Prise en charge du retard de croissance intra-utérin en France : enquête auprès des centres hospitalo-universitaires et maternités de type III

Chamagne, Matthieu; Beffara, Fanny; Patte, Charlotte; Vigouroux, Camille; Renevier, Bruno

doi:10.1016/j.gofs.2021.04.004

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…21,22 One hypothesis for the poor performance of FGR screening is unstandardised protocols for assessing and reporting screening results. This hypothesis is supported by surveys of maternity unit policies that document high variability in FGR screening practices between centres, [23][24][25] as well as population-based studies that report incomplete information on biometric measures in medical notes and ultrasound reports. 4,26 Two observational studies in the UK and Australia showed that optimising the use of screening information by plotting serial SFH and EFW measurements on customised charts doubled the FGR detection rate among SGA births to over 40%.…”

Section: Introductionmentioning

confidence: 88%

“…One hypothesis for the poor performance of FGR screening is unstandardised protocols for assessing and reporting screening results. This hypothesis is supported by surveys of maternity unit policies that document high variability in FGR screening practices between centres, 23–25 as well as population‐based studies that report incomplete information on biometric measures in medical notes and ultrasound reports 4,26 …”

Section: Introductionmentioning

confidence: 88%

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Serial plotting of symphysis–fundal height and estimated fetal weight to improve the antenatal detection of infants small for gestational age: A cluster randomised trial

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Monier

Vilotitch

et al. 2023

BJOG

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Objective To assess whether standardised longitudinal reporting of growth monitoring information improves antenatal detection of infants who are small for gestational age (SGA), compared with usual care. Design Cluster‐randomised controlled trial. Setting Sixteen French level‐3 units in 2018–2019. Population Singleton pregnancies. Methods The intervention consisted of the serial plotting of symphysis–fundal height (SFH) and estimated fetal weight (EFW) measurements on customised growth charts using a software program, compared with standard antenatal care. We estimated relative risks (RR) adjusted for known risk factors for fetal growth restriction (FGR). Main Outcome Measures The primary outcome was antenatal detection of FGR among SGA births (with birthweights below the tenth centile of French customised curves), defined as the mention of suspected FGR in medical records and either referral ultrasounds for growth monitoring or indicated delivery for FGR. Secondary outcomes were false‐positive rates, mode of delivery, perinatal morbidity and mortality, and number of antenatal visits and ultrasounds. Results In total, seven intervention clusters (n = 4349) and eight control clusters (n = 4943) were analysed, after the exclusion of one intervention centre for a major deviation in protocol. SGA births represented 613 (14.1%) and 626 (12.7%) of all births, respectively. The rates of antenatal detection of FGR among SGA births were 40.0% in the intervention arm versus 37.1% in the control arm (crude RR 1.08, 95% CI 0.87–1.34; adj RR 1.09, 95% CI 0.88–1.35). No benefits of the intervention were detected in the analyses of secondary outcomes. Conclusions Serial plotting of SFH and EFW measurements on customised growth charts did not improve the antenatal detection of FGR among SGA births.

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Section: Introductionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 88%

Serial plotting of symphysis–fundal height and estimated fetal weight to improve the antenatal detection of infants small for gestational age: A cluster randomised trial

Ego

Monier

Vilotitch

et al. 2023

BJOG

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Comparison of the performance of estimated fetal weight charts for the detection of small‐ and large‐for‐gestational age newborns with adverse outcomes: a French population‐based study

Monier

Ego

Benachi

et al. 2021

BJOG

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Objective To compare the performance of estimated fetal weight (EFW) charts at the third trimester ultrasound for detecting small-and large-for-gestational age (SGA/LGA) newborns with adverse outcomes.Design Nationally representative observational study.Setting French maternity units in 2016.Population 9940 singleton live births with an ultrasound between 30 and 35 weeks of gestation. Methods We compared three prescriptive charts (INTERGROWTH-21st, World Health Organization (WHO), Eunice Kennedy Shriver National Institute of Child Health and Human Development [NICHD]), four descriptive charts (Hadlock, Fetal Medicine Foundation, two French charts) and a French customised growth model (Epop e).Main outcome measures SGA and LGA (birthweights <10th and >90th percentiles) associated with adverse outcomes (low Apgar score, delivery-room resuscitation, neonatal unit admission).Results 2.1% and 1.1% of infants had SGA and LGA and adverse outcomes, respectively. The sensitivity and specificity for detecting Conclusion Marked differences in the performance of descriptive as well as prescriptive EFW charts highlight the importance of evaluating them for their ability to detect high-risk fetuses.

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Prise en charge du retard de croissance intra-utérin en France : enquête auprès des centres hospitalo-universitaires et maternités de type III

Cited by 2 publications

References 31 publications

Serial plotting of symphysis–fundal height and estimated fetal weight to improve the antenatal detection of infants small for gestational age: A cluster randomised trial

Serial plotting of symphysis–fundal height and estimated fetal weight to improve the antenatal detection of infants small for gestational age: A cluster randomised trial

Comparison of the performance of estimated fetal weight charts for the detection of small‐ and large‐for‐gestational age newborns with adverse outcomes: a French population‐based study

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