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Chapter-23 Ultrasound Diagnosis of Intrauterine Fetal Growth Restriction (FGR)

BOOK TITLE: An Introduction to Genetics and Fetal Medicine

Author
1. Acharya Ashini
2. Acharya Prashant
ISBN
9788184489606
DOI
10.5005/jp/books/11186_23
Edition
2/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Paras Maternity and Nursing Home, Naranpura, Ahmedabad, Gujarat, India, Fetal Medicine and High-risk Obstetric Care, Advance Center For Fetal Medicine, Paras Maternity and Nursing Home, Naranpura, Ahmedabad, Gujarat, India, Ahmedabad, Gujarat, India, Paras Advanced Centre for Fetal Medicine, Ahmedabad, Gujarat, India, Paras Advanced Center for Fetal Medicine, Ahmedabad, Gujarat, India
2. Genetic and Fetal Medicine Committee (2010-2012), Federation of Obstetrics and Gynecological Association of India; Fetal Medicine and High-Risk Obstetric care Advance Center For Fetal Medicine, Paras Maternity and Nursing Home, Naranpura, Ahmedabad, Gujarat, India, Honorary Sonologist and fetal medicine consultant, Sheth Chenai Maternity and Vadilal Sarabhai; KM School of Postgraduate Medicine and Research, Ahmedabad, Gujarat, India, Ahmedabad, Gujarat, India, Paras Advanced Centre for Fetal Medicine, Ahmedabad, Gujarat, India, Paras Advanced Center for Fetal Medicine, Ahmedabad, Gujarat, India, International Society of Ultrasound in Obstetrics and Gynecology; (South Asia and India); Federation of Obstetric and Gynaecological Societies of India (2012); Indian College of Obstetricians and Gynecologists (2012–2014, 2015–2017); Genetic and Fetal Medicine Committee—FOGSI (2010–2012); IIS India 2012 and 2015 [International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)—International Symposium
Chapter keywords

Abstract

Intrauterine growth restriction (IUGR) is an important clinical problem. The prevalence is about 8% in the general population. It has been shown that 52% of stillbirths are associated with IUGR and 10% of perinatal mortality is a consequence of IUGR. Up to 72% of unexplained fetal deaths are associated with small for gestational age below the 10th percentile. Fetal or IUGR is associated with perinatal mortality and morbidity. A satisfactory definition of IUGR has been suggested by the American College of Obstetricians and Gynecologists as describing: A fetus that fails to reach his potential growth. Ultrasound examination, ideally at eight to 13 weeks of gestation, is more accurate for estimating gestational age than ultrasound assessment later in pregnancy. Although ultrasound assessment is used later in pregnancy to estimate fetal weight, ultrasound dating is only accurate to about three weeks when it is performed at term.

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