ACR Appropriateness Criteria® growth disturbances-risk of intrauterine growth restriction Journal Article


Authors: Zelop, C. M.; Javitt, M. C.; Glanc, P.; Dubinsky, T.; Harisinghani, M. G.; Harris, R. D.; Khati, N. J.; Mitchell, D. G.; Pandharipande, P. V.; Pannu, H. K.; Podrasky, A. E.; Shipp, T. D.; Siegel, C. L.; Simpson, L.; Wall, D. J.; Wong-You-Cheong, J. J.
Article Title: ACR Appropriateness Criteria® growth disturbances-risk of intrauterine growth restriction
Abstract: Fetal growth disturbances include fetuses at risk for intrauterine growth restriction. These fetuses may have an estimated fetal weight at less than the 10% or demonstrate a plateau of fetal growth with an estimated fetal growth greater than the 10%. Uteroplacental insufficiency may play a major role in the etiology of intrauterine growth restriction. Fetuses at risk for intrauterine fetal growth restriction are susceptible to the potential hostility of the intrauterine environment leading to fetal hypoxia and fetal acidosis. Fetal well-being can be assessed using biophysical profile, Doppler velocimetry, fetal heart rate monitoring, and fetal movement counting.Fetal growth disturbances include fetuses at risk for intrauterine growth restriction. These fetuses may have an estimated fetal weight at less than the 10% or demonstrate a plateau of fetal growth with an estimated fetal growth greater than the 10%. Uteroplacental insufficiency may play a major role in the etiology of intrauterine growth restriction. Fetuses at risk for intrauterine fetal growth restriction are susceptible to the potential hostility of the intrauterine environment leading to fetal hypoxia and fetal acidosis. Fetal well-being can be assessed using biophysical profile, Doppler velocimetry, fetal heart rate monitoring, and fetal movement counting.The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. © 2013 American College of Radiology.
Keywords: practice guideline; uterus; biometry; growth disorder; fetus growth; intrauterine growth retardation; appropriateness criteria; fetus hypoxia; fetus monitoring; doppler flowmetry; fetal well being; acr appropriateness criteria; amnion fluid; fetus weight; fetal growth disturbances; risk of intrauterine growth restriction; cordocentesis; fetal doppler; fetus breathing; fetus heart rate; fetus movement; high risk pregnancy; placenta insufficiency
Journal Title: Ultrasound Quarterly
Volume: 29
Issue: 3
ISSN: 0894-8771
Publisher: Lippincott Williams & Wilkins  
Date Published: 2013-09-01
Start Page: 147
End Page: 151
Language: English
DOI: 10.1097/RUQ.0b013e31829ea221
PROVIDER: scopus
PUBMED: 23867573
DOI/URL:
Notes: --- - "Export Date: 1 October 2013" - "CODEN: ULQUE" - "Source: Scopus"
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  1. Harpreet Pannu
    22 Pannu