Yougeeta Mohan Talreja

South West Acute Hospital, United Kingdom

Missed Small for Gestational Age Fetuses During Pregnancy

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Biography

Yougeeta Mohan Talreja is a Specialty Doctor in Obstetrics and Gynaecology at Southwest Acute Hospital under the Western Health and Social Care Trust in Northern Ireland, UK. She brings over 10 years of experience in the field, having worked in various countries. She is a Member of the Royal College of Obstetricians and Gynaecologists (RCOG), London. She also holds a Fellowship from the College of Physicians and Surgeons, Pakistan, and a Diploma in Women’s Health from RCOG, Ireland. Her diverse clinical background and strong academic foundation support her commitment to providing high-quality women’s healthcare across all levels of.

Abstract

Abstract:

A retrospective audit was conducted in South West Acute Hospital from 01-01-2023 to 01-06-2023 to identify missed cases for babies born Small for Gestational Age  (SGA) but not recognized to be small antenatally. The aim of the audit was to determine reasons for missed SGA and thus improve the detection rate of SGA babies antenatally. 

The standard used was RCOG Screening and Management of SGA fetuses guidelines. 

Data were collected from the records. Customised growth charts based on maternal characteristics and obstetric history were manually assessed.  A total of 46 patients were identified, and 42 were included in the audit after getting complete records.  

Results showed 55% detection rate (23 out of 42) of risk factors for SGA at booking visit. Total number of cases having risk factors were 27 out of 42, and 14 out of 42 were missed despite having no risk factors or no risk identified antenatally. 40 out of 42 women were having growth scans; 14 were initially for SFH. 17 women out of 42 had their scans plotted below the 10th centile before birth.  After delivery:  11 cases were below 3rd centile,30 cases were below 10th centile, and 2 cases were between 10–25th centile.

It was concluded that appropriate referral for growth scan was made after identifying risk factors at booking.

• Accurate assessment and frequency of growth scans in most cases were observed.  Customized growth charts are used correctly.
• Need periodic training on fetal biometry for all staff involved in fetal weight estimation.
• Re-audit in 2024–2025