American Journal of Obstetrics & Gynecology
Volume 200, Issue 4 , Pages 409.e1-409.e6, April 2009

Intrauterine growth restriction: comparison of American College of Obstetricians and Gynecologists practice bulletin with other national guidelines

  • Suneet P. Chauhan, MD

      Affiliations

    • Aurora Health Care, Milwaukee, WI
    • ,
  • Lata M. Gupta, MD

      Affiliations

    • Aurora Health Care, Milwaukee, WI
    • ,
  • Nancy W. Hendrix, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA
    • ,
  • Vincenzo Berghella, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA

Received 8 July 2008; received in revised form 20 September 2008; accepted 17 November 2008. published online 17 February 2009.

Objective

The objective of the study was to compare national guidelines regarding small for gestational age (SGA).

Study Design

Along with American College of Obstetricians and Gynecologists (ACOG) practice bulletin on abnormal growth, guidelines from England, Canada, Australia, and New Zealand were reviewed.

Results

There are no guidelines on SGA from Canada, Australia, and New Zealand. The Royal College of Obstetricians and Gynaecologists (RCOG) guideline agrees with ACOG's definition of abnormal growth, but there are noticeable variances in the diagnosis and management of SGA. RCOG has more recommendations than ACOG (18 vs 4, respectively). The articles referenced varied, with only 13 similar articles being cited by the both committees.

Conclusion

The differences in the 2 guidelines suggest that there is variance in how 2 committees synthesize the literature and issue recommendations.

Key words: American College of Obstetricians and Gynecologists, national guidelines, recommendations, Royal College of Obstetricians and Gynecologists, small for gestational age

 

 Reprints not available from the authors.

 Cite this article as: Chauhan SP, Gupta LM, Hendrix NW, et al. Intrauterine growth restriction: comparison of American College of Obstetricians and Gynecologists practice bulletin with other national guidelines. Am J Obstet Gynecol 2009;200:409.e1-409.e6.

PII: S0002-9378(08)02244-8

doi:10.1016/j.ajog.2008.11.025

American Journal of Obstetrics & Gynecology
Volume 200, Issue 4 , Pages 409.e1-409.e6, April 2009