Obstetrics and Gynecology · 2013 · 542 citations · 1 references
MedicineMaternal HealthObstetricsMaternal-fetal MedicineObstetric ComplicationsPrenatal DiagnosisFetal AnomaliesFetal DevelopmentFetal GrowthFetal Growth AssessmentIntrauterine Growth RestrictionPregnancyFetal Growth Restriction SurveillanceGrowth Potential AssessmentGrowth Potential EvaluationIntrauterine Fetal Growth RestrictionIntrauterine Growth Restriction SurveillanceIntrauterine Growth RetardationPrenatal Growth Restriction
Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a lack of consensus regarding terminology, etiology, and diagnostic criteria for fetal growth restriction, with uncertainty surrounding the optimal management and timing of delivery for the growth-restricted fetus. An additional challenge is the difficulty in differentiating between the fetus that is constitutionally small and fulfilling its growth potential and the small fetus that is not fulfilling its growth potential because of an underlying pathologic condition. The purpose of this document is to review the topic of fetal growth restriction with a focus on terminology, etiology, diagnostic and surveillance tools, and guidance for management and timing of delivery.
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