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Current consensus on the management of fetal growth restriction


M. Patabendige ,

Castle Street Hospital for Women, Colombo, LK
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Senior Registrar in Obstetrics and Gynaecology
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A. Jayawardane

University of Colombo, LK
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Senior Lecturer in Obstetrics and Gynecology, Faculty of Medicine
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Fetal growth restriction (FGR) refers to a fetus that has failed to reach its biological growth potential. Clinically, FGR is described as early or late-onset. Detecting signs of growth deterioration and determining the appropriate timing of fetal rescue delivery is challenging. In early-onset FGR, problems are related to prematurity whereas in late-onset FGR difficulty in diagnosis and resulting fetal mortality are the key problems for the clinician. This review summarizes pathophysiology, recent consensus on the classification of clinical phenotypes, screening, diagnosis, assessment of deterioration and surveillance, monitoring intervals, the timing of birth, neurodevelopment outcomes, term fetal growth restriction and place of cerebroplacental ratio in fetal growth restriction.
How to Cite: Patabendige, M. and Jayawardane, A., 2020. Current consensus on the management of fetal growth restriction. Sri Lanka Journal of Obstetrics and Gynaecology, 42(2), pp.53–60. DOI:
Published on 30 Jun 2020.
Peer Reviewed


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