5.36 GAP SCORE

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Case note audit of missed SGA: Standardised clinical outcome review and evaluation (SCORE)


The GAP SCORE electronic audit tool reviews:

  • Risk assessment at booking and throughout pregnancy
  • Whether guidelines for serial scanning were followed
  • Were customised growth charts used appropriately
  • Referral criteria and process
  • Growth scan protocol
  • Summary section for comments and actions.


It is recommended to input 30 randomly selected cases in each 6-month period.
Cases should be deliveries of SGA babies which were not recognised antenatally.

GAP-SCORE can be accessed following a brief training session by the Perinatal Institute
(contact GAP@perinatal.org.uk)