gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Intrauterine growth restriction ? optimal management


Abstract

Author(s): PRZEMYSŁAW OSZUKOWSKI, AGNIESZKA PIĘTA-DOLIŃSKA

Perinatal mortality and morbidity is markedly increased in intrauterine growth restricted (IUGR)fetuses. The etiology of IUGR is multifactorial and whenever possible should be assessed.Combination of fetal biometry, amniotic fluid volume, heart rate patterns, arterial and venousDoppler and biophysical variables allow a comprehensive fetal evaluation. Therefore, obste-tricians aim to identify fetuses with intrauterine growth restriction so delivery can be plannedaccording to gestational age and severity of the condition. The timing of delivery is crucialbut the optimal management scheme has not yet been identified. Delivery of intrauterine growthrestriction fetuses should take place in centers where appropriate neonatal assistance can beprovided.