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1993.tb14263.x"},{"issue":"3","key":"e_1_2_6_9_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 Perinatol"},{"key":"e_1_2_6_10_1","unstructured":"GardenerG WellerM WallaceE EastC OatsJ EllwoodD et al.Position statement: Detection and Management of Fetal Growth Restriction in singleton pregnancies. 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