Nawathe Aamod, Lees Christoph
Queen Charlotte's and Chelsea Hospital, London, W120HS, UK.
Best Pract Res Clin Obstet Gynaecol. 2017 Jan;38:24-37. doi: 10.1016/j.bpobgyn.2016.08.005. Epub 2016 Sep 15.
Fetal growth restriction remains a challenging entity with significant variations in clinical practice around the world. The different etiopathogenesis of early and late fetal growth restriction with their distinct progression of fetal severity and outcomes, compounded by doctors and patient anxiety adds to the quandary involving its management. This review summarises the literature around diagnosing and monitoring early onset fetal growth restriction (early onset FGR) with special emphasis on optimal timing of delivery as guided by recent research advances.
胎儿生长受限仍然是一个具有挑战性的问题,在全球临床实践中存在显著差异。早期和晚期胎儿生长受限的不同病因发病机制,以及其胎儿严重程度和结局的独特进展,再加上医生和患者的焦虑,使得其管理陷入困境。本综述总结了有关诊断和监测早发型胎儿生长受限(早发型FGR)的文献,并特别强调了根据最新研究进展指导的最佳分娩时机。