Current use and performance of the different fetal growth charts in the Italian population

Stampalija, Tamara; Ghi, T.; Rosolen, Valentina; Rizzo, Giuseppe; Ferrazzi, Enrico; Prefumo, Federico; Dall’Asta, A.; Quadrifoglio, Mariachiara; Todros, Tullia; Frusca, T.

doi:10.1016/j.ejogrb.2020.06.059

Cited by 16 publications

(17 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For instance, a UK study reported that the cut‐off for the best sensitivity for SGA <10th percentile when specificity was set at 90% was the 11th percentile for Hadlock versus the 18th percentile for INTERGROWTH‐21st 23 . Other studies comparing local EFW distributions to IG and WHO in China and Italy also noted important discrepancies in fit 19,22 …”

Section: Discussionmentioning

confidence: 99%

“…17,20,21,24 Data were extracted from medical records by midwives using a pretested and standardised protocol. In contrast with most previous studies that have focused only on one outcome (SGA or LGA) or compared only selected charts, 17,18,21,22 our analysis compared both restricted and excessive growth using eight EFW charts, including the chart recently updated by the INTERGROWTH-21st group. 36 We also included both birthweight and neonatal adverse outcomes in our principal outcome measure.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Similarly, the study found significant differences in the cut-off for UA-PI above the 95 th percentile (20-40%) and CPR below the 5 th percentile (15-35%) 47 . Wide discrepancies have been reported in reference ranges used for biometry, Doppler parameters and birth weight, even at national level in centers with high expertise in the management of FGR, that might significantly impact the diagnosis and management of FGR 48 .…”

Section: Doppler Velocimetrymentioning

confidence: 99%

ISUOG Practice Guidelines: diagnosis and management of small‐for‐gestational‐age fetus and fetal growth restriction

Lees

Stampalija

Baschat

et al. 2020

Ultrasound in Obstet & Gyne

Self Cite

395

454

View full text Add to dashboard Cite

ISUOG Practice Guidelines: diagnosis and management of small-for-gestational-age fetus and fetal growth restriction Clinical Standards CommitteeThe International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) is a scientific organization that encourages sound clinical practice, and high-quality teaching and research related to diagnostic imaging in women's healthcare. The ISUOG Clinical Standards Committee (CSC) has a remit to develop Practice Guidelines and Consensus Statements as educational recommendations that provide healthcare practitioners with a consensus-based approach, from experts, for diagnostic imaging. They are intended to reflect what is considered by ISUOG to be the best practice at the time at which they are issued. Although ISUOG has made every effort to ensure that Guidelines are accurate when issued, neither the Society nor any of its employees or members accepts any liability for the consequences of any inaccurate or misleading data, opinions or statements issued by the CSC. The ISUOG CSC documents are not intended to establish a legal standard of care, because interpretation of the evidence that underpins the Guidelines may be influenced by individual circumstances, local protocol and available resources. Approved Guidelines can be distributed freely with the permission of ISUOG (

show abstract

“…This survey revealed inconsistent reporting practices with four population‐based charts for fetal biometry in current use: ASUM, 13 Hadlock, 21–24 Chitty 31–33 and Raine (Newnham, personal communication). Variation in choice of reference chart is comparable to a recent survey on fetal growth chart use in Italy 54 . There is diversity in Doppler practices, including when Doppler is performed, how it is reported and the choice of reference charts.…”

Section: Discussionmentioning

confidence: 78%

A survey of current practice in reporting third trimester fetal biometry and Doppler in Australia and New Zealand

Paoletti

Smyth

Westerway

et al. 2021

Australas J Ultrason Med

View full text Add to dashboard Cite

Introduction Inconsistent reporting practices in third trimester ultrasound, the choice of reference charts in particular, have the potential to misdiagnose abnormal fetal growth. But this may lead to unnecessary anxiety and confusion amongst patients and clinicians and ultimately influence clinical management. Therefore, we sought to determine the extent of variability in choice of fetal biometry and Doppler reference charts and reporting practices in Australia and New Zealand. Methods Clinicians performing and/or reporting obstetric ultrasound were invited to answer questions about fetal biometry and Doppler charts in a web‐based survey. Results At least four population‐based charts are in current use. The majority of respondents (78%) report the percentile for known gestational age (GA) alongside measurements and 63% using a cut‐off of estimated fetal weight (EFW) < 10th percentile when reporting small for gestational age (SGA) and/or fetal growth restriction (FGR). The thresholds for the use of fetal and maternal Doppler in third trimester ultrasound varied in terms of the GA, EFW cut‐off, and how measures were reported. The majority of respondents were not sure of which Doppler charts were used in their practice. Conclusion This survey revealed inconsistencies in choice of reference chart and reporting practices. The potential for misdiagnosis of abnormal fetal growth remains a significant issue.

show abstract

Current use and performance of the different fetal growth charts in the Italian population

Cited by 16 publications

References 29 publications

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

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

ISUOG Practice Guidelines: diagnosis and management of small‐for‐gestational‐age fetus and fetal growth restriction

A survey of current practice in reporting third trimester fetal biometry and Doppler in Australia and New Zealand

Contact Info

Product

Resources

About