Document Detail


Intrauterine growth restriction--diagnosis and management.
MedLine Citation:
PMID:  16184202     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Fetal growth disorders are an important cause of perinatal morbidity and mortality with long term health implications for the survivors of intrauterine growth restriction (IUGR). The accurate assessment of fetal growth during pregnancy is difficult, but recent advances have improved this important aspect of obstetric care with positive implications for antenatal patients and their babies. OBJECTIVE: This article provides an overview of the detection of fetal growth problems in pregnancy, the determination of the likely cause, and the antenatal and intrapartum care of women with pregnancies identified as being affected by IUGR. The role of customised fetal growth assessment in the detection of IUGR is considered and followed by an outline of the appropriate monitoring and management of these pregnancies based on the underlying pathophysiology. DISCUSSION: Accurate assessment of fetal growth is improved by early clarification of gestational age and the use of customised fetal growth charts. Once infections and anomalies have been excluded, it is imperative to distinguish the healthy small fetus from the growth restricted fetus. While treatment options are limited, the optimal management of the IUGR affected fetus aims to achieve the delivery of the newborn in the best possible condition, balancing the risks of prematurity against those of continued intrauterine existence.
Authors:
Collette Sheridan
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Australian family physician     Volume:  34     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-26     Completed Date:  2005-11-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  717-23     Citation Subset:  IM    
Affiliation:
School of Rural Health, University of Melbourne, Australia. cms@mcmedia.com.au
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MeSH Terms
Descriptor/Qualifier:
Chromosome Disorders / complications
Clinical Protocols
Female
Fetal Growth Retardation / diagnosis*,  etiology,  therapy*
Gestational Age
Humans
Infection / complications
Labor, Induced / methods
Pregnancy
Pregnancy Complications, Cardiovascular
Prenatal Care / methods*
Prenatal Diagnosis / methods
Risk Factors
Vascular Diseases / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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