The Performance of Selective Screening Ultrasound to Detect the Small‐for‐Gestational‐Age Foetus: A Prospective Cohort Study Nested Within the DESiGN Randomised Control Trial

Key Points

To evaluate the effectiveness of selective screening ultrasound in detecting small-for-gestational-age fetuses at birth.
Conducted a prospective cohort study within the DESiGN randomized control trial.
Focused on late third-trimester ultrasound estimation of fetal size.
Sampled a selected population to assess ultrasound performance.
Study finds low performance of selective screening ultrasound in detecting SGA at birth.
Detection rates indicate significant room for improvement in methods used.

Prospective cohort study shows selective screening ultrasound poorly detects SGA in late pregnancy, suggesting improved methods are needed.

In a selected population, the performance of late third-trimester ultrasound estimation of foetal size to detect SGA at birth is poor.

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Arcus et al. (2026) studied this question.

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