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A Practical Approach to Fetal Growth Restriction

Copel, Joshua A. MD; Bahtiyar, Mert Ozan MD

doi: 10.1097/AOG.0000000000000232
Contents: Clinical Expert Series
Expert Discussion
Spanish Translation

Fetal growth restriction is one of the most complex problems encountered by obstetricians. Ultrasound-estimated fetal weight less than the 10th percentile for the gestational age is the most widely accepted diagnostic criterion. Management protocols vary from institution to institution. Doppler velocimetry provides valuable information about fetal status. We offer a practical approach to management and timing of delivery based on available data in the literature.

Clinical management of fetal growth restriction, a complex obstetric problem, should incorporate antenatal testing and Doppler ultrasonography in the context of gestational age.Supplemental Digital Content is Available in the Text.

Departments of Obstetrics, Gynecology, and Reproductive Sciences and Pediatrics, Yale University School of Medicine, New Haven, Connecticut. Continuing medical education for this article is available at

Corresponding author: Mert Ozan Bahtiyar, MD, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, P.O. Box 8063, New Haven, CT 06520-8063; e-mail:

Financial Disclosure The authors did not disclose any potential conflicts of interest.

© 2014 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.