scholarly journals Screening and triage of intrauterine growth restriction (IUGR) in general population and high risk pregnancies: a systematic review with a focus on reduction of IUGR related stillbirths

2011 ◽  
Vol 11 (Suppl 3) ◽  
pp. S1 ◽  
Author(s):  
Aamer Imdad ◽  
Mohammad Yawar Yakoob ◽  
Saad Siddiqui ◽  
Zulfiqar Bhutta
Keyword(s):  
Systematic Review ◽  
High Risk ◽  
General Population ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Intrauterine Growth

Mean Platelet Volume is Affected in Term Fetuses with Intrauterine Growth Restriction

2020 ◽  
Author(s):  
Gul Nihal Buyuk ◽  
Z.Asli Oskovi-Kaplan ◽  
Aysegul Oksuzoglu ◽  
H.Levent Keskin
Keyword(s):  
High Risk ◽  
Pregnant Women ◽  
Mean Platelet Volume ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Control Group ◽  
Platelet Volume ◽  
Intrauterine Growth ◽  
Potential Marker ◽  
The Mean

Abstract Objectives The aim of our study was to analyze the mean platelet volume levels as a potential marker of altered placentation in intrauterine growth restriction (IUGR) cases. Methods A total of 126 term singleton pregnant women with IUGR fetuses and 345 healthy pregnant controls were recruited and compared. Results The mean platelet volume was significantly higher in the IUGR group (10.8±0.9 fl) than the control group (9.9±1.1 fl) (p=0.03). The mean hemoglobin was lower in IUGR group (11.3 (8.3–14.5) g/dl) than the control group (11.9 (8.2–13.0) g/dl) (p=0.04). The optimal cut-off MPV for prediction of IUGR was ≥10.55 fl, with a sensitivity of 59% and a specificity of 75%. Conclusion Increased MPV levels in term pregnant women may be particularly helpful for discrimination and prediction of high-risk fetuses when IUGR is suspected.

scholarly journals Monochorionic twin pregnancies increases perinatal risk and is a high risk factor of selective intrauterine growth restriction

2019 ◽  
Author(s):  
Jie Chen ◽  
Yue Lian Yang
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Prenatal Health ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
High Risk Factor ◽  
Twin Pregnancies

Abstract Background Twins pregnancy can cause a lot of disease, especially monochorionic twin pregnancies, the prenatal infant will have many diseases and have high mortality rate. According to analysis and compare of the twin pregnancy, especially pregnant woman and puerpera’s situation and complication and baby’s situation; we hope we can find the reason which causes the fetus growth restrain of monochorionic twin pregnancies. So we can provide some reference for the prenatal health care, complication prevention and prenatal outcome. Methods We divided 489 cases of twin pregnancies into two groups: monochorionic twin and dichorionic twin and compared the clinical features of them. At last, we used the logistic regression analysis method to analyze the risk factors of selective intrauterine growth restriction(sIUGR). Results The incidences of premature rupture of membranes and sIUGR were significant higher in monochorionic twin and twin-twin transfusion syndrome (TTTS) only exists in monochorionic twin. The weight of the newborn babies(both big and small babies)were significant lower in Monochorionic twin. The neonatal transfer rate was significant higher in monochorionic twin. Gestational weeks and weight of newborn babies are the high risk factors of sIUGR. Conclusions The type of chorion has a great influence to the pregnant period and the ending of maternal women. Monochorionic is a high risk factor of the sIUGR, which means that the main cause of sIUGR is from placenta, so it is a kind of “placental origin disease”.

scholarly journals Brain Sparing Effect on Neurodevelopment in Children with Intrauterine Growth Restriction: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 745
Author(s):  
María José Benítez-Marín ◽  
Jesús Marín-Clavijo ◽  
Juan Antonio Blanco-Elena ◽  
Jesús Jiménez-López ◽  
Ernesto González-Mesa
Keyword(s):  
Systematic Review ◽  
Cognitive Abilities ◽  
Intrauterine Growth Restriction ◽  
Fetal Brain ◽  
Growth Restriction ◽  
Academic Difficulties ◽  
Intrauterine Growth ◽  
Poor Cognitive Function ◽  
Sparing Effect ◽  
The Brain

