Ways to standardise of fetometry in Russia: INTERGROWTH-21st project and its implementation


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Abstract

The implementation of the INTERGROWTH-21st fetal growth and newborn size for gestation age standards into clinical practice in Russia were discussed and debated. The INTERGROWTH-21st Project was implemented in more than eight countries from 2009 to 2018. All study protocols and primary findings are available online (intergrowth21. org). Briefly, eight diverse urban populations living in demarcated geographical areas were selected where: environments were free from major known pollutants; altitude was less than 1600 m; most women accessed antenatal and delivery care in institutions; mean birth weight was greater than 3100 g; rates of low birth weight (< 2500 g) were less than 10%, and perinatal mortality was less than 20 per 1000 births. The INTERGROWTH-21st study comes as a high-quality response to the common dilemma of lack of standardization in fetal growth assessment. Its use should be encouraged among Russian specialists in maternal-fetal medicine, obstetricians and radiologists.

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About the authors

A. M Kholin

National Medical Research Center for Obstetrics, Gynecology & Perinatology, Ministry of Healthcare of the Russian Federation

Email: a_kholin@oparina4.ru
M.D., Clinical & Research Fellow, Department of Maternal Fetal Medicine

A. I Gus

National Medical Research Center for Obstetrics, Gynecology & Perinatology, Ministry of Healthcare of the Russian Federation

M.D., Ph.D., Head of Ultrasound Department

Z. S Khodzaeva

National Medical Research Center for Obstetrics, Gynecology & Perinatology, Ministry of Healthcare of the Russian Federation

Email: zkhodjaeva@mail.ru
M.D., Ph.D., Professor, Principal Investigator, Department of Maternal-Fetal Medicine

Oleg R. Baev

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia

Email: o_baev@oparina4.ru
MD, professor, head of the maternity department

Irina I. Ryumina

National Medical Research Center for Obstetrics, Gynecology & Perinatology, Ministry of Healthcare of the Russian Federation; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: i_ryumina@oparina4.ru
MD, head of the department. Department of Pathology of Newborns and Premature Children; Professor of the Department of Neonatology

Jose Villar

University of Oxford

MD, MPH, FRCOG, Professor of Perinatal Medicine & Co-Director of the Oxford Maternal & Perinatal Health Institute

Stephen Kennedy

University of Oxford

MD, FRCOG, Head of Department, Professor of Reproductive medicine & Co-director of the Oxford Maternal & Perinatal Health Institute

Aris. T. Papageorghiou

University of Oxford

MD, FRCOG, Nuffield Department of Obstetrics & Gynaecology and Oxford maternal * Perinatal Health Institute, Green Templeton College

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