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Maternal Child

Perinatologist Corner - C.E.U/C.M.E. Modules

Fetal Growth Restriction

Sponsored by The Indian Health Service Clinical Support Center

6. Read what the I.H.S. on-line resources have to say on this

• A.C.O.G./I.H.S. Postgraduate Reference Text
  2003 A.C.O.G. / I.H.S. Reference Text Online: Fetal Growth Restriction, pp. 10-16 (PDF 101k)

UpToDate

[Notes: Click on the link below ,and then the Accept button on the screen that comes up.]

• Divon MY, Ferber A. Definition, classification, and etiology of fetal growth restriction . UpToDate software 9.3, 2002.
• Divon MY, Ferber A. Fetal growth restriction: Diagnosis. UpToDate software 9.3, 2002.
• Lockwood CJ, Schur PH. Clinical manifestations and diagnosis of the antiphospholipid antibody syndrome in pregnancy. UpToDate software 9.3, 2002.
• Mandy GT. Small for gestational age infant. UpToDate software 9.3, 2002.
• Maulik D. Doppler ultrasound of the umbilical artery for fetal surveillance. UpToDate software 9.3, 2002.

Cochrane Library

• Aerobic exercise for women during pregnancy (Cochrane Review). Kramer MS. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Antihypertensive drug therapy for mild to moderate hypertension during pregnancy (Cochrane Review). Abalos E, Duley L, Steyn DW, Henderson-Smart DJ. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Doppler ultrasound for fetal assessment in high risk pregnancies (Cochrane Review). Neilson JP, Alfirevic Z. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Oral beta-blockers for mild to moderate hypertension during pregnancy (Cochrane Review). Magee LA, Duley L. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Routine Doppler ultrasound in pregnancy (Cochrane Review). Bricker L, Neilson JP. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Routine ultrasound in late pregnancy (after 24 weeks gestation). (Cochrane Review). Bricker L, Neilson JP. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Support during pregnancy for women at increased risk of low birthweight babies (Cochrane Review). Hodnett ED. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
• Symphysis-fundal height measurement in pregnancy (Cochrane Review). Neilson JP. In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software.
  
  

  7. Other on-line resourcesincluding Patient Education

  • Agency for Healthcare Research and Quality (A.H.R.Q.)
    • Evidence-based medicine: Researchers discuss evidence on managing mild chronic hypertension during pregnancy.
    • Screening: Intrapartum Electronic Fetal Monitoring, U.S. Preventive Services Task Force 1996.
    • Evidence Report/Technology Assessment: Number 14. Management of Chronic Hypertension During Pregnancy: Summary.
  • Medem
    • Search terms: fetal growth restriction at this page.
  • National Guidelines Clearinghouse
    •  Fetal growth restriction.
  • Patient education
    • Medem. Intrauterine growth restriction.
    • Dartmouth-Hitchcock Medical Center. Intrauterine growth restriction.
    • Your Family Doctor. Intrauterine Growth Restriction : When Your Baby Stops Growing Before Birth.

  8. If you ARE an A.C.O.G. member, read this on-line

  What is the latest A.C.O.G. statement on this? (To join A.C.O.G., see the organization's main page. )

  • A.C.O.G. Practice Bulletin: Intrauterine Growth Restriction. Number 12, January 2000. American College of Obstetricians and Gynecologists. Washington, D.C.

  If you have been unable to obtain online references, then try these paper-based materials.

  Textbook references

  1. Intrauterine growth restriction. ACOG Practice Bulletin Number 12, January 2000. American College of Obstetricians and Gynecologists. Washington, D.C.
  2. Obstetrics: Normal and Problem Pregnancies, 4th Edition. Gabbe SG, Neibyl JR, Simpson JL (Eds.). Intrauterine Growth Restriction, Chapter 25. Churchill Livingstone, New York, 2002. Pages 869 - 891.
  3. Resnik, R. Intrauterine growth restriction. Obstet Gynecol 2002; 99:490-6.
  4. Williams Obstetrics. Fetal Growth Disorders, 21st Edition. Cunningham GF, et al (Eds.) Section 7, No. 29, pp. 743-765. McGraw-Hill, 2001.

  So, let's go back to our cases...

  5. Management Strategies ‹ Previous | Next › 9. Posttest and Evaluation

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