Diagnosis and Management of Fetal Growth Restriction
Fetal growth restriction (FGR) remains a leading contributor to perinatal mortality and morbidity and metabolic syndrome in later life. Recent advances in ultrasound and Doppler have elucidated several mechanisms in the evolution of the disease. However, consistent classification and characterizatio...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2011/640715 |
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| _version_ | 1850159817702768640 |
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| author | Jacqueline E. A. K. Bamfo Anthony O. Odibo |
| author_facet | Jacqueline E. A. K. Bamfo Anthony O. Odibo |
| author_sort | Jacqueline E. A. K. Bamfo |
| collection | DOAJ |
| description | Fetal growth restriction (FGR) remains a leading contributor to perinatal mortality and morbidity and metabolic syndrome in later life. Recent advances in ultrasound and Doppler have elucidated several mechanisms in the evolution of the disease. However, consistent classification and characterization regarding the severity of FGR is lacking. There is no cure, and management is reliant on a structured antenatal surveillance program with timely intervention. Hitherto, the time to deliver is an enigma. In this paper, the challenges in the diagnosis and management of FGR are discussed. The biophysical profile, Doppler, biochemical and molecular technologies that may refine management are reviewed. Finally, a model pathway for the clinical management of pregnancies complicated by FGR is presented. |
| format | Article |
| id | doaj-art-b59b949fb9394dec833be0f91094c98e |
| institution | OA Journals |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-b59b949fb9394dec833be0f91094c98e2025-08-20T02:23:23ZengWileyJournal of Pregnancy2090-27272090-27352011-01-01201110.1155/2011/640715640715Diagnosis and Management of Fetal Growth RestrictionJacqueline E. A. K. Bamfo0Anthony O. Odibo1Obstetrics and Gynecology, London Deanery, London WC1B 5DN, UKDivision of Maternal-Fetal Medicine and Ultrasound, Department of Obstetrics and Gynecology, School of Medicine, Washington University, Campus Box 8064, 4566 Scott Avenue, St. Louis, MO 63110, USAFetal growth restriction (FGR) remains a leading contributor to perinatal mortality and morbidity and metabolic syndrome in later life. Recent advances in ultrasound and Doppler have elucidated several mechanisms in the evolution of the disease. However, consistent classification and characterization regarding the severity of FGR is lacking. There is no cure, and management is reliant on a structured antenatal surveillance program with timely intervention. Hitherto, the time to deliver is an enigma. In this paper, the challenges in the diagnosis and management of FGR are discussed. The biophysical profile, Doppler, biochemical and molecular technologies that may refine management are reviewed. Finally, a model pathway for the clinical management of pregnancies complicated by FGR is presented.http://dx.doi.org/10.1155/2011/640715 |
| spellingShingle | Jacqueline E. A. K. Bamfo Anthony O. Odibo Diagnosis and Management of Fetal Growth Restriction Journal of Pregnancy |
| title | Diagnosis and Management of Fetal Growth Restriction |
| title_full | Diagnosis and Management of Fetal Growth Restriction |
| title_fullStr | Diagnosis and Management of Fetal Growth Restriction |
| title_full_unstemmed | Diagnosis and Management of Fetal Growth Restriction |
| title_short | Diagnosis and Management of Fetal Growth Restriction |
| title_sort | diagnosis and management of fetal growth restriction |
| url | http://dx.doi.org/10.1155/2011/640715 |
| work_keys_str_mv | AT jacquelineeakbamfo diagnosisandmanagementoffetalgrowthrestriction AT anthonyoodibo diagnosisandmanagementoffetalgrowthrestriction |