{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T13:57:11Z","timestamp":1769090231298,"version":"3.49.0"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the knowledge, attitudes, and practices (KAP) of pregnant women regarding fetal growth restriction (FGR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study was conducted from December 2024 to January 2025 in Lishui City, Zhejiang Province, with pregnant women as study participants. A self-administered questionnaire was used to collect demographic information and assess KAP scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 381 participants were included in the study. The majority were &amp;lt;30\u202fyears old (55.12%), pregnant for &amp;gt;32\u202fweeks (56.17%), and with their first pregnancy (48.56%). The mean scores for knowledge, attitudes, and practices were 11.08\u202f\u00b1\u202f5.44 (out of 22, 50.36%), 30.33\u202f\u00b1\u202f3.07 (out of 40, 75.83%), and 37.72\u202f\u00b1\u202f2.99 (out of 40, 94.30%), respectively. Knowledge scores were positively correlated with attitude (<jats:italic>r<\/jats:italic>\u202f=\u202f0.1269, <jats:italic>p<\/jats:italic>\u202f=\u202f0.0132) and practice (<jats:italic>r<\/jats:italic>\u202f=\u202f0.2838, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001) scores. The attitude scores were correlated with the practice scores (<jats:italic>r<\/jats:italic>\u202f=\u202f0.2140, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001). Structural equation modeling (SEM) revealed that knowledge had direct influences on attitudes (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.17, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001) and practices (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.11, <jats:italic>p<\/jats:italic>\u202f=\u202f0.004). Attitudes had a direct influence on practices (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.61, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001). Knowledge had an indirect influence on practices through attitudes (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.10, <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pregnant women exhibited limited knowledge but demonstrated favorable attitudes and proactive practices regarding FGR. Improving the knowledge about FGR through educational interventions could enhance both attitudes and practices.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1567038","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T05:29:10Z","timestamp":1754544550000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Knowledge, attitudes, and practices of pregnant women regarding fetal growth restriction: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Yanfei","family":"Zhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenyang","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Fang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuchun","family":"Mei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoe","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e16","DOI":"10.1097\/AOG.0000000000004251","article-title":"American College of Obstetricians and Gynecologists. 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