scholarly journals EP20.15: Does Delphi's definition for late onset fetal growth restriction truly identify fetuses with the worse perinatal outcome? A prospective study

2019 ◽  
Vol 54 (S1) ◽  
pp. 364-364
Author(s):  
K. Melchiorre ◽  
M. Rosati ◽  
E. Clementini ◽  
I. D'Emilio ◽  
C. Petini ◽  
...  
Author(s):  
Tanu Bhati ◽  
Rajni Agarwal ◽  
R.C Purohit ◽  
Subhash Chand Sylonia ◽  
Kalpana Verma ◽  
...  

Author(s):  
Bhargavi Rangarajan ◽  
Lalithambica Karunakaran

BACKGROUND: Fetal Growth Restriction (FGR) is the largest contributing factor to perinatal morbidity, mortality and impaired neurodevelopment. This research strives to elucidate the perinatal outcomes of stage based management of fetal growth restriction using Obstetric Doppler and its  association with maternal sociodemographic profile.METHODS: The research was  conducted among 320 antenatal women whose Estimated Fetal weight was  <10th centile. Periodic follow up with Doppler was done and managed as per the stage of FGR. Perinatal outcomes were compiled.RESULTS: The incidence of FGR in T.D Medical College, Alappuzha  was 15.23%. SGA  accounted for 47 %.  The proportion of early and late onset FGR was  10.3%    &   89.7%    respectively.  57.18% of the newborns were admitted to NICU.  The common complications were: Low birth weight – 47.8% ARDS – 21% , Sepsis – 9.6%, Necrotizing enterocolitis – 4%, Hyperbilirubinemia – 4.9%. The incidence of Neonatal death and stillbirth were 1.56% and 0.3% respectively. Mothers who were underweight, inadequate weight gain during pregnancy and short inter pregnancy interval had increased risks. Hypertensive disorders of pregnancy was the commonly associated medical condition. CONCLUSION: Prolongation of pregnancy  even by one day results in 2% increased chances of survival of the newborn. Hence, it becomes imperative to identify the benign forms of FGR  to prevent iatrogenic prematurity. Antenatal women should be screened for risk factors and undergo vigilant antepartum surveillance to bring about favourable perinatal outcome. 


2018 ◽  
Vol 44 (4) ◽  
pp. 264-270 ◽  
Author(s):  
Cecilia Villalaín ◽  
Ignacio Herraiz ◽  
María Soledad Quezada ◽  
Paula Isabel Gómez-Arriaga ◽  
Enery Gómez-Montes ◽  
...  

2015 ◽  
Vol 293 (6) ◽  
pp. 1227-1233 ◽  
Author(s):  
Pietro Cignini ◽  
Laura Maggio Savasta ◽  
Ferdinando Antonio Gulino ◽  
Salvatore Giovanni Vitale ◽  
Lucia Mangiafico ◽  
...  

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