{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T07:21:31Z","timestamp":1790493691894,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Ministry of Health"},{"name":"Bettencourt Foundation (Coups d'\u00e9lan pour la Recherche fran\u00e7aise"},{"name":"The Assistance publique - H\u00f4pitaux de Paris (AP-HP)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2016,1]]},"abstract":"Abstract<\/jats:title>Background<\/jats:title>Screening for fetal growth restriction (FGR<\/jats:styled-content>) is a major component of prenatal care. We investigated whether the presence of maternal and pregnancy risk factors for FGR<\/jats:styled-content> improves the antenatal suspicion of FGR<\/jats:styled-content> for infants born small\u2010for\u2010gestational age (SGA<\/jats:styled-content>) as well as their impact on screening specificity.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data are from a representative sample of births from the 2010 F<\/jats:styled-content>rench N<\/jats:styled-content>ational P<\/jats:styled-content>erinatal S<\/jats:styled-content>urvey (n<\/jats:italic>\u2009=\u200914 100). Detection of FGR<\/jats:styled-content> was determined by a suspicion of FGR<\/jats:styled-content> noted in medical charts. Analyses were performed for singleton infants with birthweight under the 10th percentile (SGA<\/jats:styled-content>), under the 3rd percentile (severely SGA<\/jats:styled-content>), and above the 10th percentile (false positives) of F<\/jats:styled-content>rench references. We studied risk factors for FGR<\/jats:styled-content> (medical and obstetric conditions, advanced maternal age, nulliparity, body mass index and smoking) using multivariable Poisson regression to derive adjusted risk ratios (aRR).<\/jats:p><\/jats:sec>Results<\/jats:title>Of SGA<\/jats:styled-content> infants, 21.7% were suspected of FGR<\/jats:styled-content>. The presence of obstetric and medical risk factors for FGR<\/jats:styled-content> was associated with higher suspicion among SGA<\/jats:styled-content> infants [RR<\/jats:styled-content> 2.1, 95% confidence interval (CI<\/jats:styled-content>) 1.7, 2.7]. However, despite the presence of these factors, 60% and 40% of SGA<\/jats:styled-content> and severely SGA<\/jats:styled-content> infants, respectively, were not suspected of FGR<\/jats:styled-content>. Two\u2009per\u2009cent of normal birthweight infants were suspected of FGR<\/jats:styled-content>, increasing to 5% when obstetric and medical risk factors were present. Smoking and older maternal age were unrelated to suspicion while females were more likely to be suspected of FGR<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Our results suggest that better risk assessment could improve antenatal identification of FGR<\/jats:styled-content>. Sex\u2010specific fetal growth references should be used to avoid systematic bias linked to sex.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12251","type":"journal-article","created":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T06:59:53Z","timestamp":1445497193000},"page":"46-55","source":"Crossref","is-referenced-by-count":32,"title":["Does the Presence of Risk Factors for Fetal Growth Restriction Increase the Probability of Antenatal Detection? A F<\/scp>rench National Study"],"prefix":"10.1111","volume":"30","author":[{"given":"Isabelle","family":"Monier","sequence":"first","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9atrice","family":"Blondel","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Ego","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"},{"name":"Clinical Research Center (CICO3) Grenoble University Hospital Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"Kaminski","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Goffinet","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"},{"name":"Port\u2010Royal Maternity Unit Department of Obstetrics and Gynaecology Cochin University Hospital, Assistance Publique H\u00f4pitaux de Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Zeitlin","sequence":"additional","affiliation":[{"name":"Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epop\u00e9) Center for Epidemiology and Statistics Sorbonne Paris Cit\u00e9 DHU Risks in pregnancy Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199904223401603"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6286"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000429658.85846.f9"},{"key":"e_1_2_7_5_1","unstructured":"Royal College of Obstetricians and Gynecologists.The investigation and management of the small\u2010for\u2010gestational fetus. 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