Artificial intelligence and the future of global health.

Preeclampsia and COVID-19: results from the INTERCOVID prospective longitudinal study.

The INTERGROWTH-21st fetal growth standards: toward the global integration of pregnancy and pediatric care

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) is a scientiﬁc organization that encourages sound clinical practice, and high-quality teaching and research related to diagnostic imaging in women’s healthcare. The ISUOG Clinical Standards Committee (CSC) has a remit to develop Practice Guidelines and Consensus Statements as educational recommendations that provide healthcare practitioners with a consensus-based approach, from experts, for diagnostic imaging. They are intended to reﬂect what is considered by ISUOG to be the best practice at the time at which they are issued. Although ISUOG has made every effort to ensure that Guidelines are accurate when issued, neither the Society nor any of its employees or members accepts liability for the consequences of any inaccurate or misleading data, opinions or statements issued by the CSC. The ISUOG CSC documents are not intended to establish a legal standard of care, because interpretation of the evidence that underpins the Guidelines may be inﬂuenced by individual circumstances, local protocol and available resources. Approved Guidelines can be distributed freely with the permission of ISUOG (info@isuog.org).

ISUOG Practice Guidelines (updated): performance of the routine mid‐trimester fetal ultrasound scan

1. This Framework has been developed by a multidisciplinary working group in the light
of evidence of improving outcomes for babies born before 27 completed weeks of
gestation, and evolving national and international changes in the approach to their
care. 2. Management of labour, birth and the immediate neonatal period should reflect
the wishes and values of the mother and her partner, informed and supported by
consultation and in partnership with obstetric and neonatal professionals. 3. Whenever possible, extreme preterm birth should be managed in a maternity facility
co-located with a designated neonatal intensive care unit. 4. Neonatal stabilisation may be considered for babies born from 22+0 weeks of
gestation following assessment of risk and multiprofessional discussion with parents.
It is not appropriate to attempt to resuscitate babies born before 22+0 weeks of
gestation.
5. Decision-making for babies born before 27 weeks of gestation should not be based
on gestational age alone, but on assessment of the baby’s prognosis taking into
account multiple factors. Decisions should be made with input from obstetric and
neonatal teams in the relevant referral centre if transfer is being contemplated. 6. Risk assessment should be performed with the aim of stratifying the risk of a poor
outcome into three groups: extremely high risk, high risk and moderate risk. 7. For fetuses/babies at extremely high risk, palliative (comfort focused) care would be
the usual management. 8. For fetuses/babies at high risk of poor outcome, the decision to provide either active
(survival focused) management or palliative care should be based primarily on the
wishes of the parents. 9. For fetuses/babies at moderate risk, active management should be planned. 10. If life-sustaining treatment for the baby is anticipated, pregnancy and delivery
should be managed with the aim of optimising the baby’s condition at birth and
subsequently. 11. Conversations with parents should be clearly documented and care taken to ensure
that the agreed management plan is communicated between professionals and staff
shifts. 12. Decisions and management should be regularly reviewed before and after birth in
conjunction with the parents; plans may be reconsidered if the risk for the fetus/baby
changes or if parental wishes change.

https://fn.bmj.com/content/fetalneonatal/105/3/232.full.pdf

Perinatal management of extreme preterm birth before 27 weeks of gestation: a framework for practice.

This project was supported by a generous grant from the Bill & Melinda Gates Foundation to the University of Oxford.

https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1002/uog.15894

Ultrasound-based gestational-age estimation in late pregnancy.

OC06.01: Development of normal fetal brain structures: international standards based on ultrasound measurements from the INTERGROWTH-21st Project

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Ultrasound-based gestational-age estimation in late pregnancy.

OC06.01: Development of normal fetal brain structures: international standards based on ultrasound measurements from the INTERGROWTH-21st Project