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Antenatal Diagnosis of Intrauterine Growth Retardation by Ultrasound

Published online by Cambridge University Press:  10 March 2009

Karel Maršál
Affiliation:
University of Lund

Abstract

Ultrasound estimation of fetal weight or ultrasound measurement of fetal abdomen alone enables identification of small-for-gestational-age fetuses. A prerequisite for this is a reliable dating of pregnancy, which is provided by a routine ultrasound screening in the first half of gestation. The fetal growth can be followed by serial fetometric measurements. As a standard, charts of intrauterine growth based on the ultrasonic measurement can be used. As a secondary diagnostic test for monitoring fetal health in pregnancies suspected of intrauterine growth retardation, Doppler ultrasound evaluation of fetal and uteroplacental hemodynamics provided useful for early detection of imminent fetal distress.

Type
Antenatal Screening for Intrauterine Growth Retardation
Copyright
Copyright © Cambridge University Press 1992

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References

REFERENCES

1. Report on the FIGO Sub-committee on Perinatal Epidemiology and Health Statistics following a workshop in Cairo, November 11–18, 1984, on the methodology of measurement and recording of infant growth in the perinatal period. London: International Federation of Gynecology and Obstetrics (FIGO) Secretariat, 1986.Google Scholar
2. Svensk Förenings for Obstetrik och Gynekologi Arbets- och Referensgrupp för Ultraljudsdiagnostik: Ultraljudmanual i Obstetrik och Gynekologi. Rapport nr. 14. Kvinnokliniken, Regionsjukhuset Linköping, 1988.Google Scholar
3.Arduini, D., & Rizzo, G.Differential diagnosis of small-for-gestational age fetuses by Doppler ultrasound. Fetal Therapy, 1988, 3, 3136.CrossRefGoogle ScholarPubMed
4.Bakketeig, L. S., Jacobsen, G., Brodtkorb, C., et al. Randomised controlled trial of ultrasonographic screening in pregnancy Lancet, 1984, ii, 207–11.Google Scholar
5.Berkowitz, G. S., Chitkara, U., Rosenberg, J., et al. Sonographic estimation of fetal weight and Doppler analysis of umbilical artery velocimetry in the prediction of intrauterine growth retardation: A prospective study. American Journal of Obstetrics and Gynecology, 1988, 158, 1149–53.Google Scholar
6.Campbell, S.The assessment of fetal development by diagnostic ultrasound. Clinics in Perinatology, 1974, 1, 507.CrossRefGoogle ScholarPubMed
7.Campbell, S., & Thoms, A.Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. British Journal of Obstetrics and Gynaecology, 1977, 84, 165–74.Google Scholar
8.Campbell, S., Warsof, S. L., Little, D., & Cooper, D.Routine ultrasound screening for the prediction of gestational age. Obstetrics and Gynecology, 1985, 65, 613–20.Google ScholarPubMed
9.Chudleigh, O., & Pearce, J. M.Obstetric ultrasound. How, why and when. Edinburgh: Churchill Livingstone, 1986.Google Scholar
10.Deter, R. L., Rossavik, I. K., Harrist, R. B., et al. Mathematical modeling of fetal growth: development of individual growth curve standards. Obstetrics and Gynecology, 1986, 68, 156.Google ScholarPubMed
11.Dunn, P.A perinatal growth chart for international reference. Acta Pædiatrica Scandinavica, 1985, 319(suppl.), 283–84.Google Scholar
12.Eik-Nes, S E., Grøttum, P., & Andersson, N. J.Estimation of fetal weight by ultrasound measurement. II. Clinical application of a new formula. Acta Obstetricia Gynecologica Scandinavica, 1982, 61, 307–12.Google Scholar
13.Eik-Nes, S. H., Grøttum, P., Persson, P.-H., & Maršál, K.Prediction of fetal growth deviation by ultrasonic biometry. I. Methodology. Acta Obstetricia et Gynecologica Scandinavica, 1982, 61, 5358.CrossRefGoogle ScholarPubMed
14.Eik-Nes, S. H., Økland, O., Aure, J. C., & Ulstein, M.Ultrasound screening in pregnancy: A randomised controlled trial. Lancet, 1984, i, 1347.CrossRefGoogle Scholar
15.Eik-Nes, S. H., Persson, P.-H., & Grøttum, P. Revaluation of standards for human fetal growth. In Eik-nes, S. H. (Thesis), Ultrasonic assessment of human fetal weight, growth and bloodflow. Malmö: Litos Reprotryck, 1980, 103–17.Google Scholar
