Neuroendocrinol Lett
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Neuroendocrinol Lett · Oct 2008
Case ReportsAn alternative management for growth retarded fetus with absent end-diastolic velocity in umbilical artery and normal cardiotocography.
Intrauterine growth retardation (IUGR) is associated with fetal adverse conditions. The most important cause of growth restriction and poor perinatal outcome is chronic fetal hypoxemia (CFH). Adaptation to CFH can be studied by Doppler velocity waveform on umbilical and fetal arteries and cardiotocography (CTG). ⋯ In the case of fetal monitoring controversy assessment of umbilical blood analysis may be crucial. This examination is significant and independent of the interval between cordocentesis and the onset of CTG pathology. This interval may be utilized for intrauterine treatment and for optimizing obstetric management.