Academic Journal
Clinical Opinion: The diagnosis and management of suspected fetal growth restriction: an evidence-based approach
| العنوان: | Clinical Opinion: The diagnosis and management of suspected fetal growth restriction: an evidence-based approach |
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| المؤلفون: | Lees, Christoph C, Romero, Roberto, Stampalija, Tamara, Dall'Asta, Andrea, DeVore, Greggory A, Prefumo, Federico, Frusca, Tiziana, Visser, Gerard H A, Hobbins, John C, Baschat, Ahmet A, Bilardo, Caterina M, Galan, Henry L, Campbell, Stuart, Maulik, Dev, Figueras, Francesc, Lee, Wesley, Unterscheider, Julia, Valensise, Herbert, Da Silva Costa, Fabricio, Salomon, Laurent J, Poon, Liona C, Ferrazzi, Enrico, Mari, Giancarlo, Rizzo, Giuseppe, Kingdom, John C, Kiserud, Torvid, Hecher, Kurt |
| المساهمون: | Lees, Christoph C, Romero, Roberto, Stampalija, Tamara, Dall'Asta, Andrea, Devore, Greggory A, Prefumo, Federico, Frusca, Tiziana, Visser, Gerard H A, Hobbins, John C, Baschat, Ahmet A, Bilardo, Caterina M, Galan, Henry L, Campbell, Stuart, Maulik, Dev, Figueras, Francesc, Lee, Wesley, Unterscheider, Julia, Valensise, Herbert, Da Silva Costa, Fabricio, Salomon, Laurent J, Poon, Liona C, Ferrazzi, Enrico, Mari, Giancarlo, Rizzo, Giuseppe, Kingdom, John C, Kiserud, Torvid, Hecher, Kurt |
| سنة النشر: | 2022 |
| المجموعة: | Università degli studi di Trieste: ArTS (Archivio della ricerca di Trieste) |
| مصطلحات موضوعية: | Disproportionate Intrauterine Growth Intervention Trial at Term, Doppler velocimetry, Prospective Observational Trial to Optimize Pediatric Health, Trial of Umbilical and Fetal Flow in Europe, abdominal circumference, cardiotocography, cesarean delivery, ductus venosu, fetal biometry, fetal death, fetal distre, fetal growth, longitudinal, middle cerebral artery, neurodevelopmental outcome, randomized controlled trial, short-term variation, small for gestational age, systematic review, umbilical artery Doppler, umbilical artery pH, uterine artery, Female, Gestational Age, Human, Infant, Placenta, Pregnancy, Randomized Controlled Trials as Topic, Ultrasonography |
| الوصف: | This Clinical Opinion reviews the literature about the diagnosis, antepartum surveillance, and time of delivery of fetuses suspected to be small for gestational age or growth restricted. Several guidelines have been issued by major professional organizations, including the International Society of Ultrasound in Obstetrics and Gynecology and the Society for Maternal-Fetal Medicine. The differences in recommendations, in particular about Doppler velocimetry of the ductus venosus and middle cerebral artery, have created confusion among clinicians, and this review intends to clarify and highlight the available evidence that is pertinent to clinical management. A fetus who is small for gestational age is frequently defined as one with an estimated fetal weight of <10th percentile. This condition has been considered syndromic and has been frequently attributed to fetal growth restriction, a constitutionally small fetus, congenital infections, chromosomal abnormalities, or genetic conditions. Small for gestational age is not synonymous with fetal growth restriction, which is defined by deceleration of fetal growth determined by a change in fetal growth velocity. An abnormal umbilical artery Doppler pulsatility index reflects an increased impedance to flow in the umbilical circulation and is considered to be an indicator of placental disease. The combined finding of an estimated fetal weight of <10th percentile and abnormal umbilical artery Doppler velocimetry has been widely accepted as indicative of fetal growth restriction. Clinical studies have shown that the gestational age at diagnosis can be used to subclassify suspected fetal growth restriction into early and late, depending on whether the condition is diagnosed before or after 32 weeks of gestation. The early type is associated with umbilical artery Doppler abnormalities, whereas the late type is often associated with a low pulsatility index in the middle cerebral artery. A large randomized clinical trial indicated that in the context of early suspected ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/35026129; info:eu-repo/semantics/altIdentifier/wos/WOS:000820950400004; volume:226; issue:3; firstpage:366; lastpage:378; numberofpages:13; journal:AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY; http://hdl.handle.net/11368/3029245; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85123983730; https://www.sciencedirect.com/science/article/pii/S0002937821025862?via=ihub |
| DOI: | 10.1016/j.ajog.2021.11.1357 |
| الاتاحة: | http://hdl.handle.net/11368/3029245 https://doi.org/10.1016/j.ajog.2021.11.1357 https://www.sciencedirect.com/science/article/pii/S0002937821025862?via=ihub |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.6F12A985 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.ajog.2021.11.1357 |
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