109039 20230519145414.0 doi 10.3390/jcm10204643 sideral 125213 ART-2021-125213 eng Galán Arévalo, María Sonsoles Perinatal adverse effects in newborns with estimated loss of weight percentile between the third trimester ultrasound and delivery. The GROWIN study 2021 Access copy available to the general public Unrestricted Fetal growth restriction has been associated with an increased risk of adverse perinatal outcomes (APOs). We determined the importance of fetal growth detention (FGD) in late gestation for the occurrence of APOs in small-for-gestational-age (SGA) and appropriate-for-gestational-age (AGA) newborns. For this purpose, we analyzed a retrospective cohort study of 1067 singleton pregnancies. The newborns with higher APOs were SGA non-FGD and SGA FGD in 40.9% and 31.5% of cases, respectively, and we found an association between SGA non-FGD and any APO (OR 2.61; 95% CI: 1.35–4.99; p = 0.004). We did not find an increased APO risk in AGA FGD newborns (OR: 1.13, 95% CI: 0.80, 1.59; p = 0.483), except for cesarean delivery for non-reassuring fetal status (NRFS) with a decrease in percentile cutoff greater than 40 (RR: 2.41, 95% CI: 1.11–5.21) and 50 (RR: 2.93, 95% CI: 1.14–7.54). Conclusions: Newborns with the highest probability of APOs are SGA non-FGDs. AGA FGD newborns do not have a higher incidence of APOs than AGA non-FGDs, although with falls in percentile cutoff over 40, they have an increased risk of cesarean section due to NRFS. Further studies are warranted to detect these newborns who would benefit from close surveillance in late gestation and at delivery. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.964 2021 MEDICINE, GENERAL & INTERNAL 55 / 172 = 0.32 2021 Q2 T1 1.04 2021 Medicine (miscellaneous) 2021 Q1 4.4 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Mahillo-Fernández, Ignacio Esteban, Luis Mariano (orcid)0000-0002-3007-302X Andeyro-García, Mercedes Piñeiro Pérez, Roi Saénz de Pipaón, Miguel Savirón-Cornudella, Ricardo Universidad de Zaragoza (orcid)0000-0001-9585-0187 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 10, 20 (2021), 4643 [14 pp.] J. clin.med. Journal of Clinical Medicine 2077-0383 1957407 http://zaguan.unizar.es/record/109039/files/texto_completo.pdf Versión publicada 2723875 http://zaguan.unizar.es/record/109039/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:109039 articulos driver 2023-05-18-13:58:26 ARTICLE