Monitoring the IUGR fetus

Giampaolo P. Mandruzzato, Yoram J. Meir, Giampaolo Maso, Giancarlo Conoscenti, Mariangela A. Rustico

Research output: Contribution to journalArticlepeer-review

Abstract

Monitoring of the intrauterine growth retarded fetus in order to improve fetal outcome and define precisely the timing of delivery, when necessary, is based on the study of changes in vital functions observable in cases of hypoxemia. It is easy to believe that ultrasound equipment with Doppler facilities is present in the majority if not in all gynecological units. Cardiotocography is also widely used and the addition of a computerized evaluation system is not expensive and therefore should be available when facing high risk pregnancies such as intrauterine growth retarded cases. IUGR can be recognized through the use of ultrasound fetal biometry and clinical examination of maternal conditions in order to assess fetal conditions. If the above technologies are available further action, such as fetal Doppler study of fetal vessels and cardiotocography, can then be undertaken. In this paper, we will be discussing the issue of monitoring the fetus for fetal well-being, particularly in cases of intrauterine growth retarded fetuses.

Original languageEnglish
Pages (from-to)399-407
Number of pages9
JournalJournal of Perinatal Medicine
Volume31
Issue number5
DOIs
Publication statusPublished - 2003

Keywords

  • Cardiotocography
  • Delivery
  • Doppler
  • Intrauterine growth
  • Management

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Pediatrics, Perinatology, and Child Health

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