Background: Fetal growth restriction (FGR) is a pregnancy complication. Multiple studies have connected FGR to poor cognitive development, behavior disorders, and academic difficulties during childhood. Brain sparing has traditionally been defined as an adaptive phenomenon in which the brain obtains the blood flow that it needs. However, this adaptive phenomenon might not have a complete protective effect. This publication aims to systematically review the consequences of brain redistribution on neurodevelopment in children who presented with placental intrauterine growth restriction. Methods: We performed a systematic review according to PRISMA guidelines. It included studies on intrauterine growth restriction or small-for-gestational-age (SGA) fetuses, which middle cerebral artery was measured, and neurodevelopment assessed during childhood. PUBMED and EMBASE databases were searched for relevant published studies. Results: Of the 526 studies reviewed, only 12 were included. Brain sparing was associated with poor cognitive function and lower scores in IQ. Cerebral redistribution was related to better executive function and better behavior at 4 years old but not at 12 years old. Conclusions: We can assume that fetal brain sparing could not be a fully protective phenomenon. We could not find clinical differences in behavioral and executive functions because the results were heterogeneous. Some cognitive abilities could be affected in FGR brain sparing fetuses.

scholarly journals PERINATAL OUTCOMES AND LONG-TERM EFFECTS OF FETAL GROWTH RESTRICTION

2012 ◽  
Vol 61 (6) ◽  
pp. 68-75 ◽  
Author(s):  
Natalya Vladimirovna Artymuk ◽  
Aleksey Gennadyevich Trishkin ◽  
Ekaterina Sergeevna Bikmetova
Keyword(s):  
High Risk ◽  
Fetal Growth ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcomes ◽  
Growth Restriction ◽  
Fetal Life ◽  
Long Term Effects ◽  
Intrauterine Growth ◽  
Effects On Children

The article presents a review of sources concerning perinatal outcomes and long-term effects on children and adults born with intrauterine growth restriction (IUGR). Neonates with IUGR are at high risk for morbidity and mortality. The conditions of antenatal fetal life may program the range of unfavorable long-term effects in adulthood. This requires further study of the etiology, pathogenesis, diagnosis, and management of IUGR.

Cerebral injury in monochorionic twins with selective intrauterine growth restriction: a systematic review

2014 ◽  
Vol 34 (3) ◽  
pp. 205-213 ◽  
Author(s):  
M. J. Inklaar ◽  
J. M. M. van Klink ◽  
T. T. Stolk ◽  
E. W. van Zwet ◽  
D. Oepkes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Cerebral Injury ◽  
Monochorionic Twins ◽  
Intrauterine Growth

Intrauterine Growth Restriction and Oligohydramnios among High-Risk Patients

2007 ◽  
Vol 24 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Suneet Chauhan ◽  
Michelle Taylor ◽  
Dawn Shields ◽  
Donna Parker ◽  
James Scardo ◽  
...  
Keyword(s):  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Intrauterine Growth ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Maternal socio-demographic determinants and fetal outcome of intrauterine growth restriction

2018 ◽  
Vol 7 (9) ◽  
pp. 3843
Author(s):  
Arpita Singh ◽  
Ambujam K.
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Maternal Risk ◽  
Intrauterine Growth ◽  
Factors Associated ◽  
Increased Risk ◽  
Uterine Growth ◽  
Intra Uterine Growth Restriction

Background: Intrauterine Growth Restriction is a major neonatal health issue. It is associated with increased risk of perinatal morbidity and mortality. Maternal factors are the major contributing factors of IUGR and studying these factors can help in preventing IUGR and reducing perinatal mortality. The objective is to study the maternal sociodemographic risk factors associated with Intra uterine growth restriction.Methods: This is a Case-control study conducted in the Department of Obstetrics and Gynaecology, GMC Thrissur. 115 cases of Intra Uterine Growth Restriction were compared to 115 controls. Data was collected by interviewing the mother using structured questionnaire which is pretested and by persual of antenatal records. Intra Uterine Growth Restriction is defined as occurring if the sonographic estimated fetal weight <10th percentile for that gestational age. Chi Square test was used for the analysis of data.Results: Low socio-economic status and malnutrition (BMI<18.5) were significant socio-demographic factors associated with fetal growth restriction. Mean birth weight in IUGR group was 1.8kg compared to 2.9kg in control group. Female fetuses were more commonly associated with IUGR. Intra Uterine Growth Restricted babies had lower Apgar scores (<7) and had more chances for NICU admission.Conclusions: By studying the maternal risk factors associated with Intra Uterine Growth Restriction, we could identify the high-risk group. Early predictive studies could be done in these high-risk pregnancies with focus on good antenatal care to reduce the problem of IUGR in the community.

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