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Intrauterine Growth Restriction : Effects of Physiological Fetal Growth Determinants on Diagnosis
Joint Authors
Søfteland, Eirik
Haram, Kjell
Bukowski, Radek
Source
Obstetrics and Gynecology International
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-06-23
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
The growth of the fetus, which is strongly associated with the outcome of pregnancy, reflects interplay of several physiological and pathological factors.
The assessment of fetal growth is based on comparison of birthweight (BW) or estimated fetal weight (EFW) to standards which define reference ranges at a spectrum of gestational ages.
Most birthweight standards do not take into account effects of physiological determinants of fetal growth.
Additionally, gestational age in many standards is based on the menstrual history and is often inaccurate.
Fetal growth norms should be based on an early ultrasound estimate of gestational age.
Customized standards, which have included only ultrasound-dated pregnancies, seem to be superior to population-based birthweight norms in predicting perinatal mortality and morbidity.
Adjustment for individual variation in customized growth curves reduces false-positive diagnosis of IUGR and may lead to a very significant reduction in intervention for suspected IUGR.
Customized growth potential identifies better the risk for adverse outcome than the currently used national standards, but customized charts may fail in detecting growth-restricted stillbirth.
An individual’s birthweight is the sum of physiological and pathological influences operating during pregnancy.
Growth potential norms are a better discriminator of aberrations of fetal growth than population, ultrasound, and customized norms.
American Psychological Association (APA)
Haram, Kjell& Søfteland, Eirik& Bukowski, Radek. 2013. Intrauterine Growth Restriction : Effects of Physiological Fetal Growth Determinants on Diagnosis. Obstetrics and Gynecology International،Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-492222
Modern Language Association (MLA)
Haram, Kjell…[et al.]. Intrauterine Growth Restriction : Effects of Physiological Fetal Growth Determinants on Diagnosis. Obstetrics and Gynecology International No. 2013 (2013), pp.1-9.
https://search.emarefa.net/detail/BIM-492222
American Medical Association (AMA)
Haram, Kjell& Søfteland, Eirik& Bukowski, Radek. Intrauterine Growth Restriction : Effects of Physiological Fetal Growth Determinants on Diagnosis. Obstetrics and Gynecology International. 2013. Vol. 2013, no. 2013, pp.1-9.
https://search.emarefa.net/detail/BIM-492222
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492222