scholarly journals Re: Consensus definition for placental fetal growth restriction: a Delphi procedure

2017 ◽  
Vol 49 (1) ◽  
pp. 159-159 ◽  
Author(s):  
C. A. Schreurs ◽  
B. W. J. Mol ◽  
M. A. de Boer
2016 ◽  
Vol 48 (3) ◽  
pp. 333-339 ◽  
Author(s):  
S. J. Gordijn ◽  
I. M. Beune ◽  
B. Thilaganathan ◽  
A. Papageorghiou ◽  
A. A. Baschat ◽  
...  

Author(s):  
Irene Maria Beune ◽  
Stefanie Elisabeth Damhuis ◽  
Wessel Ganzevoort ◽  
John Ciaran Hutchinson ◽  
Teck Yee Khong ◽  
...  

Context.— Fetal growth restriction is a risk factor for intrauterine fetal death. Currently, definitions of fetal growth restriction in stillborn are heterogeneous. Objectives.— To develop a consensus definition for fetal growth restriction retrospectively diagnosed at fetal autopsy in intrauterine fetal death. Design.— A modified online Delphi survey in an international panel of experts in perinatal pathology, with feedback at group level and exclusion of nonresponders. The survey scoped all possible variables with an open question. Variables suggested by 2 or more experts were scored on a 5-point Likert scale. In subsequent rounds, inclusion of variables and thresholds were determined with a 70% level of agreement. In the final rounds, participants selected the consensus algorithm. Results.— Fifty-two experts participated in the first round; 88% (46 of 52) completed all rounds. The consensus definition included antenatal clinical diagnosis of fetal growth restriction OR a birth weight lower than third percentile OR at least 5 of 10 contributory variables (risk factors in the clinical antenatal history: birth weight lower than 10th percentile, body weight at time of autopsy lower than 10th percentile, brain weight lower than 10th percentile, foot length lower than 10th percentile, liver weight lower than 10th percentile, placental weight lower than 10th percentile, brain weight to liver weight ratio higher than 4, placental weight to birth weight ratio higher than 90th percentile, histologic or gross features of placental insufficiency/malperfusion). There was no consensus on some aspects, including how to correct for interval between fetal death and delivery. Conclusions.— A consensus-based definition of fetal growth restriction in fetal death was determined with utility to improve management and outcomes of subsequent pregnancies.


2019 ◽  
Vol 220 (1) ◽  
pp. S157
Author(s):  
Lara Molina ◽  
Linda Odibo ◽  
Sara Zientara ◽  
Sarah Obican ◽  
Alejandro Rodriguez ◽  
...  

2020 ◽  
Vol 56 (1) ◽  
pp. 61-66 ◽  
Author(s):  
L. C. G. Molina ◽  
L. Odibo ◽  
S. Zientara ◽  
S. G. Običan ◽  
A. Rodriguez ◽  
...  

Author(s):  
Yakubova D.I.

Objective of the study: Comprehensive assessment of risk factors, the implementation of which leads to FGR with early and late manifestation. To evaluate the results of the first prenatal screening: PAPP-A, B-hCG, made at 11-13 weeks. Materials and Methods: A retrospective study included 110 pregnant women. There were 48 pregnant women with early manifestation of fetal growth restriction, 62 pregnant women with late manifestation among them. Results of the study: The risk factors for the formation of the FGR are established. Statistically significant differences in the indicators between groups were not established in the analyses of structures of extragenital pathology. According to I prenatal screening, there were no statistical differences in levels (PAPP-A, b-hCG) in the early and late form of FGR.


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