title: Isolated intrauterine growth restriction: a survey of Central Association of Obstetricians Gynecologists (CAOG) members.
abstract: OBJECTIVE
  The objective was to ascertain clinicians' opinions and current management with isolated (no concomitant morbidity) intrauterine growth restriction (IUGR).
  
  
  METHODS
  Members of the Central Association of Obstetricians and Gynecologists (CAOG) were surveyed. We considered consensus to be agreement among 90% of the respondents.
  
  
  RESULTS
  The response rate was 36% (137/385). Among the 21 questions on the topic, the only consensus was that none of the respondents informed women of the recurrence rate of IUGR. There was variance in what constitutes IUGR as well as practice patterns for detection and management of suboptimal growth. Ten (7%) of the respondents had at least one litigation involving management of IUGR. Responses from 87 general obstetrician-gynecologists varied significantly from that of 33 maternal-fetal medicine (MFM) subspecialists for 48% (10/21) of the survey questions (p < 0.05).
  
  
  CONCLUSIONS
  There is large practice variation in detection and management of isolated IUGR. This stresses the need for additional studies and a national guideline on its management.
authors.affiliation: Department of Obstetrics and Gynecology, Eastern Virginia Medical University , Maternal Fetal Medicine, 825 Fairfax Avenue, Norfolk,VA 23507, USA. chauhasp@evms.edu
authors.forename: Suneet P
authors.initials: SP
authors.lastname: Chauhan
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Dahlke
authors.forename: Everett F
authors.initials: EF
authors.lastname: Magann
authors.forename: Eugene
authors.initials: E
authors.lastname: Chang
authors.forename: Lata
authors.initials: L
authors.lastname: Gupta
authors.forename: Ben W
authors.initials: BW
authors.lastname: Mol
authors.forename: David F
authors.initials: DF
authors.lastname: Lewis
mesh_terms: D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis* / Q000628:therapy*; D019538:Health Care Surveys; D006801:Humans; D009774:Obstetrics / Q000379:methods; D010820:Physicians; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D011247:Pregnancy; D011795:Surveys and Questionnaires