Soonchunhyang Med Sci.  2017 Jun;23(1):1-7. 10.0000/sms.2017.23.1.1.

The Evaluation and Management of Fetal Growth Restriction

• Ryu A

• KMID: 2404868
• DOI: http://doi.org/10.0000/sms.2017.23.1.1

Abstract

Fetal growth restriction (FGR) occurs due to various reasons and is associated with increased fetal and neonatal mortality and morbidity. FGR has been defined as having birth weight less than the 10th centile. The first clinically relevant step is the detection of true FGR, pathological small fetuses, associated with signs of abnormal placental insufficiency and poorer perinatal outcome. The role of obstetric management is to identify growth restricted fetuses at risk of chronic hypoxia in uterus, to monitor their wellbeing, and to deliver when the adverse outcome is imminent. The purpose of this document is to review the FGR with diagnosis, antenatal surveillance tools, and guidance for management and timing of delivery.

Keyword

Fetal growth restriction; Placental insufficiency; Doppler ultrasound

MeSH Terms

Anoxia
Birth Weight
Fetal Development*
Fetus
Humans
Infant
Infant Mortality
Placental Insufficiency
Prenatal Diagnosis
Uterus