Cited by 485Pregnancy and preeclampsia studiesBirth, Development, and HealthMaternal and Perinatal Health Interventions

Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management

Figueras, Francesc, Gardosi, Jason·2011·American Journal of Obstetrics and Gynecology

Abstract

Intrauterine growth restriction (IUGR) remains one of the main challenges in maternity care. Improvements have to start from a better definition of IUGR, applying the concept of the fetal growth potential. Customized standards for fetal growth and birthweight improve the detection of IUGR by better distinction between physiological and pathological smallness and have led to internationally applicable norms. Such developments have resulted in new insights in the assessment of risk and surveillance during pregnancy. Serial fundal height measurement plotted on customized charts is a useful screening tool, whereas fetal biometry and Doppler flow are the mainstay for investigation and diagnosis of IUGR. Appropriate protocols based on available evidence as well as individualized clinical assessment are essential to ensure good management and timely delivery.

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Registry

Crossref · 10.1016/j.ajog.2010.08.055

Cites

154 of 154 references verified0 citation errors · 0 not checkable

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Authors
Figueras, F., & Gardosi, J.
Affiliations
  • Hospital Clínic de Barcelona (ES)
  • Perinatal Institute (GB)
Corresponding author
Gardosi, Jason
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2011-04
Volume
204
Issue
4
Pages
288-300
ISSN
0002-9378 (ISSN-L)
OpenAlex
W2042439800
Cited by
485
References
155
Citations by year
2026: 10 · 2025: 8 · 2024: 13 · 2023: 27 · 2022: 30 · 2021: 38 · 2020: 28 · 2019: 30 · 2018: 39 · 2017: 88 · 2016: 30 · 2015: 25 · 2014: 49 · 2013: 40 · 2012: 23
FWCI
6.79
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
fetal growth restriction, fetal growth potential, antenatal surveillance, fundal height measurement, fetal biometry, Doppler flow, delivery timing, risk assessment
MeSH terms
Birth Weight, Blood Flow Velocity, Female, Fetal Growth Retardation, Heart Rate, Fetal, Humans, Infant, Newborn, Obesity, Pregnancy, Pregnancy Trimesters, Pregnancy, Multiple, Pulsatile Flow, Reference Values, Risk Factors, Time Factors, Umbilical Arteries, Biomarkers, Ultrasonography, Prenatal, Ultrasonography, Doppler, Color, Fetal Weight, Middle Cerebral Artery, Delivery, Obstetric, Fetal Development, Stillbirth

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