2.4 Stillbirth and FGR ctd (2/3) Copy
Validation of the principles of the growth potential has allowed ‘SGA by customised centiles’ to be used as a proxy for ‘FGR’ and introduced as an additional category in perinatal mortality classifications.
Although the ’cause’ of death can be manifold and will include clinical as well as pathological factors, a classification system can focus on prevention by using categories that represent ‘relevant conditions’ without needing to establish causality. ReCoDe is such a system [14,15]
Applying ReCoDe, ‘FGR’ is identified as the largest category, and the proportion of unexplained stillbirths drops from 65% to around 16% 15
14. Gardosi J, Mul T, Mongelli M, Fagan D. Analysis of birthweight and gestational age in antepartum stillbirths Br J Obstet Gynaecol. 1998 May;105(5):524-30 https://doi.org/10.1111/j.1471-0528.1998.tb10153.x
15. Gardosi J, Kady SM, McGeown P, Francis A, Tonks A. Classification of stillbirth by relevant condition at death (ReCoDe): population based cohort study. BMJ 2005; 331:1113-7 https://doi.org/10.1136/bmj.38629.587639.7C