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A fetus is considered SGA when individual biometric measurements or a combination of measurements used to estimate fetal weight fall below set parameters and requires accurate assessment of gestational age.

Commonly, the definition of SGA refers to a fetus with a predicted weight or an abdominal circumference AC measurement less than the 10th centile. SGA at birth is commonly diagnosed based on a birthweight below the 10th centile and often birthweight charts are adjusted for the sex of the baby.

Fetal growth restriction FGR implies a pathological restriction of the genetic growth potential. The likelihood of FGR is higher in fetuses that are smaller. Growth restricted fetuses may manifest evidence of fetal compromise abnormal Doppler studies, reduced liquor volume. Defining FGR and thus diagnosing it in a current pregnancy is challenging because of the need to determine growth potential. Similarly, risk assessing whether FGR existed in a previous pregnancy presents a different challenge.

There is a need to focus on those fetuses at risk of adverse outcome and thus those that are FGR rather than SGA using varying parameters such as sequential ultrasound measurements, Doppler assessments, and biomarkers.

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