Consensus and controversies of international guidelines for the diagnosis, surveillance and management of fetal growth restriction: an updated comparison - PubMed
5 hours ago
- #Doppler Ultrasound
- #Fetal Growth Restriction
- #Clinical Guidelines
- Comparison of six international guidelines (2015-2024) on fetal growth restriction (FGR) reveals consensus on Doppler-based risk stratification, antenatal corticosteroids, magnesium sulfate for preterm birth, and early aspirin for high-risk pregnancies.
- Controversies exist over definitions (FGR vs. SGA), routine use of angiogenic biomarkers, LMWH for prevention, growth chart selection, and the roles of biophysical profile and computerized CTG.
- Guidelines do not recommend universal third-trimester ultrasound for low-risk pregnancies and emphasize genetic counseling for severe or early-onset FGR with anomalies.
- Induction methods are debated, with mechanical options favored but limited evidence; priorities include harmonizing definitions and validating surveillance tools.