Publications by authors named "Roshan John Selvaratnam"
Importance: Timely delivery of infants suspected of having fetal growth restriction (FGR) is a balance between preventing stillbirth and minimizing prematurity, particularly because many infants with suspected FGR have normal growth.
Objective: To explore the association between iatrogenic delivery for suspected FGR and childhood school outcomes.
Design, Setting, And Participants: A retrospective whole-population cohort study linking perinatal data from births 32 weeks' or more gestation between January 1, 2003, to December 31, 2013, to developmental and educational test scores at preparatory school, and at school grades 3, 5, and 7 in Victoria, Australia.
Objectives: Timely delivery of fetal growth restriction (FGR) is important in reducing stillbirth. However, targeted earlier delivery of FGR preferentially removes smaller babies from later gestations, thereby right-shifting the distribution of birthweights at term. This artificially increases the birthweight cutoffs defining the lower centiles and redefines normally grown babies as small by population-based birthweight centiles.
View Article and Find Full Text PDFRisk factor assessment for fetal growth restriction, are we providing best care?
Aust N Z J Obstet Gynaecol
June 2020
Article Synopsis
- Serial third trimester ultrasound checks are suggested for pregnant women at risk of fetal growth restriction (FGR).
- A study in Victoria from 2009 to 2017 revealed that only 19.5% of women with major FGR risk factors received these ultrasound exams.
- Establishing a statewide or nationwide guideline for evaluating early pregnancy risk factors related to FGR could improve care for these women.