Abstract
(Abstracted from BMJ 2016;355:i5662) Fetal growth assessment is important to identify fetuses with abnormal fetal growth that are at increased risk of perinatal morbidity and mortality. Serial measurement of symphysis-fundal height (SFH) is the recommended, inexpensive, and first-level screening tool in both low- and high-risk pregnancies.
Highlights
Assessment of fetal growth is one of the aims of antenatal care, in order to identify small and large for gestational age fetuses at increased risk of perinatal morbidity and mortality
To improve the care offered to women worldwide, we have developed international symphysis-fundal height (SFH) standards, which were derived from the same eight urban populations of healthy, well nourished women in the INTERGROWTH-21st Project
The international standards we present will go some way to reducing the wide range in sensitivity for the detection of small for gestational age
Summary
Assessment of fetal growth is one of the aims of antenatal care, in order to identify small and large for gestational age fetuses at increased risk of perinatal morbidity and mortality. The sensitivity of SFH measurement to detect small for gestational age fetuses has been assessed in three systematic reviews.[5,6,7] Observational cohort studies show wide ranges of sensitivity from 17% to 93%. There is marked study heterogeneity mainly due to the variety of methods used, including varying thresholds for defining small for gestational age and the use of multiple SFH charts.[5 ] we believe that at least 21 different, locally derived SFH charts are currently being used in clinical practice worldwide.[8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29]
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