{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:35:00Z","timestamp":1768448100370,"version":"3.49.0"},"reference-count":26,"publisher":"Walter de Gruyter GmbH","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0590_abs_001\">\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>To systematically identify and critically assess the quality of clinical practice guidelines (CPGs) on management fetal growth restriction (FGR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0590_abs_002\">\n                  <jats:title>Content<\/jats:title>\n                  <jats:p>Medline, Embase, Google Scholar, Scopus and ISI Web of Science databases were searched to identify all relevant CPGs on FGR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0590_abs_003\">\n                  <jats:title>Summary<\/jats:title>\n                  <jats:p>Diagnostic criteria of FGR, recommended growth charts, recommendation for detailed anatomical assessment and invasive testing, frequency of fetal growth scans, fetal monitoring, hospital admission, drugs administrations, timing at delivery, induction of labor, postnatal assessment and placental histopathological were assessed. Quality assessment was evaluated by AGREE II tool. Twelve CPGs were included. Twenty-five percent (3\/12) of CPS adopted the recently published Delphi consensus, 58.3% (7\/12) an estimated fetal weight (EFW)\/abdominal circumference (AC) EFW\/AC &lt;10th percentile, 8.3% (1\/12) an EFW\/AC &lt;5th percentile while one CPG defined FGR as an arrest of growth or a shift in its rate measured longitudinally. Fifty percent (6\/12) of CPGs recommended the use of customized growth charts to assess fetal growth. Regarding the frequency of Doppler assessment, in case of absent or reversed end-diastolic flow in the umbilical artery 8.3% (1\/12) CPGs recommended assessment every 24\u201348, 16.7% (2\/12) every 48\u201372\u00a0h, 1 CPG generically recommended assessment 1\u20132 times per week, while 25 (3\/12) did not specifically report the frequency of assessment. Only 3 CPGs reported recommendation on the type of Induction of Labor to adopt. The AGREE II standardized domain scores for the first overall assessment (OA1) had a mean of 50%.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0590_abs_004\">\n                  <jats:title>Outlook<\/jats:title>\n                  <jats:p>There is significant heterogeneity in the management of pregnancies complicated by FGR in published CPGs.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0590","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T18:21:13Z","timestamp":1680027673000},"page":"970-980","source":"Crossref","is-referenced-by-count":4,"title":["A systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restriction"],"prefix":"10.1515","volume":"51","author":[{"given":"Sara","family":"Alameddine","sequence":"first","affiliation":[{"name":"Center for High-Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology , University of Chieti , Chieti , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Capannolo","sequence":"additional","affiliation":[{"name":"Center for High-Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology , University of Chieti , Chieti , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5525-4353","authenticated-orcid":false,"given":"Giuseppe","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Fondazione Policlinico Tor Vergata Universit\u00e0 Roma Tor Vergata , Roma , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asma","family":"Khalil","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Saint George\u2019s Hospital , London , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaella","family":"Di Girolamo","sequence":"additional","affiliation":[{"name":"Center for High-Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology , University of Chieti , Chieti , Italy"},{"name":"Department of Public Health , School of Medicine, Federico II University of Naples , Naples , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlotta","family":"Iacovella","sequence":"additional","affiliation":[{"name":"B\u00fcrgerhospital Frankfurt am Main , Frankfurt am Main , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Liberati","sequence":"additional","affiliation":[{"name":"Center for High-Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology , University of Chieti , Chieti , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lodovico","family":"Patrizi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Fondazione Policlinico Tor Vergata Universit\u00e0 Roma Tor Vergata , Roma , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ganesh","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology , Karolinska Institutet and Center for Fetal Medicine, Karolinska University Hospital , Stockholm , Sweden"},{"name":"Women\u2019s Health and Perinatology Research Group, Department of Clinical Medicine , UiT-The Arctic University of Norway , Troms\u00f8 , Norway"},{"name":"Department of Obstetrics and Gynecology , University Hospital of North Norway , Troms\u00f8 , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony O","family":"Odibo","sequence":"additional","affiliation":[{"name":"Divisions of Maternal-Fetal Medicine and Clinical Research, Department of Obstetrics and Gynecology , Washington University School of Medicine , St. Louis , MO , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"D\u2019Antonio","sequence":"additional","affiliation":[{"name":"Center for High-Risk Pregnancy and Fetal Care, Department of Obstetrics and Gynecology , University of Chieti , Chieti , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"2023100415421267049_j_jpm-2022-0590_ref_001","doi-asserted-by":"crossref","unstructured":"Gordijn, SJ, Beune, IM, Thilaganathan, B, Papageorghiou, A, Baschat, AA, Baker, PN, et al.. 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