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Contact: Dr Alphonse Roex Senior Lecturer University of Adelaide, Consultant LMH

Improving Antenatal Small for Gestational Age Detection & Growth Restricted Fetus Detection Rates Reducing Perinatal Morbidity and Mortality. Dr Sue Kennedy-Andrews BMBS MRCOG FRANZCOG Lyell McEwin Hospital (Apollo). Contact: Dr Alphonse Roex

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Contact: Dr Alphonse Roex Senior Lecturer University of Adelaide, Consultant LMH

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  1. Improving Antenatal Small for Gestational Age Detection &Growth Restricted Fetus Detection Rates Reducing Perinatal Morbidity and Mortality Dr Sue Kennedy-Andrews BMBS MRCOG FRANZCOG Lyell McEwin Hospital (Apollo) Contact: Dr Alphonse Roex Senior Lecturer University of Adelaide, Consultant LMH Alphonse.roex@helath.sa.gov.au

  2. Detecting Small Gestational Age (SGA) & Potential Growth Restricted Foetus • Cases of SGA have been missed prior to delivery. Picked up in Perinatal morbidity meeting review. • 2 cases every 3 months (approx) • Considerable number of unnecessary interventions in suspected SGA • SFH charts not standardised

  3. Detecting Small Gestational Age (SGA) • Across all antenatal clinics in the service, production of customised Symphsio-fundal height & estimated Foetal Weight Charts http://www.pi.nhs.uk Gestation Network http://www.gestation.net/ The GROW programme and associated free software for calculation of gestational age and birthweight percentiles

  4. Introducing Customised SFH charts. What is required? • ‘GROW icon’ is on desktop of each computer in ANC User-friendly software, Click on • Enter name & UR & DOB (month, day, year ) • Drop down menu for ‘ethnicity’; four options only • European (DEFAULT) • African • Middle Eastern • Indian/Pakistani • Enter height and weight • Enter Expected Date of Delivery if known • Click on • Scissors: Cut Growth Chart Glue in Pregnancy record over old chart

  5. Project : Growth Restriction detection rate Primigravida • <P10 babies • Pick-up rate? Primigravida • <P10 babies • Pick-up rate? GROW Guideline April 09 Retrospective Prospective Dr Payam Nikpoor, Registrar O&G Professor Gus Dekker Dr Alphonse Roex

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