Mode of Induction in Fetal Growth Restriction and Its Affects on Fetal and Maternal Outcomes

Launched by TEL-AVIV SOURASKY MEDICAL CENTER · Aug 9, 2018

Keywords

ClinConnect Summary

Intra uterine growth restriction (FGR) is a condition in which the fetus does not realize its growth potential in uterus. The excepted definitions of this condition are fetal weight estimation below the 10th percentile per gestational week. Severe growth restriction is defined as estimated weight below the 3rd percentile. It is well known that fetuses which are growth restricted are subjected to a higher degree of complications during pregnancy and delivery such as fetal distress, hypoxic damage, intra uterine fetal demise and complications in the neonatal period including prolonged NICU ho...

Gender

FEMALE

Eligibility criteria

• Inclusion Criteria:
• • singleton pregnancy
• • fetal growth restriction defined as estimated fetal weight between the 3rd and 10th percentile per gestational age and are intended to deliver vaginally
• • Gestational age between 36 and 42 weeks
• • No known fetal anomalies
• Exclusion Criteria:
• • Fetal estimated weight below the 3rd percentile
• • Known fetal anomalies
• • Contraindications for vaginal delivery: breech presentation, abnormal Doppler flow velocimetry of fetal ductus venosus.
• • Oligohydramnios defined as amniotic fluid index below 5 cm
• • Contraindication to the use of prostaglandins
• • Fetal distress requiring emergent cesarean section
• • All other condition preventing vaginal delivery as decided by a senior physician