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Updated: Jan 22, 2026

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Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
Published on: June 29, 2013
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Postnatal Catch-Up Growth After Suspected Fetal Growth Restriction at Term
Linda van Wyk1,2, Kim E Boers3, Aleid G van Wassenaer-Leemhuis4
1Departments of Obstetrics, Leiden University Medical Centre, Leiden, Netherlands.
Frontiers in Endocrinology
|July 12, 2019
Summary
Children born after fetal growth restriction (FGR) show catch-up growth, influenced by obstetric management. Birth weight and FGR severity impact growth, with birth SDS affecting neurodevelopment.
Area of Science:
- Pediatrics
- Obstetrics
- Neonatology
Background:
- Fetal growth restriction (FGR) at term affects infant development.
- Understanding postnatal growth patterns is crucial for optimizing outcomes.
- The impact of obstetric management on FGR infants requires further investigation.
Purpose of the Study:
- To analyze growth patterns in children born after suspected term FGR.
- To compare the effects of induction of labor (IoL) versus expectant management (EM) on postnatal growth.
- To evaluate the relationship between birth weight percentiles, catch-up growth, and neurodevelopmental outcomes at age 2.
Main Methods:
- A 2-year follow-up of children from the DIGITAT Randomized Controlled Trial (RCT).
- Calculation of Standard Deviation Scores (SDSs) for height and weight at various ages.
- Assessment of catch-up growth based on birth weight centiles and comparison between IoL and EM groups.
Main Results:
- Significant postnatal catch-up growth observed in the first 2 years.
- Expectant management (EM) was associated with more catch-up growth in the first month.
- Lower birth weight centiles (below 3rd and 10th) correlated with greater catch-up growth post-birth.
- Birth SDS was the strongest predictor of adverse neurodevelopmental outcomes at age 2.
Conclusions:
- Postnatal catch-up growth is typical after term FGR and is linked to FGR severity.
- Obstetric management strategies (IoL vs. EM) influence postnatal growth trajectories.
- Longer-term follow-up is recommended to monitor growth and physical health in these children.
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