Integrated testing and management in fetal growth restriction

Area of Science:

• Perinatology
• Fetal Medicine
• Neonatology

Background:

• Fetal growth restriction (FGR) is linked to adverse perinatal and long-term outcomes.
• Accurate diagnosis of FGR remains challenging, contributing to unexplained stillbirths.
• Existing antenatal testing modalities can document fetal deterioration sequentially.

Purpose of the Study:

• To present an integrated diagnostic and surveillance strategy for growth-restricted fetuses.
• To optimize the timing of delivery by balancing fetal and neonatal risks.
• To improve the identification and management of FGR.

Main Methods:

• Utilizing a combination of fetal biometry, biophysical profile scoring, and arterial and venous Doppler assessments.
• Integrating multiple antenatal testing modalities to document fetal deterioration.
• Considering fetal and neonatal risks for delivery timing decisions.

Main Results:

• An integrated approach provides a comprehensive assessment of fetal compromise.
• Accurate diagnosis is crucial, especially in near-term fetuses, to prevent stillbirth.
• The described approach aids in determining optimal timing for delivery.

Conclusions:

• An integrated diagnostic and surveillance approach is essential for managing growth-restricted fetuses.
• Combining biometry, biophysical scoring, and Doppler enhances the assessment of fetal well-being.
• This strategy aims to improve perinatal outcomes and reduce stillbirth rates.