Ahmet A Baschat, Henry L Galan, Wesley Lee, Greggory R DeVore, Giancarlo Mari, John Hobbins, Anthony Vintzileos, Lawrence D Platt, Frank A Manning
Growth-restricted fetuses are at risk of hypoxemia, acidemia, and stillbirth because of progressive placental dysfunction. Current fetal well-being, neonatal risks following delivery, and the anticipated rate of fetal deterioration are the major management considerations in fetal growth restriction. Surveillance has to quantify the fetal risks accurately to determine the delivery threshold and identify the testing frequency most likely to capture future deterioration and prevent stillbirth. From the second trimester onward, the biophysical profile score correlates over 90% with the current fetal pH, and a normal score predicts a pH >7...
April 2022: American Journal of Obstetrics and Gynecology