VP38.07: Delivery and perinatal outcomes in pregnancies affected with fetal growth restriction stage 1 in a hospital from Bogota, Colombia

Background: Fetal Growth Restriction (FGR) is the single largest contributing factor to perinatal morbidity in non-anomalous foetuses. Synonymous with Intrauterine Growth Restriction (IUGR), it is defined as an estimated fetal weight less than the10th percentile. Obstetric Doppler has helped in early detection and timely intervention in babies with FGR with significant improvements in perinatal outcomes. Hence, authors evaluated the maternal risk factors and diagnosis-delivery intervals and perinatal outcomes in FGR using Doppler.Methods: This research conducted in a tertiary care hospital in South Kerala included 82 pregnant women who gave birth to neonates with birth weight less than the 10th percentile over a period of1 year (Jan 1, 2017-Dec 31, 2017). Socio-demographic, maternal risk, Diagnosis- delivery interval in FGR and neonatal morbidities were studied.Results: Mean GA at diagnosis in weeks was 34.29 and 35.19 respectively for abnormal and normal Doppler respectively (p value-0.032). The mean birthweight in Doppler abnormal FGR was 272.34 g lesser than in Doppler normal group (p value-0.001). Growth restricted low birth weight neonates had Doppler pattern abnormalities (p value-0.0009). FGR <3rd percentile and AFI <5 had abnormal Doppler (OR:6.7). Abnormal biophysical profile (OR:14) and Non-Reactive NST (OR:3.5) correlated with abnormal Doppler. Growth restricted with normal Doppler had shorter NICU stays than with abnormalities (p value-0.003). Term FGR went home early than early preterm. (p value-0.001).Conclusions: Abnormal Doppler velocimetry is significantly associated with earlier FGR detection, shorter decision- delivery interval, reduction in the mean birthweight and longer NICU stay. Hence, Umbilical artery Doppler and Cerebroplacental index is an integral part of in-utero fetal surveillance to identify impending fetal hypoxia, appropriate management, optimising the timing of delivery and improve perinatal health in FGR.

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Type II and III Selective Fetal Growth Restriction: Perinatal Outcomes of Expectant Management and Laser Ablation of Placental Vessels

Clinics ◽

10.6061/clinics/2018/e210 ◽

2018 ◽

Vol 73 ◽

Cited By ~ 4

Author(s):

MY Miyadahira ◽

ML Brizot ◽

MH Carvalho ◽

SE Biancolin ◽

RC Machado ◽

...

Keyword(s):

Laser Ablation ◽

Fetal Growth ◽

Fetal Growth Restriction ◽

Perinatal Outcomes ◽

Expectant Management ◽

Growth Restriction ◽

Type Ii

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1048: Early-onset isolated fetal growth restriction and perinatal outcomes

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2018.11.1072 ◽

2019 ◽

Vol 220 (1) ◽

pp. S672

Author(s):

Moeun Son ◽

Ronald J. Wapner ◽

Robert M. Silver ◽

David M. Haas ◽

Deborah A. Wing ◽

...

Keyword(s):

Fetal Growth ◽

Fetal Growth Restriction ◽

Early Onset ◽

Perinatal Outcomes ◽

Growth Restriction

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Perinatal Outcomes With Normal Compared With Elevated Umbilical Artery Systolic-to-Diastolic Ratios in Fetal Growth Restriction

Obstetric Anesthesia Digest ◽

10.1097/01.aoa.0000479515.96285.86 ◽

2016 ◽

Vol 36 (1) ◽

pp. 37-38

Author(s):

L. Maggio ◽

D. Dahlke ◽

H. Mendez-Figueroa ◽

C.M. Albright ◽

S.P. Chauhan ◽

...

Keyword(s):

Fetal Growth ◽

Fetal Growth Restriction ◽

Umbilical Artery ◽

Perinatal Outcomes ◽

Growth Restriction

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Perinatal outcome of stage-based management of fetal growth restriction in a government tertiary care hospital in Kerala, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212175 ◽

2021 ◽

Vol 10 (6) ◽

pp. 2354

Author(s):

Bhargavi Rangarajan ◽

Lalithambica Karunakaran

Keyword(s):

Fetal Growth ◽

Fetal Growth Restriction ◽

Perinatal Outcome ◽

Late Onset ◽

Medical Condition ◽

Tertiary Care ◽

Perinatal Outcomes ◽

Growth Restriction ◽

Care Hospital ◽

Medical College

BACKGROUND: Fetal Growth Restriction (FGR) is the largest contributing factor to perinatal morbidity, mortality and impaired neurodevelopment. This research strives to elucidate the perinatal outcomes of stage based management of fetal growth restriction using Obstetric Doppler and its association with maternal sociodemographic profile.METHODS: The research was conducted among 320 antenatal women whose Estimated Fetal weight was <10th centile. Periodic follow up with Doppler was done and managed as per the stage of FGR. Perinatal outcomes were compiled.RESULTS: The incidence of FGR in T.D Medical College, Alappuzha was 15.23%. SGA accounted for 47 %. The proportion of early and late onset FGR was 10.3% & 89.7% respectively. 57.18% of the newborns were admitted to NICU. The common complications were: Low birth weight – 47.8% ARDS – 21% , Sepsis – 9.6%, Necrotizing enterocolitis – 4%, Hyperbilirubinemia – 4.9%. The incidence of Neonatal death and stillbirth were 1.56% and 0.3% respectively. Mothers who were underweight, inadequate weight gain during pregnancy and short inter pregnancy interval had increased risks. Hypertensive disorders of pregnancy was the commonly associated medical condition. CONCLUSION: Prolongation of pregnancy even by one day results in 2% increased chances of survival of the newborn. Hence, it becomes imperative to identify the benign forms of FGR to prevent iatrogenic prematurity. Antenatal women should be screened for risk factors and undergo vigilant antepartum surveillance to bring about favourable perinatal outcome.

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