Ограничение роста плода. Новая терминология и классификация

Статья в Elpub

Акушерство и Гинекология Санкт-Петербурга. 2020; : 6-10

Ограничение роста плода. Новая терминология и классификация

Аннотация

Внутриутробное ограничение роста плода является одной из наиболее сложных проблем современного акушерства. Ограничение роста плода может привести к значительным акушерским осложнениям, а также к последствиям после рождения как в краткосрочной, так и в долгосрочной перспективе. Если диагноз ограничения роста установлен правильно и вовремя, а роды выполнены в нужное время, можно добиться снижения тяжелой смертности и /или заболеваемости в 4–5 раз.
Цель: представить обзор литературы по теме диагностики ограничения внутриутробного роста на основе последних международных протоколов.
Методы и материалы: исследования в международных базах данных с использованием поисковых систем MedLine, PubMed, Wiley online library, Cochrane Database.
Результаты: принимая во внимание, что в ведении случаев с ограничения роста плода в перинатальном периоде участвуют специалисты нескольких областей, в международной литературе наблюдается тенденция заменить термин «задержка внутриутробного развития» термином «ограничение роста плода», необходимо заменить старую классификацию внутриутробной задержки роста плода новой классификацией, более адаптированной к клинической эволюции патологии, использовать критерии Delphi для диагностики ограничения роста плода.

Список литературы

1. Fetal Growth Restriction. ACOG Practice Bulletin №134.

2. Aviram A., Sherman C., Kingdom J., Zaltz A., Barrett J., Melamed N. Defining early versus late fetal growth restriction by placental pathology. Acta Obstet Gynecol Scand. 2019; 98: 365–373.

3. Baschat A.A. Neurodevelopment following fetal growth restriction and its relationship with antepartum parameters of placental dysfunction. Ultrasound Obstet Gynecol. 2011; 37: 501–14.

4. Crispi F., Miranda J., Gratacós E. Long term cardiovascular consequences of fetal Growth restriction: biology, clinical implications, and opportunities for prevention of adult disease. Am J Obstet Gynecol. 2018; 218 (2S): S869–S879.

5. DeVore G.R. The importance of the cerebroplacental ratio in the evaluation of fetal well-being in SGA and AGA fetuses. Am J Obstet Gynecol. 2015; 213: 5–15.

6. Ego A., Prunet C., Lebreton E. et al. Customized and non-customized French intrauterine growth curves. IeMethodology. J Gynecol Obstet Biol Reprod. 2016; 45: 155–64.

7. Francis J.H., Permezel M., Davey M.A. Perinatal mortality by birthweight centile. Aust N Z J Obstet Gynaecol. 2014; 54: 354–359.

8. Gardosi J. et al. Maternal and fetal risk factors for stillbirth: population-based study. BMJ. 2013; 346: f108.

9. Ghi T., Cariello L., Rizzo L. et al. Customized fetal growth charts for parents’ characteristics, race, and parity by quantile regression analysis: a cross-sectional multicenter Italian study. J Ultrasound Med. 2016; 35: 83–92.

10. Gordijn S.J., Beune I.M., Thilaganathan B. et al. Consensus definition of fetal growth restriction: a Delphi procedure. Ultrasound Obstet Gynecol. 2016; 48: 333–9.

11. Grangé G. Modalités de dépistage et de diagnostic du fœtus petit pour l’âge gestationnel. J Gynecol Obstet Biol Reprod. 2013; 42 10.1016/j.jgyn.2013.09.015.

12. Hanley G.E., Janssen P.A. Ethnicity-specific birth weight distributions improve identification of term newborns at risk for short-term morbidity. Am J Obstet Gynecol. 2013; 209: 428.e421–6.

13. Khalil A., Morales-Rosello J., Townsend R. et al. Value of third-trimester cerebroplacental ratio and uterine artery Doppler indices as predictors of stillbirth and perinatal loss. Ultrasound Obstet Gynecol. 2016; 47: 74–80.

14. Lausman A., Kingdom J. Intrauterine growth restriction: screening, diagnosis and management. SOGC clinical practice guideline №295. J Obstet Gynaecol Can. 2013; 35: 741–8.

15. Lawin-O’Brien A.R., Dall’Asta A., Knight C. et al. Short term outcome of periviable small for gestational age babies: is our counseling up to date? Ultrasound Obstet Gynecol. 2016; 48: 636–641.

16. Lees C.C., Marlow N., van Wassenaer-Leemhuis A. et al. 2 year neurodevelopmental and intermediate perinatal outcomes in infants with very preterm fetal growth restriction (TRUFFLE): a randomised trial. Lancet. 2015; 385: 2162–2172.

17. Levine T.A., Grunau R.E., McAuliffe F.M., Pinnamaneni R., Foran A., Alderdice F.A. Early childhood neurodevelopment after intrauterine growth restriction: a systematic review. Pediatrics. 2015; 135: 126–141.

18. Lindstrom L., Wikstrom A.K., Bergman E., Lundgren M. Born small for gestational age and poor school performance how small is too small? Horm Res Paediatr. 2017; 88: 215–23.

