Obstetric management of intrauterine growth restriction

K Maršál - Best practice & research Clinical obstetrics & …, 2009 - Elsevier
The aim of obstetric management is to identify growth-restricted foetuses at risk of severe
intrauterine hypoxia, to monitor their health and to deliver when the adverse outcome is
imminent. After 30–32 gestational weeks, a Doppler finding of absent or reverse end-
diastolic flow in the umbilical artery of a small-for-gestational age foetus is in itself an
indication for delivery. In very preterm foetuses, the intrauterine risks have to be balanced
against the risk of prematurity. All available diagnostic information (eg, Doppler velocimetry …