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Chapter 26 - Maternal and Fetal Therapy: Can We Optimize Fetal Growth?

from Fetal Growth and Well-being

Published online by Cambridge University Press:  21 October 2019

By
Katarzyna M. Maksym  and
Anna L. David
Edited by
Mark D. Kilby ,
Anthony Johnson  and
Dick Oepkes
Mark D. Kilby
Affiliation:
University of Birmingham
Anthony Johnson
Affiliation:
University of Texas Medical School at Houston
Dick Oepkes
Affiliation:
Leids Universitair Medisch Centrum
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Summary

Difficulties with the diagnosis, management and treatment of fetal growth problems start with defining which small fetus or newborn is affected by fetal growth restriction (FGR). A small for gestational age (SGA) fetus is diagnosed when its estimated fetal weight (EFW), or its components such as abdominal circumference (AC), fall below the 10th centile for the given gestation. This definition will include both healthy small fetuses and those who fail to reach their growth potential and who are considered to have FGR. There are many factors known to contribute to the reduction of fetal growth velocity, such as chromosomal anomalies, genetic syndromes and infections as well as maternal and environmental factors, including poor periconceptual diet and cigarette smoking. Other known risk factors for FGR include maternal co-morbidities, especially preexisting hypertensive disorders, the use of assisted reproductive techniques, and obstetric complications like heavy, recurrent vaginal bleeding or loss of co-twin.

Type
Chapter
Information
Fetal Therapy
Scientific Basis and Critical Appraisal of Clinical Benefits
 , pp. 287 - 301
Publisher: Cambridge University Press
Print publication year: 2020

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