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Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management
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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“fetal deterioration has been reported to be independently reflected by Doppler and BPP testing”
From Society for Maternal-Fetal Medicine Consult Series #52: Diagnosis and management of fetal growth restriction (2020) · cites this paper as [155]
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Metadata
- 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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