title: Diagnosis and management of intrauterine growth restriction.
abstract: The growth-restricted fetus is a fetus who fails to reach his growth potential and is at risk for perinatal morbidity and mortality. When a fetus has an estimated weight below the 10th percentile, in the absence of congenital anomalies and in the presence of a normal amount of amniotic fluid, Doppler velocimetry gives the most important information to differentiate the truly growth-restricted fetus from the fetus that is constitutionally small but otherwise normal. One area of debate and research is whether Doppler velocimetry can help in timing the delivery of the growth-restricted fetus. Data appear to support the use of ductus venosus velocimetry in deciding when to deliver, but randomized data on this point are still lacking.
authors.affiliation: Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati, 231 Albert Sabin Way, PO Box 670526, Cincinnati, OH 45267-0526, USA. ursula.harkness@uc.edu
authors.forename: Ursula F
authors.initials: UF
authors.lastname: Harkness
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Mari
mesh_terms: D005080:Exercise Test; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging* / Q000628:therapy; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D013256:Steroids / Q000627:therapeutic use; D018608:Ultrasonography, Doppler; D016216:Ultrasonography, Prenatal
chemical_list: D013256:Steroids