Details

Autor(en) / Beteiligte

• Duhig, Kate
• Myers, Jenny

Titel

Detecting fetal growth restriction with customised assessment: Is the jury still out?

Ist Teil von

• PLoS medicine, 2022-06, Vol.19 (6), p.e1004028-e1004028

Ort / Verlag

San Francisco: Public Library of Science

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Elektronische Zeitschriftenbibliothek

Beschreibungen/Notizen

• In an accompanying research study in PLOS Medicine, Vieira and colleagues assess customised growth charts devised as part of the Growth Assessment Protocol (GAP) against standard care across 13 hospitals in England, in the DESiGN cluster randomised trial [1]. The alternative approach of fetal growth “customisation” argues that adjusting for maternal characteristics and parity can improve the precision of fetal growth restriction (FGR) detection, accounting for genetic factors that enthusiasts believe may significantly influence fetal growth [2]. The GAP [3] was developed by the Perinatal Institute for the detection of small for gestational age (SGA) fetuses with customisation and includes a programme of risk assessment, training, and accreditation of the use of customised growth charts in antenatal care settings. Globally, stillbirth disproportionally affects women from minority ethnic communities, women who live in poverty, women with complex physical and mental health needs, and women exposed to domestic and intimate partner violence [5,14,15].