Integrated Testing and Management in Fetal Growth Restriction

Research output: Contribution to journalReview articlepeer-review

50 Scopus citations


Growth-restricted fetuses are at higher risk for poor perinatal and long-term outcome than those who are appropriately grown. Multiple antenatal testing modalities can help document the sequence of fetal deterioration. The full extent of this compromise is best identified by a combination of fetal biometry, biophysical profile scoring, and arterial and venous Doppler. In the preterm growth-restricted fetus, timing of delivery is critically determined by the balance of fetal versus neonatal risks. In the near-term fetus, accurate diagnosis continues to be a challenge as unrecognized growth restriction contributes to a significant proportion of unexplained stillbirths. In this review, we present an integrated diagnostic and surveillance approach that accounts for these factors.

Original languageEnglish (US)
Pages (from-to)194-200
Number of pages7
JournalSeminars in Perinatology
Issue number3
StatePublished - Jun 2008
Externally publishedYes


  • Doppler ultrasound
  • biophysical profile scoring
  • computerized cardiotocography
  • fetal growth restriction
  • integrated testing
  • non stress testing

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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