DOPPLER EN RCIU PDF

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Small fetuses are defined as those with an ultrasound estimated weight below a threshold, most commonly the 10th centile. The first clinically relevant step is the distinction of 'true' fetal growth restriction FGR , associated with signs of abnormal fetoplacental function and poorer perinatal outcome, from constitutional small-for-gestational age, with a near-normal perinatal outcome.

Nowadays such a distinction should not be based solely on umbilical artery Doppler, since this index detects only early-onset severe forms. FGR should be diagnosed in the presence of any of the factors associated with a poorer perinatal outcome, including Doppler cerebroplacental ratio, uterine artery Doppler, a growth centile below the 3rd centile, and, possibly in the near future, maternal angiogenic factors.

Once the diagnosis is established, differentiating into early- and late-onset FGR is useful mainly for research purposes, because it distinguishes two clear phenotypes with differences in severity, association with preeclampsia, and the natural history of fetal deterioration.

As a second clinically relevant step, management of FGR and the decision to deliver aims at an optimal balance between minimizing fetal injury or death versus the risks of iatrogenic preterm delivery. We propose a protocol that integrates current evidence to classify stages of fetal deterioration and establishes follow-up intervals and optimal delivery timings, which may facilitate decisions and reduce practice variability in this complex clinical condition.

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Full-text links Cite Favorites. Abstract Small fetuses are defined as those with an ultrasound estimated weight below a threshold, most commonly the 10th centile. Similar articles Stage-based approach to the management of fetal growth restriction.

Figueras F, Gratacos E. Figueras F, et al. Prenat Diagn. Epub Jun 9. PMID: Review. An integrated approach to fetal growth restriction. Epub Oct Fetal Diagn Ther. Epub May 4. Does Pentaerytrithyltetranitrate reduce fetal growth restriction in pregnancies complicated by uterine mal-perfusion? Study protocol of the PETN-study: a randomized controlled multicenter-trial.

Groten T, et al. BMC Pregnancy Childbirth. Clinical Trial. Relationship between arterial and venous Doppler and perinatal outcome in fetal growth restriction. Baschat AA, et al. Ultrasound Obstet Gynecol. PMID: Show more similar articles See all similar articles. Shahgheibi S, et al. Int J Womens Health. Association between infertility treatment and intrauterine growth: a multilevel analysis in a retrospective cohort study. Shinohara S, et al. BMJ Open.

The impact of assisted reproductive technology on prenatally diagnosed fetal growth restriction in dichorionic twin pregnancies. Seravalli V, et al. PLoS One. Choorakuttil RM, et al. Indian J Radiol Imaging. Epub Dec Postnatal middle cerebral artery Dopplers in growth-restricted neonates. Krishnamurthy MB, et al. Eur J Pediatr. Show more "Cited by" articles See all "Cited by" articles. Publication types Review Actions. MeSH terms Female Actions. Humans Actions. Infant, Newborn Actions.

Pregnancy Actions. Pregnancy Outcome Actions. Full-text links [x] S. Karger AG, Basel, Switzerland. Copy Download.

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Small fetuses are defined as those with an ultrasound estimated weight below a threshold, most commonly the 10th centile. The first clinically relevant step is the distinction of 'true' fetal growth restriction FGR , associated with signs of abnormal fetoplacental function and poorer perinatal outcome, from constitutional small-for-gestational age, with a near-normal perinatal outcome. Nowadays such a distinction should not be based solely on umbilical artery Doppler, since this index detects only early-onset severe forms. FGR should be diagnosed in the presence of any of the factors associated with a poorer perinatal outcome, including Doppler cerebroplacental ratio, uterine artery Doppler, a growth centile below the 3rd centile, and, possibly in the near future, maternal angiogenic factors. Once the diagnosis is established, differentiating into early- and late-onset FGR is useful mainly for research purposes, because it distinguishes two clear phenotypes with differences in severity, association with preeclampsia, and the natural history of fetal deterioration. As a second clinically relevant step, management of FGR and the decision to deliver aims at an optimal balance between minimizing fetal injury or death versus the risks of iatrogenic preterm delivery.

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