SGA/FGR assessment

Referral to / Follow-up in FMU / FGA clinic

Referral for:

Maternal age:

Parity:

BMI:

Medical history:

Medications:

Previous SGA/FGR:

Smoking:

Diabetes:

Hypertension:

CST:

PAPP-A:

PET risk:

GDM risk:

VTE risk:

Combined uterine artery PI at anomaly scan:

AC centile at anomaly scan:

EFW centile at anomaly scan:

Today:

Blood pressure:

Urinalysis:

EFW (centile):

AC (centile):

AC velocity (centile change since anomaly scan):

Umbilical artery PI:

CPR:

DV a-wave:

Combined uterine artery PI:

Impression:

Useful phrases

Indications for delivery with MgSO4 include:

STV <=3 ms or repetitive decelerations
Absent or reversed a-wave in the ductus venosus
Clinical evidence of placental abruption
Uncontrolled hypertension/pre-eclampsia

There is limited evidence to support giving repeated courses of corticosteroids in pregnancy, and this may be associated with fetal growth restriction. However, a second course of steroids may reduce neonatal respiratory morbidity associated with severe preterm birth, and may be considered from 7 days after the previous course was completed. (https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.17027)