Management of very early-onset fetal growth restriction

• Verfasst von: Hoellen, Friederike [VerfasserIn]
• Verfasst von: Bohlmann, Michael K. [VerfasserIn]
• Titel: Management of very early-onset fetal growth restriction
• Titelzusatz: results from 92 consecutive cases
• Verf.angabe: Friederike Hoellen, Annika Beckmann, Constanze Banz-Jansen, Jan Weichert, Achim Rody and Michael K. Bohlmann
• E-Jahr: 2016
• Jahr: March-April 2016
• Umfang: 9 S.
• Fussnoten: Gesehen am 23.05.2019
• Titel Quelle: Enthalten in: In vivo
• Ort Quelle: Kapandriti, Attiki : IIAR, 2004
• Jahr Quelle: 2016
• Band/Heft Quelle: 30(2016), 2, Seite 123-131
• ISSN Quelle: 1791-7549
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Doppler sonography
• Sach-SW: Fetal growth restriction
• Sach-SW: intrauterine growth restriction
• Sach-SW: preterm delivery
• K10plus-PPN: 1666241229

Abstract

Aim: To evaluate management of early-onset intrauterine growth restriction (IUGR) and to define outcome according to obstetric setting. Patients and Methods: During an 11-year period (2000-2011), data of patients presenting with IUGR and preterm delivery of less than 30 weeks of gestation at a tertiary perinatal center were retrospectively reviewed. Results: A total of 92 pregnancies were investigated. Delivery was indicated for fetal reasons in 38 out of 92 patients. Sixteen children of our cohort died within one year post partum, out of which eight had suffered from severe early-onset IUGR causing iatrogenic preterm delivery. Concerning the fetal outcome, gestational age at delivery and antenatal exposure to corticosteroids were found to be crucial. Conclusion: In some cases, respiratory distress syndrome prophylaxis and a “wait and see” approach to management in favor of a prolongation of the pregnancy might be favorable. Randomized prospective trials in early-onset IUGR with threatened preterm deliveries are needed in order to define guidelines for an individually tailored management of early-onset preterm infants.