Seminars in Perinatology
Volume 32, Issue 3 , Pages 194-200 , June 2008

Integrated Testing and Management in Fetal Growth Restriction

  • Sifa Turan, MD, RDMS
    • ,
  • Jena Miller, MD
    • ,
  • Ahmet A. Baschat, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Ahmet A. Baschat, MD, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Maryland, Baltimore, 405 Redwood Street, Baltimore, MD 21201.

References 

  1. Baschat AA. Fetal responses to placental insufficiency: an update. Br J Obstet Gynaecol. 2004;111:1031–1041
  2. GRIT Study Group. A randomised trial of timed delivery for the compromised preterm fetus: short term outcomes and Bayesian interpretation. Br J Obstet Gynaecol. 2003;110:27–32
  3. Froen JF, Gardosi JO, Thurmann A, et al. Restricted fetal growth in sudden intrauterine unexplained death. Acta Obstet Gynecol Scand. 2004;83:801–807
  4. American College of Obstetricians and Gynecologists. Intrapartum fetal heart rate monitoring (ACOG Practice Bulletin). Obstet Gynecol. 2005;106:1453–1460
  5. Devoe L, Golde S, Kilman Y, et al. A comparison of visual analyses of intrapartum fetal heart rate tracings according to the new national institute of child health and human development guidelines with computer analyses by an automated fetal heart rate monitoring system. Am J Obstet Gynecol. 2000;183:361–366
  6. Pardey J, Moulden M, Redman CW. A computer system for the numerical analysis of nonstress tests. Am J Obstet Gynecol. 2002;186:1095–1103
  7. Guzman ER, Vintzileos AM, Martins M, et al. The efficacy of individual computer heart rate indices in detecting acidemia at birth in growth restricted fetuses. Obstet Gynecol. 1996;87:969–974
  8. Ribbert LS, Nicolaides KH, Visser GH. Prediction of fetal acidaemia in intrauterine growth retardation: comparison of quantified fetal activity with biophysical profile score. Br J Obstet Gynaecol. 1993;100:653
  9. Manning FA, Platt LD, Sipos L. Antepartum fetal evaluation: development of a fetal biophysical profile. Am J Obstet Gynecol. 1980;136:787–795
  10. Chauhan SP, Sanderson M, Hendrix NW, et al. Perinatal outcome and amniotic fluid index in the antepartum and intrapartum periods: a meta-analysis. Am J Obstet Gynecol. 1999;181:1473–1478
  11. Vintzileos AM, Fleming AD, Scorza WE, et al. Relationship between fetal biophysical activities and umbilical cord blood gas values. Am J Obstet Gynecol. 1991;165:707–713
  12. Baschat AA. Doppler application in the delivery timing of the preterm growth restricted fetus: another step in the right direction. Ultrasound Obstet Gynecol. 2004;23:111–118
  13. Manning FA, Snijders R, Harman CR, et al. Fetal biophysical profile score (VI. Correlation with antepartum umbilical venous fetal pH). Am J Obstet Gynecol. 1993;169:755–763
  14. Nageotte MP, Towers CV, Asrat T, et al. Perinatal outcome with the modified biophysical profile. Am J Obstet Gynecol. 1994;170:1672–1676
  15. Bilardo CM, Nicolaides KH, Campbell S. Doppler measurements of fetal and uteroplacental circulations: relationship with umbilical venous blood gases measured at cordocentesis. Am J Obstet Gynecol. 1990;162:115
  16. Rizzo G, Capponi A, Talone PE, et al. Doppler indices from inferior vena cava and ductus venosus in predicting pH and oxygen tension in umbilical blood at cordocentesis in growth-retarded fetuses. Ultrasound Obstet Gynecol. 1996;7:401
  17. Baschat AA, Guclu S, Kush ML, et al. Venous Doppler in the prediction of acid-base status of growth-restricted fetuses with elevated placental blood flow resistance. Am J Obstet Gynecol. 2004;191:277
