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Fetal Growth Restriction: The Etiology

MAULIK, DEV MD, PhD

Clinical Obstetrics and Gynecology: June 2006 - Volume 49 - Issue 2 - p 228-235
Fetal Growth Restriction

Fetal growth restriction (FGR) is etiologically associated with various maternal, fetal and placental factors, although such an association may not be present in many cases. Maternal factors include hypertensive diseases, autoimmune disorders, certain medications, severe malnutrition, and maternal lifestyle including smoking, alcohol and cocaine use. Fetal etiologies include aneuploidy, malformations, syndromes related to abnormal genomic imprinting, perinatal viral or protozoan infections, preterm birth, and multiple gestation. Placental factors may involve many conditions including anatomical, vascular, chromosomal and morphological abnormalities. Better understanding of these etiologic conditions may lead to improved prediction, prevention and management of FGR.

Department of Obstetrics and Gynecology, Winthrop University Hospital, 259 First Street, Mineola, New York

Correspondence: Dev Maulik, MD, PhD, Department of Obstetrics and Gynecology, Winthrop University Hospital, 259 First Street, Mineola, NY 11501. E-mail: wirving@winthrop.org

Copyright © 2006 Wolters Kluwer Health, Inc. All rights reserved.