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The success of the 2030 Agenda hinges on mobilization at the local level. The localization of sustainable development goals (SDGs) and their targets involves adapting them to local contexts. This case study of Quebec City, Canada, illustrates how the use of a systemic sustainability analysis tool can help integrate SDGs in the building of a sustainable development strategy at the local level. Our approach focuses on the use of an SDG target prioritization grid (SDGT-PG) and begins with the mobilization and training of a group of officers representing various city services. We first used an original text-mining framework to evaluate SDG integration within existing strategic documents published by the city. The result provides a portrait of existing contributions to SDG targets and identifies potential synergies and trade-offs between services and existing policies. A citywide prioritization workshop was held to assess the relative importance of SDG targets for the city. Priorities were then identified by combining the importance of the targets as viewed by stakeholders, the current level of achievement of SDG targets as determined by the analysis of existing documents, and the jurisdiction and responsibilities given to Quebec City in regard to federal and provincial legislation. We identified the main focus areas and related SDG targets. Furthermore, we observed whether actions needed to be consolidated or new actions needed to be implemented. The identification of synergies and trade-offs within the city service actions provides information on the links to be made between the different municipal services and calls for partnerships with other organizations. The use of the SDGT-PG allows the vertical and horizontal integration of the SDG targets and demonstrates how participation and inclusion facilitate stakeholders’ appropriation of the applied sustainable development strategy.

The first-trimester mean uterine artery PI decreases with gestational age in both approaches. Abdominal US could be associated with greater uterine artery PI values than transvaginal US, especially at higher measurements. The first-trimester uterine artery PI for prediction of adverse perinatal outcomes should be adjusted for gestational age and possibly for the US approach.

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