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01-07-2012 | Maternal-Fetal Medicine

Fetal growth restriction: current knowledge to the general Obs/Gyn

Authors: Luciano Marcondes Machado Nardozza, Edward Araujo Júnior, Maurício Mendes Barbosa, Ana Carolina Rabachini Caetano, Desireé Ji Re Lee, Antonio Fernandes Moron

Published in: Archives of Gynecology and Obstetrics | Issue 1/2012

Abstract

Background

Fetal growth restriction (FGR) is a condition that affects 5–10 % of gestations, and it is the second primary cause of perinatal mortality. In this review the most recent knowledge about FGR is presented focusing on its concept, etiology, classification, diagnosis, management, and prognosis.

Methods

Searches were conducted in Pubmed, Embase and Lilacs database using the term fetal growth restriction.

Results

FGR is classified as type I (symmetric), manifested early, in which there is a proportional reduction of all fetal parts, generally associated with chromosome abnormalities; type II (asymmetric), with late onset, in which there is a more accentuated reduction of the abdomen, generally related to placental insufficiency; and type III (mixed), with early manifestation, resulting from infections or exposure to toxic agents. Diagnosis may be clinical, although ultrasound associated with arterial and venous Doppler is essential for diagnosis and follow-up. Currently there is no treatment capable of controlling FGR, and the moment of interruption of pregnancy is of vital importance in order to protect maternal and fetal interests.

Conclusion

Early diagnosis of FGR is very important, because it permits the etiological identification and adequate monitoring of fetal vitality, minimizing the risks related to prematurity and intrauterine hypoxia.

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Title: Fetal growth restriction: current knowledge to the general Obs/Gyn
Authors: Luciano Marcondes Machado Nardozza
Edward Araujo Júnior
Maurício Mendes Barbosa
Ana Carolina Rabachini Caetano
Desireé Ji Re Lee
Antonio Fernandes Moron
Publication date: 01-07-2012
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2012
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-012-2330-6

2024 ASCO Annual Meeting

Springer Medicine

Fetal growth restriction: current knowledge to the general Obs/Gyn

Abstract

Background

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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