1 PURPOSE AND SCOPE

The purpose of this guideline is to provide advice, based on the best evidence available, to guide clinicians regarding the investigation and care of the small-for-gestational-age (SGA) fetus and growth restricted fetus. The guideline reviews the risk factors for these conditions and provides recommendations regarding surveillance, diagnosis, and management, including recommendations for fetal monitoring and birth. Large for gestational age (LGA) is outside the scope of this guidance.

This guideline is for healthcare professionals who care for women, non-binary and trans people with a SGA fetus or with fetal growth restriction (FGR). Within this document we use the terms woman and women's health. However, it is important to acknowledge that it is not only women for whom it is necessary to access women's health and reproductive services in order to maintain their gynaecological health and reproductive wellbeing. Gynaecological and obstetric services and delivery of care must therefore be appropriate, inclusive and sensitive to the needs of those individuals whose gender identity does not align with the sex they were assigned at birth.

1.1 Population and setting

Women at low risk of fetal growth problems in community settings.

Women at moderate or high risk of fetal growth problems (determined based on past obstetric history, current medical disorders, or ultrasound diagnosis) in hospital settings.

The guideline does not address multiple pregnancies or pregnancies with fetal anomalies (chromosomal or structural).

1.2 Interventions to be studied

Comparison of modalities for surveillance and diagnosis of a SGA fetus or FGR. Comparison of modalities to monitor fetuses with concerns regarding growth.

中文翻译：

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小于胎龄胎儿和生长受限胎儿的调查和护理（绿顶指南第31号）

1 目的和范围

本指南的目的是根据现有的最佳证据提供建议，指导临床医生对小于胎龄（SGA）胎儿和生长受限胎儿的调查和护理。该指南回顾了这些疾病的危险因素，并提供了有关监测、诊断和管理的建议，包括胎儿监测和出生的建议。大于胎龄 (LGA) 不属于本指南的范围。

本指南适用于护理患有 SGA 胎儿或胎儿生长受限 (FGR) 的女性、非二元性别和跨性别者的医疗保健专业人员。在本文件中，我们使用术语“女性”和“女性健康”。然而，重要的是要承认，为了维持妇科健康和生殖福祉，需要获得妇女健康和生殖服务的不仅仅是妇女。因此，妇产科服务和护理服务必须适当、包容并敏感地考虑那些性别认同与出生时指定性别不一致的人的需求。

1.1 人口与环境

社区环境中胎儿生长问题风险较低的妇女。

在医院环境中存在胎儿生长问题中度或高度风险的女性（根据过去的产科病史、当前的医疗疾病或超声诊断确定）。

该指南不涉及多胎妊娠或胎儿异常（染色体或结构）的妊娠。

1.2 有待研究的干预措施

SGA 胎儿或 FGR 监测和诊断方式的比较。比较关注生长的胎儿监测方式。