Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)

@article{Kehl2017IntrauterineGR,
  title={Intrauterine Growth Restriction. Guideline of the German Society of Gynecology and Obstetrics (S2k-Level, AWMF Registry No. 015/080, October 2016)},
  author={Sven Kehl and J{\"o}rg D{\"o}tsch and Kurt Hecher and Dietmar Schlembach and Dagmar Schmitz and Holger Stepan and Ulrich Gembruch},
  journal={Geburtshilfe und Frauenheilkunde},
  year={2017},
  volume={77},
  pages={1157 - 1173}
}
Aims The aim of this official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG) was to provide consensus-based recommendations obtained by evaluating the relevant literature for the diagnostic treatment and management of women with fetal growth restriction. Methods This S2k guideline represents the structured consensus of a representative panel of experts with a range of different professional backgrounds commissioned by the Guideline Committee of the… 
29 Citations
Induction of Labour. Guideline of the DGGG, OEGGG and SGGG (S2k, AWMF Registry No. 015-088, December 2020).
TLDR
This S2k guideline provides recommendations on the indications, management, methods, monitoring and special situations occurring in the context of inducing labour.
Modern concepts of low birth weight and fetal growth restriction
TLDR
Indicators of Doppler velocimetry and cardiotocography, which serve as criteria for early termination of pregnancy, are developed, and measures are proposed to improve neonatal outcomes.
Fetal Growth Restriction – Diagnostic Work-up, Management and Delivery Fetale Wachstumsrestriktion – Diagnostik, Betreuung und Entbindung
Bibliography Geburtsh Frauenheilk 2020; 80: 1016–1025 DOI 10.1055/a-1232-1418 ISSN 0016‐5751 © 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative
Role of umbilicocerebral and cerebroplacental ratios in prediction of perinatal outcome in FGR pregnancies
TLDR
UCR and CPR showed equal prognostic accuracy conserning sensitivity and specificity for adverse perinatal outcome, while adding UA PI and GA_scan increased prognostic accuracies regarding negative outcomes.
Fetal Growth Restriction – Diagnostic Work-up, Management and Delivery
TLDR
According to the current understanding, the “optimum” approach for monitoring and timing of delivery in early-onset FGR combines computerized CTG with the ductus venosus Doppler, while in late-onsett FGR assessment of the cerebral Dopplers parameters becomes more important.
Induction of Labour in Growth Restricted and Small for Gestational Age Foetuses – A Historical Cohort Study
TLDR
Induction of labour for foetal growth restriction was not associated with an increased rate of caesarean section and this historical multicentre cohort study included singleton pregnancies at term.
Doppler ultrasound in pregnancy - quality requirements of DEGUM and clinical application (part 2).
TLDR
The successful application of Doppler sonography requires both exact methodology and precise pathophysiological interpretation of the data, which can only be achieved through highest methodological quality.
Precision Diagnostics by Affinity-Mass Spectrometry: A Novel Approach for Fetal Growth Restriction Screening during Pregnancy
TLDR
Proteome profiling by affinity-mass spectrometry during pregnancy provides a reliable method for risk assessment of impaired development in fetuses and consumes just minute volumes of maternal peripheral blood.
Is the Cerebro-Placental Ratio Sufficient to Predict Adverse Neonatal Outcome in Small for Gestational Age Fetuses > 34 Weeks of Gestation?
TLDR
While the use of CPR alone for the management of small fetuses is not sufficient, it is an important additional tool that may be of value in the clinical setting.
Accuracy of Fetal Cardiac Function Measured by Myocardial Performance Index in Fetal Intrauterine Growth Restriction
TLDR
Pregnant women in Shariati Hospital, Tehran, Iran, in 2019 and 2020 underwent ultrasound assessment at 28-40 weeks and showed a significant rise of MPI, which can be considered as a useful parameter for evaluating the severity of growth restriction in IUGR fetuses.
...
...

References

SHOWING 1-10 OF 179 REFERENCES
Management of fetal growth restriction
TLDR
No evidence supports that the use of cardiotocography or the biophysical profile improves perinatal outcome, and the focus is on the pathophysiology and management of FGR caused by placental diseases.
S1-Guideline on the Use of CTG During Pregnancy and Labor: Long version - AWMF Registry No. 015/036.
Ia Systematic review withmeta-analysis of randomized controlled studies Ib At least one randomized controlled trial IIa At least one well-designed controlled study without randomization IIb At least
Intrauterine growth restriction: screening, diagnosis, and management.
  • A. Lausman, J. Kingdom
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2013
Definition and management of fetal growth restriction: a survey of contemporary attitudes.
Epidemiology of ischemic placental disease: a focus on preterm gestations.
TLDR
The purpose of this review is to describe current knowledge regarding the risk factors, co-occurrence, and recurrence of the conditions of IPD with a specific focus on the preterm gestational window.
...
...