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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/2718
Title: Intrauterine growth restriction: contemporary issues in diagnosis and management
Authors: Capros, Hristiana
Scoricova, Iana
Mihalcean, Luminita
Keywords: intrauterine growth restriction;small for gestational age;foetal Doppler;foetal biometry
Issue Date: 2017
Publisher: The Scientific Medical Association of the Republic of Moldova
Citation: CAPROS, Hristiana, SCORICOVA, Iana, MIHALCEAN, Luminita. Intrauterine growth restriction: contemporary issues in diagnosis and management. In: The Moldovan Medical Journal. 2017, vol. 60, no 2, pp. 26-30. ISSN 2537-6373. DOI: 10.5281/zenodo.1051077
Abstract: Background: Intrauterine growth restriction represents a fetal life treating condition in obstetrics. Diagnosis and appropriate management during pregnancy is essential because of the considerable morbidity and mortality to which restricted new-borns are exposed. Implementation of diagnostic criteria could potentially determine an optimized outcome in these patients. Material and methods: The article reflects a study of 728 cases of patients delivered to the Obstetrical department of Municipal Hospital No1, Chisinau, the Republic of Moldova during January-December 2016. A special protocol for clinical and paraclinical data collection was used. From these 728 cases, 50 histories of low birth weight fetuses (<2500g) were analysed in detail. Results: The average weight of LBW fetuses was 2057 gr. 27 fetuses (54%) were diagnosed as intrauterine growth restricted fetuses. The average weight of fetuses with the diagnosis of IUGR was 1989 gr. 18.52% infants had a very low birth weight (1000-1499 g.), 84.48% infants had low birth weight (2500-1500 g). Conclusions: The prevalent criteria for diagnosis of intrauterine growth restriction in our study were foetal abdominal circumference below 10th percentile (52.3 %). The ultrasound evaluation showed to have an average sensitivity in the predicting the foetal weight at birth (47.6%). In the majority of cases the delivery was done by cesarian section (62.9%), with the most frequent indication for foetal extraction – vascular redistribution and beginning of cerebral vasodilatation (37.5 %).
metadata.dc.relation.ispartof: The Moldovan Medical Journal
URI: http://moldmedjournal.md/wp-content/uploads/2017/02/MMJ-60-2-DOI-UDC.pdf
http://repository.usmf.md/handle/20.500.12710/2718
https://doi.org/10.5281/zenodo.1051077
ISSN: 2537-6373
2537-6381
Appears in Collections:The Moldovan Medical Journal, Vol. 60, No 2, April 2017

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