Evaluation and Management of Suspected Fetal Growth Restriction

Claartje Bruin*, Stefanie Damhuis, Sanne Gordijn, Wessel Ganzevoort

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

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    Abstract

    Impaired fetal growth owing to placental insufficiency is a major contributor to adverse perinatal outcomes. No intervention is available that improves outcomes by changing the pathophysiologic process. Monitoring in early-onset fetal growth restriction (FGR) focuses on optimizing the timing of iatrogenic preterm delivery using cardiotocography and Doppler ultrasound. In late-onset FGR, identifying the fetus at risk for immediate hypoxia and who benefits from expedited delivery is challenging. It is likely that studies in the next decade will provide evidence how to best integrate different monitoring variables and other prognosticators in risk models that are aimed to optimize individual treatment strategies.

    Original languageEnglish
    Pages (from-to)371-385
    Number of pages15
    JournalObstetrics and gynecology clinics of North America
    Volume48
    Issue number2
    DOIs
    Publication statusPublished - Jun-2021

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