16.Gaziano, E., Knox, G. E., Wager, G. P., et al. The predictability of the small-for-gestational age infant by real-time ultrasound-derived measurements combined with pulsed Doppler umbilical artery velodmetry. American Journal of Obstetrics and Gynecology, 1988,158,1431–39.Google Scholar
17.Grant, A., & Mohide, P. Screening and diagnostic tests in antenatal care. In Enkin, M. & Chalmers, I. (eds.), Effectiveness and satisfaction in antenatal care. Clinics in developmental medicine, nos. 81/82. London: W. Heinemann Medical Books Ltd.; Philadelphia: J. B. Lippincott Co., 1982, 2259.Google Scholar
18.Grennert, L., Persson, P.-H., & Gennser, G.Benefits of ultrasonic screening of a pregnant population. Acta Obstetricia et Gynecologica Scandinavica, 1978, 78(suppl.), 514.CrossRefGoogle ScholarPubMed
19.Gruenwald, P.Growth of the human fetus I. Normal growth and its variation. American Journal of Obstetrics and Gynecology, 1966, 94, 1112–19.CrossRefGoogle ScholarPubMed
20.Gudmundsson, S., & Maršál, K.Umbilical and uteroplacental blood flow in pregnancies with intrauterine growth retardation. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 1988, 27, 187–96.CrossRefGoogle Scholar
21.Gudmundsson, S., & Maršál, K.Fetal aortic and umbilical artery blood velocity waveforms in predicting fetal outcome. A comparison. American Journal of Perinatology, 1991, 8, 16.Google Scholar
22.Laurin, J., Lingman, G., Maršál, K., & Persson, P.-H.Fetal blood flow in pregnancies complicated by intrauterine growth retardation. Obstetrics and Gynecology, 1987, 69, 895902.Google ScholarPubMed
23.Laurin, J., Maršál, K., Persson, P.-H., & Lingman, G.Ultrasound measurement of fetal blood flow in predicting fetal outcome. British Journal of Obstetrics and Gynaecology, 1987, 94, 940–48.Google Scholar
24.Laurin, J., & Persson, P.-H.Ultrasound screening for detection of intra-uterine growth retardation. Acta Obstetricia et Gynecologica Scandinavica, 1987, 66, 493500.CrossRefGoogle ScholarPubMed
25.Laurin, J., Persson, P.-H., & Polberger, S.Perinatal outcome in growth retarded pregnancies dated by ultrasound. Acta Obstetricia et Gynecologica Scandinavica, 1987, 66, 337–43.Google Scholar
26.Lyons, E. A., Dyke, C., Toms, M., & Cheang, M.In utero exposure to diagnostic ultrasound: A 6-year follow-up. Radiology, 1988, 166, 687–90.CrossRefGoogle Scholar
27.Maršál, K., & Persson, P.-H.Ultrasonic measurement of fetal blood velocity wave form as a secondary diagnostic test in screening for intrauterine growth retardation. Journal of Clinical Ultrasound, 1988, 16, 239–44.CrossRefGoogle ScholarPubMed
28.Neilson, J. P., Munjanja, S. P., & Whitefield, C. R.Screening for small for dates fetuses: A controlled trial. British Medical Journal, 1984, 289, 1179–82.Google Scholar
29.Ott, W. J.Ideal neonatal weight and diagnosis of altered fetal growth. Journal of Ultrasound in Medicine, 1986, 5, 106.Google Scholar
30.Pearce, J. M., & Campbell, S.A comparison of symphysis-fundal height and ultrasound as screening tests for light-for-gestational age infants. British Journal of Obstetrics and Gynaecology, 1987, 94, 100–04.Google Scholar
31.Persson, P.-H. Fetal growth curves. In Sharp, F., Milner, R. D. G., & Fraser, R. B. (eds.), Fetal Growth. Ashton-under-Lyne, Lanes.: The Peacock Press Ltd., 1989, 1325.Google Scholar
32.Persson, P.-H., & Weldner, B. M.Reliability of ultrasound fetometry in estimating gestational age in the second trimester. Acta Obstetricia et Gynecologica Scandinavica, 1986, 65, 481–83.Google Scholar
33.Persson, P.-H., & Weldner, B.-M.Intra-uterine weight curves obtained by ultrasound. Acta Obstetricia et Gynecologica Scandinavica, 1986, 65, 169–73.Google Scholar
34.Secher, N. J., Kern Hansen, P., Lenstrup, C., et al. Birthweight-for-gestational age charts based on early ultrasound estimation of gestational age. British Journal of Obstetrics and Gynaecology, 1986, 93, 128–34.CrossRefGoogle ScholarPubMed
35.Secher, N. J., Kern Hansen, P., Lykke Thomsen, B., & Keiding, N.Growth retardation in preterm infants. British Journal of Obstetrics and Gynaecology, 1987, 94, 115–20.CrossRefGoogle ScholarPubMed
36.Warsof, S. L., Cooper, D. J., Little, D., & Campbell, S.Routine ultrasound screening for antenatal detection of intrauterine growth retardation. Obstetrics and Gynecology, 1986, 67, 3339.Google Scholar