{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:12:34Z","timestamp":1785190354461,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,5]],"date-time":"2012-12-05T00:00:00Z","timestamp":1354665600000},"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":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Previous narrative reviews in this area have concluded that there are few interventions that are likely to be beneficial and that further high\u2010quality research is required. Our objective was to perform a review of systematic reviews of the effectiveness of interventions for the prevention of small\u2010for\u2010gestational age (SGA) fetuses and perinatal mortality, to summarize the most up\u2010to\u2010date evidence and assess quality. Searches were carried out by using Medline, Embase, Cochrane Library and DARE (inception to September 2011), by hand searching of journal and reference lists and by contact with experts. Systematic reviews of randomized controlled trials were selected. Two reviewers independently selected articles and assessed the methodological and reporting quality. Data were extracted on study characteristics, quality and results. Summary data were presented as relative risks (RRs) and 95% confidence intervals (CIs). There were 834 randomized controlled trials (&gt;668\u00a0672 participants), reporting on 45 different interventions. The most effective interventions to prevent the SGA fetus were antiplatelets at &lt;16\u00a0weeks in women at risk of pre\u2010eclampsia (RR 0.47; CI 0.30\u20130.74) and progesterone therapy for prevention of preterm birth (RR 0.64; CI 0.49\u20130.83). For the prevention of perinatal mortality in high\u2010risk women, antiplatelets (RR 0.69; CI 0.53\u20130.90) and antenatal corticosteroids (RR 0.77; CI 0.67\u20130.89) were effective interventions. It is concluded that effective interventions are available for reducing the occurrence of SGA fetuses and preventing related perinatal mortality. Some are effective in all women, while others target specific co\u2010morbidities. There is a need to consider a comprehensive approach to primary prevention that targets SGA along with pre\u2010eclampsia and preterm birth.<\/jats:p>","DOI":"10.1111\/aogs.12029","type":"journal-article","created":{"date-parts":[[2012,10,15]],"date-time":"2012-10-15T12:54:58Z","timestamp":1350305698000},"page":"143-151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Effectiveness of interventions for the prevention of small\u2010for\u2010gestational age fetuses and perinatal mortality: a review of systematic reviews"],"prefix":"10.1111","volume":"92","author":[{"given":"RACHEL K.","family":"MORRIS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"EMILY A.","family":"OLIVER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"GEMMA","family":"MALIN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KHALID S.","family":"KHAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CATHERINE","family":"MEADS","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,5]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199904223401603"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-130-4_Part_1-199902160-00005"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2004.tb00236.x"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1998.tb10153.x"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2399"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0378-3782(94)90048-5"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199702000-00023"},{"key":"e_1_2_9_9_2","article-title":"The investigation and management of the small for gestational age fetus","author":"Coomarasamy A","year":"2002","journal-title":"Royal College of Obstetricians and Gynaecologists"},{"key":"e_1_2_9_10_2","unstructured":"What's new. The Editorial Team.Cochrane Pregnancy and Childbirth Group.2010. Available online at:http:\/\/pregnancy.cochrane.org\/(accessed 10 September 2011)."},{"key":"e_1_2_9_11_2","unstructured":"HigginsJPT GreenS(eds).The Cochrane Handbook for systematic reviews of interventions. Version 5.0.0 (updated February 2008). The Cochrane Collaboration 2008. Available online at:http:\/\/www.cochrane\u2010handbook.org(accessed 21 November 2012)."},{"key":"e_1_2_9_12_2","volume-title":"Undertaking systematic reviews of research on effectiveness: CRD report number 4, 2nd edn","author":"NHS Centre for Reviews and Dissemination","year":"2010"},{"key":"e_1_2_9_13_2","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1001\/jama.1994.03520170077040","article-title":"User's guide to the medical literature VI. 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