Please use this identifier to cite or link to this item:
Scopus Web of ScienceĀ® Altmetric
Type: Journal article
Title: Potential improvement of pregnancy outcome through prenatal small for gestational age detection
Author: Voskamp, B.
Beemsterboer, D.
Verhoeven, C.
Oude Rengerink, K.
Ravelli, A.
Bakker, J.
Mol, B.
Pajkrt, E.
Citation: American Journal of Perinatology: neonatal and maternal-fetal medicine, 2014; 31(12):1093-1104
Publisher: Thieme Publishing
Issue Date: 2014
ISSN: 0735-1631
Statement of
Bart Jan Voskamp, Daphne H. Beemsterboer, Corine J. M. Verhoeven, Katrien Oude Rengerink, Anita C. J. Ravelli, Jannet J. H. Bakker, Ben Willem J. Mol, Eva Pajkrt
Abstract: OBJECTIVE: To assess differences in mode of delivery and pregnancy outcome between prenatally detected and nonprenatally detected small for gestational age (SGA) neonates born at term. STUDY DESIGN: We performed a retrospective multicenter cohort study. All singleton infants, born SGA in cephalic position between 36(0/7) and 41(0/7) weeks gestation, were classified as either prenatally detected SGA or nonprenatally detected SGA. With propensity score matching we created groups with comparable baseline characteristics. We compared these groups for composite adverse perinatal outcome, labor induction, and cesarean section rates. RESULTS: We included 718 SGA infants, of whom 555 (77%) were not prenatally detected. Composite adverse neonatal outcome did not differ statistically significant between the matched prenatally detected and the nonprenatally detected group (5.5 vs. 7.4%, odds ratio [OR] 0.74, 95% confidence interval [CI]: 0.30-1.8). However, perinatal mortality only occurred in the nonprenatally detected group (1.8% [3/163] in the matched cohort, 1.3% [7/555] in the complete cohort). In the propensity matched prenatally detected SGA group both induction of labor (57 vs. 9%, OR 14.0, 95% CI: 7.4-26.2) and cesarean sections (20 vs. 8%, OR 2.9, 95% CI: 1.5-5.8) were more often performed compared with the nonprenatally detected SGA group. CONCLUSION: Prenatal SGA detection at term allows timely induction of labor and cesarean sections thus potentially preventing stillbirth.
Keywords: Humans
Fetal Death
Birth Weight
Prenatal Diagnosis
Delivery, Obstetric
Cesarean Section
Extraction, Obstetrical
Labor, Induced
Retrospective Studies
Term Birth
Infant, Newborn
Infant, Small for Gestational Age
Perinatal Mortality
Young Adult
Infant Death
Rights: Copyright status unknown
DOI: 10.1055/s-0034-1371360
Published version:
Appears in Collections:Aurora harvest 7
Obstetrics and Gynaecology publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.