Consensus definition of fetal growth restriction: a Delphi procedure

ABSTRACT Objective To determine, by expert consensus, a definition for early and late fetal growth restriction (FGR) through a Delphi procedure. Method A Delphi survey was conducted among an international panel of experts on FGR. Panel members were provided with 18 literature‐based parameters for de...

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Bibliographic Details
Published in:Ultrasound in obstetrics & gynecology 2016-09, Vol.48 (3), p.333-339
Main Authors: Gordijn, S. J., Beune, I. M., Thilaganathan, B., Papageorghiou, A., Baschat, A. A., Baker, P. N., Silver, R. M., Wynia, K., Ganzevoort, W.
Format: Article
Language:English
Subjects:
Blood Flow Velocity
Consensus
definition
Delphi
Delphi Technique
Experts
Female
fetal growth restriction
Fetal Growth Retardation - classification
Fetal Growth Retardation - diagnosis
Fetal Weight
Gestational Age
Growth Charts
Humans
placenta
placenta‐based FGR
Pregnancy
Pulsatile Flow
Societies, Medical
Ultrasonography, Prenatal - methods
Uterine Artery - embryology
Uterine Artery - physiopathology
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Summary:ABSTRACT Objective To determine, by expert consensus, a definition for early and late fetal growth restriction (FGR) through a Delphi procedure. Method A Delphi survey was conducted among an international panel of experts on FGR. Panel members were provided with 18 literature‐based parameters for defining FGR and were asked to rate the importance of these parameters for the diagnosis of both early and late FGR on a 5‐point Likert scale. Parameters were described as solitary parameters (parameters that are sufficient to diagnose FGR, even if all other parameters are normal) and contributory parameters (parameters that require other abnormal parameter(s) to be present for the diagnosis of FGR). Consensus was sought to determine the cut‐off values for accepted parameters. Results A total of 106 experts were approached, of whom 56 agreed to participate and entered the first round, and 45 (80%) completed all four rounds. For early FGR (
ISSN:0960-7692
1469-0705
DOI:10.1002/uog.15884