  18. Bilardo CM, Wolf H, Stigter RH, et al. Relationship between monitoring parameters and perinatal outcome in severe, early intrauterine growth restriction. Ultrasound Obstet Gynecol. 2000;23:119
  19. Ferrazzi E, Bozzo M, Rigano S, et al. Temporal sequence of abnormal Doppler changes in the peripheral and central circulatory systems of the severely growth-restricted fetus. Ultrasound Obstet Gynecol. 2002;19:140–146
  20. Rigano S, Bozzo M, Ferrazzi E, et al. Early and persistent reduction in umbilical vein blood flow in the growth-restricted fetus: a longitudinal study. Am J Obstet Gynecol. 2001;185:834–838
  21. Baschat AA, Weiner CP. Umbilical artery Doppler screening for detection of the small fetus in need of antepartum surveillance. Am J Obstet Gynecol. 2000;182:154–158
  22. Severi FM, Bocchi C, Visentin A, et al. Uterine and fetal cerebral Doppler predict the outcome of third-trimester small-for-gestational age fetuses with normal umbilical artery Doppler. Ultrasound Obstet Gynecol. 2002;19:225–228
  23. Divon MY, Girz BA, Lieblich R, et al. Clinical management of the fetus with markedly diminished umbilical artery end-diastolic flow. Am J Obstet Gynecol. 1989;161:1523–1527
  24. Baschat AA, Gembruch U, Harman CR. The sequence of changes in Doppler and biophysical parameters as severe fetal growth restriction worsens. Ultrasound Obstet Gynecol. 2001;18:571–577
  25. Cosmi E, Ambrosini G, D'Antona D, et al. Doppler, cardiotocography, and biophysical profile changes in growth-restrict ed fetuses. Obstet Gynecol. 2005;106:1240–1245
  26. Baschat AA, Turan O, Berg C, et al. Integration of venous Doppler and biophysical profile provides optimal delivery timing in fetal growth restric tion (FGR). Am J Obstet Gynecol. 2007;197:S29
  27. Turan O, Turan S, Gungor S, et al. Progression of Doppler abnormalities in fetal growth restriction. Ultrasound Obstet Gynecol. 2008;in press
  28. Baschat AA, Cosmi E, Bilardo CM, et al. Predictors of neonatal outcome in early-onset placental dysfunction. Obstet Gynecol. 2007;109:253–261
  29. Thornton JG, Hornbuckle J, Vail A, et al. Infant wellbeing at 2 years of age in the Growth Restriction Intervention Trial (GRIT): multicentred randomise d controlled trial. Lancet. 2004;364:513–520
  30. Hecher K, Bilardo CM, Stigter RH, et al. Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol. 2001;18:564–570
  31. Arduini D, Rizzo G, Capponi A, et al. Fetal pH value determined by cordocentesis: an independent predictor of the development of antepartum fetal heart rate decelerations in growth retarded fetuses with absent end-diastolic velocity in umbilical artery. J Perinat Med. 1996;24:601
  32. Rizzo G, Arduini D, Pennestri F, et al. Fetal behavior in growth retardation: its relationship to fetal blood flow. Prenat Diagn. 1987;7:229
  33. Baschat AA, Galan HL, Bhide A, et al. Doppler and biophysical assessment in growth restricted fetuses: distribution of test results. Ultrasound Obstet Gynecol. 2006;27:41–47
  34. Turan S, Turan O, Berg C, et al. Computerized fetal heart rate analysis (Doppler ultrasound and biophysical profile score in the prediction of acid-base status of growth-restricted fetuses). Ultrasound Obstet Gynecol. 2007;30:750–756
  35. Kahn B, Lumley LH, Zybert PA, et al. Prospective risk of fetal death in singleton, twin, and triplet gestations: implications for practice. Obstet Gynecol. 2003;102:685–692

PII: S0146-0005(08)00037-2

doi: 10.1053/j.semperi.2008.02.008

Seminars in Perinatology
Volume 32, Issue 3 , Pages 194-200 , June 2008

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