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Obstetric management of intrauterine growth restriction.

Marsal, Karel LU (2009) In Best Practice and Research in Clinical Obstetrics and Gynaecology 23. p.857-870
Abstract
The aim of obstetric management is to identify growth-restricted foetuses at risk of severe intrauterine hypoxia, to monitor their health and to deliver when the adverse outcome is imminent. After 30-32 gestational weeks, a Doppler finding of absent or reverse end-diastolic flow in the umbilical artery of a small-for-gestational age foetus is in itself an indication for delivery. In very preterm foetuses, the intrauterine risks have to be balanced against the risk of prematurity. All available diagnostic information (e.g., Doppler velocimetry of umbilical artery, foetal central arteries and veins and of maternal uterine arteries; foetal heart rate with computerised analysis of short-term variability; amniotic fluid amount; and foetal... (More)
The aim of obstetric management is to identify growth-restricted foetuses at risk of severe intrauterine hypoxia, to monitor their health and to deliver when the adverse outcome is imminent. After 30-32 gestational weeks, a Doppler finding of absent or reverse end-diastolic flow in the umbilical artery of a small-for-gestational age foetus is in itself an indication for delivery. In very preterm foetuses, the intrauterine risks have to be balanced against the risk of prematurity. All available diagnostic information (e.g., Doppler velocimetry of umbilical artery, foetal central arteries and veins and of maternal uterine arteries; foetal heart rate with computerised analysis of short-term variability; amniotic fluid amount; and foetal gestational age-related weight) should be collected to support the timing of delivery. If possible, the delivery should optimally take place before the onset of late signs of foetal hypoxia (pathological foetal heart rate pattern, severely abnormal ductus venosus blood velocity waveform, pulsations in the umbilical vein). (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Best Practice and Research in Clinical Obstetrics and Gynaecology
volume
23
pages
857 - 870
publisher
Elsevier
external identifiers
  • WOS:000272952500011
  • PMID:19854682
  • Scopus:71849115163
ISSN
1532-1932
DOI
10.1016/j.bpobgyn.2009.08.011
language
English
LU publication?
yes
id
51afeeba-8e17-4a59-836c-13cda64fe8f8 (old id 1499998)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19854682?dopt=Abstract
date added to LUP
2009-11-03 10:04:25
date last changed
2017-02-12 04:23:52
@article{51afeeba-8e17-4a59-836c-13cda64fe8f8,
  abstract     = {The aim of obstetric management is to identify growth-restricted foetuses at risk of severe intrauterine hypoxia, to monitor their health and to deliver when the adverse outcome is imminent. After 30-32 gestational weeks, a Doppler finding of absent or reverse end-diastolic flow in the umbilical artery of a small-for-gestational age foetus is in itself an indication for delivery. In very preterm foetuses, the intrauterine risks have to be balanced against the risk of prematurity. All available diagnostic information (e.g., Doppler velocimetry of umbilical artery, foetal central arteries and veins and of maternal uterine arteries; foetal heart rate with computerised analysis of short-term variability; amniotic fluid amount; and foetal gestational age-related weight) should be collected to support the timing of delivery. If possible, the delivery should optimally take place before the onset of late signs of foetal hypoxia (pathological foetal heart rate pattern, severely abnormal ductus venosus blood velocity waveform, pulsations in the umbilical vein).},
  author       = {Marsal, Karel},
  issn         = {1532-1932},
  language     = {eng},
  pages        = {857--870},
  publisher    = {Elsevier},
  series       = {Best Practice and Research in Clinical Obstetrics and Gynaecology},
  title        = {Obstetric management of intrauterine growth restriction.},
  url          = {http://dx.doi.org/10.1016/j.bpobgyn.2009.08.011},
  volume       = {23},
  year         = {2009},
}