Delphi Consensus criteria, early onset (D1) and late onset (D2), Non Delphi Conventional FGR as (C-D), early onset (C1-D1) and late onset (C2-D2). Rest of the fetuses were designated as Non FGR (> 10th% ile). The association of incidence along with perinatal outcomes in each group were compared. The incidence of FGR was as follows: conventional criteria: 35.8%, Delphi criteria: 22.7% and Non Delphi Conventional FGR: 13.1%. Delphi defined FGR had statistically significant increased incidence of PPHTN, hypoglycemia and NICU admission in comparison to Conventional FGR. Delphi defined FGR also had statistically significant increased frequency of Apgar < 7, PPHTN, hypoglycemia, seizures, NICU admissions and prolonged stay as compared to Non Delphi Conventional FGR group. Comparing Non FGR fetuses with Non Delphi Conventional FGR fetuses, neonatal outcomes were similar in both groups. Delphi defined FGR is associated with increased frequency of adverse perinatal outcomes as compared to conventionally defined FGR. Delphi defined criteria, should be routinely applied to a fetus who is small (AC/EFW < 10th% ile). This will timely identify a truly growth restricted fetus, who is at risk for adverse perinatal outcome and save the rest from unnecessary monitoring and intervention. The findings of our study call for larger studies validating the use of Delphi consensus in clinical practise.
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