Society guideline links: Fetal growth restriction

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

International

●International Society of Ultrasound in Obstetrics and Gynecology (ISUOG): Practice guidelines for the diagnosis and management of small-for-gestational-age fetus and fetal growth restriction (2020)

●ISUOG: Practice guidelines for ultrasound assessment of fetal biometry and growth (2019)

Canada

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Clinical practice guideline on fetal growth restriction – Screening, diagnosis, and management in singleton pregnancies (2023)

●Choosing Wisely Canada: Don't perform umbilical artery Doppler studies as a routine screening test in uncomplicated pregnancies with normal fetal growth (updated 2021)

United States

●American College of Obstetricians and Gynecologists (ACOG): Committee opinion on indications for outpatient antenatal fetal surveillance (2021, reaffirmed 2024)

●ACOG and Society for Maternal-Fetal Medicine (SMFM): Committee opinion on low-dose aspirin use during pregnancy (2018, reaffirmed 2023)

●SMFM: Choosing Wisely – Don't do an inherited thrombophilia evaluation for women with histories of pregnancy loss, fetal growth restriction (FGR), preeclampsia and abruption (2022)

●ACOG: Practice bulletin on antepartum fetal surveillance (2021)

●ACOG: Practice bulletin on fetal growth restriction (2021)

●ACOG and SMFM: Committee opinion on medically indicated late-preterm and early-term deliveries (2021)

●SMFM: Consult series for the diagnosis and management of fetal growth restriction (2020)

●American Institute of Ultrasound in Medicine (AIUM): Practice parameter for the performance of detailed second- and third-trimester diagnostic obstetric ultrasound examinations (2019)

●American College of Radiology (ACR): ACR Appropriateness Criteria on growth disturbances – Risk of fetal growth restriction (revised 2018)

●AIUM-ACR-ACOG-SMFM-Society of Radiologists in Ultrasound (SRU): Practice parameter for the performance of standard diagnostic obstetric ultrasound examinations (2018)

●ACOG: Practice bulletin on ultrasound in pregnancy (2016)

United Kingdom

●Royal College of Obstetricians and Gynaecologists (RCOG): Green-top guideline for the investigation and care of a small-for-gestational-age fetus and a growth restricted fetus, 3rd edition (2024)

●Perinatal Institute (PI): Growth assessment protocol (GAP) guidance (2020)

Australia–New Zealand

●Perinatal Society of Australia and New Zealand (PSANZ) and Centre of Research Excellence in Stillbirth (Stillbirth CRE): Position statement – Detection and management of fetal growth restriction in singleton pregnancies (2023)

●Australian Government Department of Health: Pregnancy care guidelines on fetal growth restriction and well-being (updated 2019)

Japan

●[In Japanese] Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG): Obstetrics and gynecology clinical practice guidelines – Obstetrics edition (2023)