Evidence map›Paper›PMID 36206546›Full record

Trial reportUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2023

Characteristics associated with antenatally unidentified small-for-gestational-age fetuses: prospective cohort study nested within DESiGN randomized controlled trial.

S Relph, M C Vieira, A Copas, A Alagna, L Page, C Winsloe, A Shennan, A Briley, M Johnson, C Lees and 5 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Perinatal outcomes after selective third-trimester ultrasound screening for small-for-gestational age: prospective cohort study nested within DESiGN randomized controlled trial.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025
    Trial
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 3 countries.

S RelphDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID 0000-0002-2007-9647
M C VieiraDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
A CopasCentre for Pragmatic Global Health Trials, Institute for Global Health, University College London, London, UK.
A AlagnaThe Guy's & St Thomas' Charity, London, UK.
L PageWest Middlesex University Hospital, Chelsea & Westminster Hospital NHS Foundation Trust, Isleworth, UK.
C WinsloeDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.ORCID 0000-0002-9860-4173
A ShennanDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
A BrileyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
M JohnsonDepartment of Surgery and Cancer, Imperial College London, London, UK.
C LeesDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
D A LawlorPopulation Health Science, Bristol Medical School, University of Bristol, Bristol, UK.
J SandallDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
A KhalilFetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0003-2802-7670
D PasupathyDepartment of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
DESiGN Trial Team and DESiGN Collaborative Group
King's College London · GBImperial College London · GBFlinders University · AUGuy's and St Thomas' Charity · GBSt George's, University of London · GBThe University of Sydney · AUUniversidade Estadual de Campinas (UNICAMP) · BRUniversity College London · GBUniversity of Bristol · GBWest Middlesex University Hospital · GB

Funding

Medical Research Council MC_UU_00011/6
6 · The paper itself

Abstract

objectiveTo identify the clinical characteristics and patterns of ultrasound use amongst pregnancies with an antenatally unidentified small-for-gestational-age (SGA) fetus, compared with those in which SGA is identified, to understand how to design interventions that improve antenatal SGA identification.

methodsThis was a prospective cohort study of singleton, non-anomalous SGA (birth weight < 10

resultsOf the 15 784 SGA babies included, SGA was not identified antenatally in 78.7% of cases. Of pregnancies with unidentified SGA, 47.1% had no recorded growth scan. Amongst 9410 pregnancies with complete data on key maternal comorbidities and antenatal complications, the risk of unidentified SGA was lower for women with any indication for serial scans (adjusted odds ratio (aOR), 0.56 (95% CI, 0.49-0.64)), for Asian compared with white women (aOR, 0.80 (95% CI, 0.69-0.93)) and for those with non-cephalic presentation at birth (aOR, 0.58 (95% CI, 0.46-0.73)). The risk of unidentified SGA was highest among women with a body mass index (BMI) of 25.0-29.9 kg/m

conclusionsUnidentified SGA was more common amongst women without an indication for serial ultrasound, and in those with cephalic presentation at birth, BMI of 25.0-29.9 kg/m

Indexed as

Fetal Growth RetardationUltrasonography, PrenatalBirth WeightFemaleFetal WeightFetusGestational AgeHumansInfant, NewbornInfant, Small for Gestational AgePregnancyProspective Studiesantenatal screeningestimated fetal weightfetal growthmaternal characteristicsrisk factorsSGAsmall-for-gestational ageultrasound patterns

Identifiers

PMID36206546
PMCPMC7616055
OpenAlexW4303477826

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.