2019
DOI: 10.1016/j.jacr.2019.02.009
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ACR Appropriateness Criteria® Growth Disturbances-Risk of Fetal Growth Restriction

Abstract: Fetal growth restriction, or an estimated fetal weight of less than the 10th percentile, is associated with adverse perinatal outcome. Optimizing management for obtaining the most favorable outcome for mother and fetus is largely based on detailed ultrasound findings. Identifying and performing those ultrasound procedures that are most associated with adverse outcome is necessary for proper patient management. Transabdominal ultrasound is the mainstay of initial management and assessment of fetal growth. For t… Show more

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Cited by 4 publications
(3 citation statements)
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“…In many countries, measurement of SFH is the primary screening tool for FGR in low-risk pregnancies and ultrasound measurement of fetal biometry is performed only when indicated on the basis of risk factors or abnormal SFH. 134,143,[172][173][174] However, this approach fails to identify the majority of FGR infants, 146 a concerning finding given that undetected FGR is associated with increased risk of adverse perinatal outcome and stillbirth. 53,175 An alternative approach is to perform a routine third-trimester ultrasound for fetal weight estimation.…”
Section: Is There a Role For Routine Third-trimester Ultrasound To mentioning
confidence: 99%
“…In many countries, measurement of SFH is the primary screening tool for FGR in low-risk pregnancies and ultrasound measurement of fetal biometry is performed only when indicated on the basis of risk factors or abnormal SFH. 134,143,[172][173][174] However, this approach fails to identify the majority of FGR infants, 146 a concerning finding given that undetected FGR is associated with increased risk of adverse perinatal outcome and stillbirth. 53,175 An alternative approach is to perform a routine third-trimester ultrasound for fetal weight estimation.…”
Section: Is There a Role For Routine Third-trimester Ultrasound To mentioning
confidence: 99%
“…We reviewed relevant recommendations related to the 12 clinical/diagnostic scenarios previously published by radiology and specialty societies, including: the Canadian Association of Radiologists, 9 the American College of Obstetricians and Gynecologists, 10,11 the American College of Radiology, 12 -28 the American Society of Clinical Oncology, 29 the European Society of Urogenital Radiology Scrotal and Penile Imaging Working Group, 30,31 the European Society of Urogenital Radiology, 32 the French College of Gynecologists and Obstetricians, 33 the International Society of Ultrasound in Obstetrics and Gynecology, 34 the International guideline on polycystic ovarian syndrome, 35 -38 the National Institute for Health and Care Excellence, 39 -47 the Society for Maternal-Fetal Medicine, 48 the Society of Abdominal Radiology, 49 the Society of Obstetricians and Gynaecologists of Canada, 50 -57 the Royal College of Obstetricians and Gynaecologists, 58 -60 and the 2017 Royal College of Radiologists. 61…”
Section: Resultsmentioning
confidence: 99%
“…9,11,[15][16][17][19][20][21]34,48,55,59,61 1. In patients in the third trimester who have not received a 1 st or 2 nd trimester diagnostic US, we recommend transabdominal US for general assessment of the pregnancy (↑↑).…”
mentioning
confidence: 99%