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A 10‐year experience of protocol‐based management of fetal growth restriction: Perinatal outcomes in late pregnancy cases diagnosed after 32 weeks

Ultrasound in Obstetrics & Gynecology Nov 22, 2020

Meler E, Mazarico E, Eixarch E, et al. - Researchers sought to inscribe their 10‐year experience of protocol‐based management of FGR, defined by standardized clinical and Doppler criteria, in late pregnancy cases. They identified a total of 1,197 pregnancies with EFW < 10th centile; at diagnosis, these were classified as low‐risk SGA (N = 619, 51%) or FGR (N = 578, 49%). Follow up of low‐risk SGA was done at 2‐week intervals and elective delivery was conducted at 40 weeks. Follow up was performed of FGR at 1‐week or closer intervals if there were signs of fetal deterioration, and elective delivery was conducted at 37+ weeks’ gestation. Based on their 10‐y experience, they support that a protocol‐based risk stratification with different management and monitoring schemes for late‐pregnancy SGA suspected babies as valuable for recognition and tailored assessment of high‐risk FGR while facilitating expectant management with safe perinatal outcomes in low‐risk SGA fetuses.

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