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[Clinical problems in extreme fetal retardation]
Zentralblatt Fur Gynakologie
|January 1, 1976
Summary
Extreme fetal growth restriction, often fatal, stems from chronic placental insufficiency. Early recognition via clinical signs and diagnostic methods allows for timely intervention, even in extremely small fetuses, when fetal maturity is confirmed.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Perinatology
Context:
- Fetal somatic retardation, a severe condition, arises from chronic placental insufficiency.
- This condition is associated with a high rate of fetal mortality.
- Accurate diagnosis and management are crucial for affected pregnancies.
Purpose:
- To report three cases of extreme fetal somatic retardation.
- To outline a method for the differential diagnosis of suspected cases.
- To establish criteria for intervention in cases of severe fetal growth restriction.
Summary:
- Three cases of extreme fetal somatic retardation due to chronic placental insufficiency are presented.
- Diagnostic approaches involving anamnesis and clinical findings are detailed.
- Intervention is indicated upon confirmation of placental insufficiency and adequate fetal maturity, irrespective of fetal size.
Impact:
- Highlights the importance of early recognition and diagnosis of fetal growth restriction.
- Provides a diagnostic and management strategy for severe cases of placental insufficiency.
- Emphasizes the possibility of intervention for extremely small fetuses when fetal maturity is assured.