Abstract
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 language | English (US) |
---|---|
Pages (from-to) | 194-200 |
Number of pages | 7 |
Journal | Seminars in Perinatology |
Volume | 32 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2008 |
Externally published | Yes |
Keywords
- 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