19. MacDonald T.M., Hui L., Tong S. et al. Reduced growth velocity across the third trimester is associated with placental insufficiency in fetuses born at a normal birth weight: a prospective cohort study. BMC Med. 2017; 15: 164.

20. MacLennan A.H., Thompson S.C., Gecz J. Cerebral palsy: causes, pathways, and the role of genetic variants. Am J Obstet Gynecol. 2015; 213: 779–88.

21. Murray E., Fernandes M., Fazel M., Kennedy S.H., Villar J., Stein A. Differential effect of intrauterine growth restriction on childhood neurodevelopment: a systematic review. BJOG. 2015; 122: 1062–1072.

22. Nardozza L.M., Caetano A.C., Zamarian A.C. et al. Fetal growth restriction: current knowledge. Arch Gynecol Obstet. 2017; 295: 1061–1077.

23. Nawathe A., Lees C. Early onset fetal growth restriction. Best Pract Res Clin Obstet Gynaecol. 2017; 38: 24–37.

24. Guideline for the management of suspected small for gestational age singleton pregnancies and infants after 34 wk’ gestation. New Zealand Maternal Fetal Medicine Network; 2014.

25. Papageorghiou A.T., Ohuma E.O., Altman D.G. et al. International standards for fetal growth based on serial ultrasound measurements: the Fetal Growth Longitudinal Study of the INTERGROWTH-21st Project. Lancet. 2014; 384: 869–79.

26. Parra-Saavedra M., Crovetto F., Triunfo S. et al. Placental findings in late-onset SGA births without Doppler signs of placental insufficiency. Placenta. 2013; 34: 1136–41.

27. Roex A., Nikpoor P., van Eerd E., Hodyl N., Dekker G. Serial plotting on customized fundal height charts results in doubling of the antenatal detection of small for gestational age fetuses in nulliparous women. Aust N Z J Obstet Gynaecol. 2012; 52: 78–82.

28. The Investigation and Management of the Small-for-Gestational-Age Fetus. RCOG Green-top Guideline №31.

29. Savchev S., Sanz-Cortes M., Cruz- Martinez R. et al. Neurodevelopmental outcome of full-term small-for-gestational-age infants with normal placental function. Ultrasound Obstet Gynecol. 2013; 42: 201–6.

30. Salomon L.J., Alfirevic Z., Da Silva Costa F. et al. ISUOG practice guidelines: ultrasound assessment of fetal biometry and growth. Ultrasound Obstet Gynecol. 2019; 53: 715–723.

31. Clinical Practice Guideline №295. Intrauterine Growth Restriction: Screening, Diagnosis, and Management. Society of Obstetricians and Gynaecologists of Canada. Journal of Obstetrics and Gynaecology Canada. 2013; 35 (8): 741–748.

32. Temming L.A., Dicke J.M., Stout M.J. et al. Early second trimester fetal growth restriction and adverse perinatal outcomes. Obstet Gynecol. 2017; 130: 865–869.

33. Unterscheider J., O’Donoghue K., Malone F.D. Guidelines on fetal growth restriction: a comparison of recent national publications. Am J Perinatol. 2015; 32: 307–16.

34. Urquia M.L., Berger H., Ray J.G. Risk of adverse outcomes among infants of immigrant women according to birth-weight curves tailored to maternal world region of origin. CMAJ. 2015; 187: E32–40.

35. Vayssiere C., Sentilhes L., Ego A. et al. Fetal growth restriction and intrauterine growth restriction: guidelines for clinical practice from the French College of Gynecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol. 2015; 193: 10–8.

36. WHO Multicentre Growth Reference Study Group. WHO child growth standards based on length / height, weight and age. Acta Paediatr Suppl. 2006; 450: 76–85.

37. Zhang-Rutledge K., Mack L.M., Mastrobattista J.M., Gandhi M. Significance and outcomes of fetal growth restriction below the 5th percentile compared to the 5th to 10th percentiles on midgestation growth ultrasonography. J Ultrasound Med. 2018; 37: 2243–2249.

38. Zhong Y., Zhu F., Ding Y. Serum screening in first trimester to predict preeclampsia, small for gestational age and preterm delivery: systematic review and meta-analysis. BMC Pregnancy Childbirth. 2015; 15: 191.

Obstetrics and Gynaecology of Saint-Petersburg. 2020; : 6-10

Fetal growth restriction. New terminology and classification

Caprosh H. N., Mihalcean L. S., Surguci M. Gh.

Abstract

Intrauterine growth restriction is one of the most complex problems of modern obstetrics. It can lead to significant obstetric complications, as well as consequences after birth, both in the short and long term. The timely diagnosis of growth restriction can reduce severe perinatal mortality and morbidity by 4–5 times.
Purpose: to provide a literature review on the diagnosis of intrauterine growth restriction based on the latest international protocols.
Methods and materials: research in international databases using the search engines MedLine, PubMed, Wiley online library, Cochrane Database.
Results: taking into account that in the management of cases with restriction of fetal growth in the perinatal period participate specialists from several areas, there is a tendency in international literature to replace the term «intrauterine growth retardation» with the term «fetal growth restriction»; replace the old classification of intrauterine growth retardation with a new classification, more adapted to the clinical evolution of pathology; use Delphi criteria to diagnose fetal growth restriction.

References