Growth Retardation: Individual Risk Assessment During Pregnancy

Pontonnier, G; Fournié, A; Sarramon, M. F.

doi:10.1007/978-3-642-72850-1_12

Cited by 1 publication

(1 citation statement)

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“…Active management lead ing to preterm elective delivery can only be beneficial for a small proportion of SFD ba bies (the most severe cases), which are more likely to be diagnosed in a selectively scanned group. Therefore the increase in diagnostic efficacy with routine ultrasound examination might lead mainly to an increase in the num ber of moderate IUGR cases diagnosed, for which the benefit of intensive prenatal care, if any, can only be small, and is very difficult to demonstrate [12], The active management of prenatal care and the lack of evidence concerning better health outcome after diagnosis of moderate IUGR, might be due to poor specificity of the signs of fetal distress as revealed by FHR traces, which in our population were the main tool used to detect this distress. One wonders whether the use of Doppler echography [13][14][15] might not reduce the number of erroneous indications for cesarean section.…”

Section: Discussionmentioning

confidence: 99%

Consequences of Misdiagnosis of Intrauterine Growth Retardation for Preterm Elective Cesarean Section

et al. 1993

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We studied the consequences of misdiagnosis of intrauterine growth retardation (IUGR) for preterm elective cesarean section among live singleton newborns in two teaching hospitals in Paris between 1978 and 1983. The population studied comprised the 16,540 babies who were normal for date, according to the 10th percentile of the reference curve established in this population. For 118 of these infants, IUGR had been diagnosed during pregnancy. The preterm elective cesarean section rate was 12.7% among newborns for whom IUGR was erroneously diagnosed, compared to 1.2% among those for whom IUGR was not diagnosed. The relationship between preterm cesarean section and misdiagnosis of IUGR still existed (odds ratio: 5.2, 95% CI: 2.1–12.9) after taking into account obstetric history and hypertension during pregnancy. Our results show that after diagnosis of IUGR, supplementary tests are essential to confirm fetal distress and consequently avoid unnecessary interventions.

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Section: Discussionmentioning

confidence: 99%