4.5 Article

FIGO position paper on reference charts for fetal growth and size at birth: Which one to use?

Journal

INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
Volume 152, Issue 2, Pages 148-151

Publisher

WILEY
DOI: 10.1002/ijgo.13500

Keywords

Fetal growth charts; Intergrowth; Neonatal birthweight charts

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The International Federation of Gynecology and Obstetrics suggests that local or regional growth charts are likely best for identifying newborns at highest risk, but international standards for growth may also be used when paired with locally appropriate risk interpretation thresholds.
Publication of the Intergrowth-21st and WHO growth charts raises the question of which growth data prenatal providers should use in clinical practice. Is it better to use a universal chart applied globally, or metrics based on local or regional growth patterns? And what about customized charts versus local charts? FIGO has reviewed the different growth charts and studies assessing their reproducibility and predictive values for small- and large-for-gestational age newborns and, where available, adverse fetal outcomes. It concludes that local or regional charts are likely to be best for identifying the 10th percentile of newborns at highest risk. However, international standards for growth may also be used when coupled with locally appropriate thresholds for risk interpretation.

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