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To access the E-Learning portal please use the following link: GAP-Elearning
The GAP Care Pathway is aligned with the Fetal Growth element of the NHS Saving Babies Lives' Care Bundle v3.
It is available here: GAP Guidance
See also our FAQ pages
GAP uptake: click here for a list of UK Trusts and Health Boards
GAP training: dates of forthcoming workshops are listed here.
SFH - Standardised fundal height measurement video.
GROW 2.0: Upgrade to electronic chart and recording system
| Stillbirth risk and SGA according to Hadlock, Intergrowth-21st, WHO and GROW fetal weight standards: analysis by maternal ethnicity and BMI. Am J Obstet Gynecol. 2023 (Pre-proof). https://doi.org/10.1016/j.ajog.2023.05.026 |
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| Outcome-based comparative analysis of five fetal growth velocity models to define slow growth Ultrasound Obset Gynecol. 2023 (Pre-proof) https://doi.org/10.1002/uog.26248 |
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| Evaluating the Growth Assessment Protocol for stillbirth prevention: progress and challenges J Perinatal Med. 2022;50(6): 737-47. https://doi.org/10.1515/jpm-2022-0209 |
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| Reduction of stillbirths in England from 2008 to 2017 according to uptake of the Growth Assessment Protocol: 10‐year population‐based cohort study Ultrasound Obstet Gynecol. 2021;57:401-8 https://doi.org/10.1002/uog.22187 |
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| Prospective risk of stillbirth according to fetal size at term J Perinatal Med. 2022;50(6): 748-52. https://doi.org/10.1515/jpm-2022-0200 |
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| A fetal weight projection model to define growth velocity, and validation against pregnancy outcome in a cohort of serially scanned pregnancies Ultrasound Obstet Gynecol. 2022;60(1):86-95. https://doi.org/10.1002/uog.24860 |
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| Customized GROW vs INTERGROWTH-21st birthweight standards to identify small for gestational age associated perinatal outcomes at term Am J Obstet Gynecol MFM. 2022;4(2):100545. https://doi.org/10.1016/j.ajogmf.2021.100545 |
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| Customized growth charts: rationale, validation and clinical benefits Am J Obstet Gynecol. 2018;218(2S):S609-18. https://doi.org/10.1016/j.ajog.2017.12.011 |
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| Fetal growth surveillance – Current guidelines, practices and challenges Ultrasound. 2018;26(2):69-79. https://doi.org/10.1177/1742271X18760657 |
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| Customised vs INTERGROWTH-21st birthweight standards to identify small for gestational age associated perinatal outcomes at term Am J Obstet Gynecol. 2018;218(2S):S692-9. https://doi.org/10.1016/j.ajog.2017.12.013 |
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| Preventing stillbirths through improved antenatal recognition of pregnancies at risk due to fetal growth restriction Public Health 2014; 128:698-702 http://dx.doi.org/10.1016/j.puhe.2014.06.022 |
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| Association between reduced stillbirth rates in England and regional uptake of accreditation training in customised fetal growth assessment BMJ Open 2013;3:e003942 https://doi.org/10.1136/bmjopen-2013-003942 |
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| The Growth Assessment Protocol: a national programme to improve patient safety in maternity care MIDIRS, 2013; 23:516-23 http://www.perinatal.org.uk/fetalgrowth/gap/Resources/GAP_article_MIDIRS_Dec_2013.pdf |
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| Tackling Stillbirth: simple and cheap techniques could save hundreds of babies a year The Times Leading Article 18.12.2013 |
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Effect on ONS stillbirth rates in England
According to 2020 ONS figures, stillbirth rates in England have fallen consistently for 9 years to 3.80/1000. This represents a 29.0% reduction from the 2000-09 (10 year) average of 5.35, and equates to 1,022 babies saved per year.
The recently published 10 year analysis of unit level ONS data in England doi.org/10.1002/uog.22187 showed that: