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oai:docta.ucm.es:20.500.14352/47992023-07-17T23:38:49Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc Galán Arévalo, María Sonsoles author Mahillo Fernández, Ignacio author Esteban, Luis Mariano author Andeyro García, Mercedes author Piñeiro Pérez, Roi author Saénz de Pipaón, Miguel author Savirón Cornudella, Ricardo author 2021-10-10 Fetal growth restriction has been associated with an increased risk of adverse perinatal outcomes (APOs). We determined the importance of fetal growth detention (FGD) in late gestation for the occurrence of APOs in small-for-gestational-age (SGA) and appropriate-for-gestational-age (AGA) newborns. For this purpose, we analyzed a retrospective cohort study of 1067 singleton pregnancies. The newborns with higher APOs were SGA non-FGD and SGA FGD in 40.9% and 31.5% of cases, respectively, and we found an association between SGA non-FGD and any APO (OR 2.61; 95% CI: 1.35–4.99; p = 0.004). We did not find an increased APO risk in AGA FGD newborns (OR: 1.13, 95% CI: 0.80, 1.59; p = 0.483), except for cesarean delivery for non-reassuring fetal status (NRFS) with a decrease in percentile cutoff greater than 40 (RR: 2.41, 95% CI: 1.11–5.21) and 50 (RR: 2.93, 95% CI: 1.14–7.54). Conclusions: Newborns with the highest probability of APOs are SGA non-FGDs. AGA FGD newborns do not have a higher incidence of APOs than AGA non-FGDs, although with falls in percentile cutoff over 40, they have an increased risk of cesarean section due to NRFS. Further studies are warranted to detect these newborns who would benefit from close surveillance in late gestation and at delivery. 2077-0383 10.3390/jcm10204643 https://hdl.handle.net/20.500.14352/4799 https://doi.org/10.3390/jcm10204643 https://www.mdpi.com/2077-0383/10/20/4643/htm Perinatal Adverse Effects in Newborns with Estimated Loss of Weight Percentile between the Third Trimester Ultrasound and Delivery. The GROWIN Study