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Reproductive and Perinatal Epidemiology$
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Germaine M. Buck Louis and Robert W. Platt

Print publication date: 2011

Print ISBN-13: 9780195387902

Published to Oxford Scholarship Online: May 2011

DOI: 10.1093/acprof:oso/9780195387902.001.0001

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Fetal Growth: Measurement and Evaluation

Fetal Growth: Measurement and Evaluation

(p.168) 9 Fetal Growth: Measurement and Evaluation
Reproductive and Perinatal Epidemiology

Mary L. Hediger

K.S. Joseph

Oxford University Press

Fetal size and growth reflect critical dimensions of fetal health, and abnormal fetal growth is associated with perinatal death and neonatal morbidity. This chapter presents basic information on how to evaluate normal and abnormal fetal size and growth throughout gestation and at birth. This includes the use of ultrasound-based references for individual measurements and estimated fetal weight, more traditional birthweight-for-gestational age charts, individual segmental and/or planar measurements and ratios, such as femur length and abdominal circumference, and newer techniques for customizing the assessment of fetal growth and assessing fetal and neonatal body composition. Fetal size and growth are also discussed with regard to the main causes of poor or excessive fetal growth, the relationship between fetal growth and preterm delivery, and how fetal growth differs in twin pregnancies.

Keywords:   fetal growth, fetal growth restriction, ultrasound, birthweight, small-for-gestational age, large-for-gestational age, preterm delivery, twin fetal growth

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