Abstract

SANIN-BLAIR, José Enrique et al. Diagnosing and managing foetuses suffering from intrauterine growth restriction (IUGR) and foetuses which are small for their gestational age (SGA): Colombian consensus. Rev Colomb Obstet Ginecol [online]. 2009, vol.60, n.3, pp.247-261. ISSN 0034-7434.

Objective: making those participating in pregnant women’s health care aware of the latest clinical recommendations regarding a controversial topic which is an important cause of perinatal morbidity in Colombia. Methodology: the Cochrane Library, Medline and Embase databases were searched as well as SciELO Latin-American database, specialised books and consensus from other scientific societies for diagnostic studies, systematic reviews, randomised trials and meta-analysis carried out between 19952009 regarding the terms “intrauterine growth restriction”and “small for gestational age”. An initial manuscript was written and submitted for on-line discussion. The final manuscript was discussed and amended in Medellín, Colombia, during the Foetal Medicine Congress held in September 2008. Results: a guide to managing SGA and IUGR foetuses was written and is presented here; it has been based on the best available evidence and could be applied in Colombia. Conclusions: this issue produces controversy due to a lack of scientific evidence for applying some definitions and diagnostic tests when managing IUGR and SGA foetuses.

Keywords : small for gestational age; intrauterine growth restriction; ultrasound; Doppler.

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