Comparison between Protocols for Management of Fetal Growth Restriction.

Autor: Leal CRV; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Rezende KP; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil., Macedo EDCP; Diagnostic Imaging Solutions, Belo Horizonte, MG, Brazil., Rezende GC; Diagnostic Imaging Solutions, Belo Horizonte, MG, Brazil., Corrêa Júnior MD; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk: angličtina
Zdroj: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2023 Feb; Vol. 45 (2), pp. 96-103. Date of Electronic Publication: 2023 Mar 28.
DOI: 10.1055/s-0043-1764493
Abstrakt: This comprehensive review compares clinical protocols of important entities regarding the management of fetal growth restriction (FGR), published since 2015. Five protocols were chosen for data extraction. There were no relevant differences regarding the diagnosis and classification of FGR between the protocols. In general, all protocols suggest that the assessment of fetal vitality must be performed in a multimodally, associating biophysical parameters (such as cardiotocography and fetal biophysical profile) with the Doppler velocimetry parameters of the umbilical artery, middle cerebral artery, and ductus venosus. All protocols reinforce that the more severe the fetal condition, the more frequent this assessment should be made. The timely gestational age and mode of delivery to terminate the pregnancy in these cases can vary much between the protocols. Therefore, this paper presents, in a didactic way, the particularities of different protocols for monitoring FGR, in order to help obstetricians to better manage the cases.
Competing Interests: The authors have no conflict of interest to declare.
(Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).)
Databáze: MEDLINE
Externí odkaz: