{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:50:26Z","timestamp":1782971426021,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009007","name":"Health Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009007","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>It is well established that correct antenatal identification of small\u2010for\u2010gestational\u2010age (SGA) fetuses reduces their risk of adverse perinatal outcome with long\u2010term consequences. Ultrasound estimates of fetal weight (EFW<jats:sub>us<\/jats:sub>) are the ultimate tool for this identification. It can be conducted as a \u201cuniversal screening\u201d, that is, all pregnant women at a specific gestational age. However, in Denmark it is conducted as \u201cselective screening\u201d, that is, only on clinical indication. The aim of this study was to assess the performance of the Danish national SGA screening program and the consequences of false\u2010positive and false\u2010negative SGA cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In this retrospective cohort study, we included 2928 women with singleton pregnancies with due dates in 2015. We defined \u201crisk of SGA\u201d by an EFW<jats:sub>us<\/jats:sub>\u00a0\u2264\u00a0\u221215% of expected for the gestational age and \u201cSGA\u201d as birthweight \u2264\u221222% of expected for gestational age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At birth, the prevalence of SGA was 3.3%. The overall sensitivity of the Danish screening program was 62% at a false\u2010positive rate of 5.6%. Within the entire cohort, 63% had an EFW<jats:sub>us<\/jats:sub> compared with 79% of the SGA cases. The sensitivity was 79% for those born before 37\u00a0weeks of gestation but only 40% for those born after 40\u00a0weeks of gestation. The sensitivity was also associated with birthweight deviation; 73% among extreme SGA cases (birthweight deviation \u2264\u221233%) and 55% among mild SGA (birthweight deviation between \u221222% and \u221227%). False diagnosis of SGA was associated with an increased rate of induction of labor (OR<jats:sub>adj<\/jats:sub>\u00a0=\u00a02.51, 95% CI 1.70\u20103.71) and cesarean section (OR<jats:sub>adj<\/jats:sub>\u00a0=\u00a01.44, 95% CI 0.96\u20102.18).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The performance of the Danish national screening program for SGA based on selective EFW<jats:sub>us<\/jats:sub> on clinical indication has improved considerably over the last 20\u00a0years. Limitations of the program are the large proportion of women referred to ultrasound scan and the low performance post\u2010term.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13764","type":"journal-article","created":{"date-parts":[[2019,10,31]],"date-time":"2019-10-31T11:48:52Z","timestamp":1572522532000},"page":"503-509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Screening for small\u2010for\u2010gestational\u2010age fetuses"],"prefix":"10.1111","volume":"99","author":[{"given":"Ditte N.","family":"Hansen","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle S.","family":"Odgaard","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aalborg University Hospital Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Uldbjerg","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aarhus University Hospital Aarhus Denmark"},{"name":"Department of Clinical Medicine Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Sinding","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"S\u00f8rensen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Aalborg University Hospital Aalborg Denmark"},{"name":"Department of Clinical Medicine Aalborg University Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200606000-00008"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.82.2.402"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7292.949"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1806"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1232383"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15740"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00131-2"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2002.810610.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1996.tb14164.x"},{"key":"e_1_2_10_11_1","unstructured":"GjerrisAC PinborgA ShalmiA\u2010C et al.IUGR\u2014guideline (in Danish) [Internet]. 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