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Cohort study
Small-for-gestational-age pregnancies are at cumulative increased risk of stillbirth for each week pregnancy continues beyond 37 weeks
  1. Lesley McCowan,
  2. Carol Chelimo
  1. Department of Obstetrics & Gynecology, University of Auckland, Auckland, New Zealand
  1. Correspondence to: Professor Lesley McCowan, Department of Obstetrics & Gynecology, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand; l.mccowan{at}

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Implications for practice and research

  • This article could improve nurses’ knowledge of the importance of small-for-gestational-age (SGA) pregnancies and of their substantial contribution to the burden of stillbirth. It also provides evidence as to why SGA pregnancies are delivered prior to full term.

  • Longer term outcomes for SGA children must be further investigated, as should maternal attitudes to timing of delivery.


SGA (usually defined as birth-weight <10th centile) affects approximately 10% of pregnancies. Approximately 40% of non-anomalous stillborn infants are SGA, comprising a major contribution to the global public health problem of stillbirth.1 Optimising outcomes for SGA infants diagnosed before birth …

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