Global guidelines for fetal growth restriction: seeking common ground while respecting differences
10.3760/cma.j.cn113903-20240709-00507
- VernacularTitle:全球胎儿生长受限指南：求同存异
- Author:
Hao WANG
1
;
Hongbo QI
Author Information
1. 重庆医科大学附属妇女儿童医院、重庆市妇幼保健院产科，重庆 401147
- Keywords:
Fetal growth restriction;
Diagnostic and treatment guideline;
Prenatal diagnosis;
Fetal development
- From:
Chinese Journal of Perinatal Medicine
2024;27(9):710-721
- CountryChina
- Language:Chinese
-
Abstract:
Due to inconsistent diagnostic criteria, the term "fetal growth restriction (FGR)" is often confused with "small for gestational age". However, SGA newborns are typically just smaller in size, whereas FGR is associated with higher risks of short- and long-term complications. Recent advancements in ultrasound technology, multi-omics integration, and artificial intelligence technology have aided in the diagnosis and elucidation of the etiological mechanisms of FGR. Nonetheless, challenges such as low positive detection rates, inconsistent diagnostic standards, and a lack of preventive and therapeutic measures remain. This article compares the definitions, risk stratification, early screening and diagnosis, genetic counseling, and prenatal diagnosis, prenatal monitoring, pregnancy termination, and prevention strategies of FGR as proposed by different academic organizations. It also provides a moderate evaluation to help advance current diagnostic and pregnancy management strategies, offering directions for future research to achieve early identification and precise diagnosis of FGR.
