3.12 Fetal Growth Surveillance (2/3) Copy

• An EFW between the 3rd and 10th centile, on a customised chart adjusted for constitutional variation, is also associated with increased risk of adverse perinatal outcome if the pregnancy continues to term. 
• Concern about early term delivery because of an association with special educational needs (SEN) in infancy and childhood ²² needs to be balanced by the significantly increased cerebral palsy risk in SGA babies delivered at term ²³.
• Furthermore, their risk of stillbirth is also increased; the majority of deaths prevented since the introduction of GAP had late onset FGR in the 3rd to 10th centile band ²⁴.

22. MacKay DF, Smith GCS, Dobbie R, Pell JP. Gestational Age at Delivery and Special Educational Need: Retrospective Cohort Study of 407,503 Schoolchildren. PLoS Med. 2010 8;7(6):e1000289 https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000289 

23. Jacobsson B, Ahlin K, Francis A, Hagberg G, Hagberg H, Gardosi J. Cerebral palsy and restricted growth status at birth: population-based case-control study. Br J Obstet Gynaecol. 2008 Sep;115(10):1250–5 https://obgyn.onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2008.01827.x 

24. Williams M, Turner S, Hugh O, Gardosi J. Reduction of small-for-gestational-age stillbirths at term in the GAP programme 2015-2018. Br J Obstet Gynaecol. 2019;126(S2):53. https://bit.ly/2YxH7a5