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

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

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

DOI 10.1016/j.ajog.2010.08.055

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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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Authors: Figueras, F., & Gardosi, J.
Affiliations: Hospital Clínic de Barcelona (ES)
Perinatal Institute (GB)
Corresponding author: Gardosi, Jason
ORCID: Figueras, Francesc
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)
DOI: 10.1016/j.ajog.2010.08.055
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management

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