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CustOmized versus standard fundal-height measuREments for the detection of small-for-gestational age fetuses in low-risk women (CORE study): A randomized controlled trial

To compare the proportion of small-for-gestational age (SGA) infants detected by routine care versus a growth assessment protocol using customized fundal-height charts in low-risk pregnancies of a developing country. An open label randomized controlled trial was conducted at the Fatima Memorial Hosp...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2024-12
Main Authors: Ahmed, Farhat Ul Ain, Hanook, Sharoon, Ismail, Fatima, Shah, Fatima, Arsalan, Maaz, Lopez Garcia-Tinajero, Maria F, Martinez-Egea, Judit, Figueras, Francesc
Format: Article
Language:English
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Summary:To compare the proportion of small-for-gestational age (SGA) infants detected by routine care versus a growth assessment protocol using customized fundal-height charts in low-risk pregnancies of a developing country. An open label randomized controlled trial was conducted at the Fatima Memorial Hospital (NUR International University, Pakistan). Low-risk pregnant women were randomly allocated to routine care (Mcdonald's rule for fundal height measurements followed by referral for scan with discrepancy of 3 cm from gestational age and a contingency third trimester scan) or the growth assessment protocol (GAP) developed by the Perinatal Institute (UK), which consists of the use of gestation-related optimal weight (GROW) customized charts, alongside management protocols for suspected SGA fetuses, audit tools and training. The primary prespecified outcome was the detection of SGA (defined as a birthweight
ISSN:0020-7292
1879-3479
1879-3479
DOI:10.1002/ijgo.16107