Recurrence Risk of Fetal Growth Restriction: Management of Subsequent Pregnancies.

Nathan R Blue, Jessica M Page, Robert M Silver

Obstetrics and gynecology clinics of North America 2021 Jun

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Fetal growth restriction (FGR) is a common obstetric complication that predisposes to mortality across the lifespan. Women with a prior pregnancy affected by FGR have a 20% to 30% risk of recurrence, but effective preventive strategies are lacking. Pharmacologic interventions to prevent FGR are lacking. Low-dose aspirin may be somewhat effective, but low-molecular-weight hepa rin and sildenafil are not. Surveillance in a subsequent pregnancy may consist of serial ultrasonography with timing and frequency determined by the clinical severity in the index pregnancy. Once FGR is diagnosed, the principal management strategy consists of close surveillance and carefully timed delivery. Copyright © 2021 Elsevier Inc. All rights reserved.

Citation

Nathan R Blue, Jessica M Page, Robert M Silver. Recurrence Risk of Fetal Growth Restriction: Management of Subsequent Pregnancies. Obstetrics and gynecology clinics of North America. 2021 Jun;48(2):419-436