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A program for the antenatal diagnosis and management of fetal retardation at the Obstetrical-Gynecological Clinic of the Medical University of Pleven (preliminary report)

Stoĭkov, S.

Akusherstvo i Ginekologiia 31(2): 11-13

1992

ISSN/ISBN: 0324-0959
PMID: 1342544
Document Number: 394542
The goal of this preliminary report is to define the principal stages of a program for antenatal diagnosis and management in cases of IUGR that has been introduced in practice in the Department of Obstetrics and Gynaecology at the Medical University--Pleven. We present a modified scoring system after A. Wennergren and K. Karlsson (1982) that was distributed to all primary obstetrics care phases of the city and the region for screening of all pregnancies at risk for IUGR. alpha-FP levels in the amniotic fluid and in maternal blood serum are followed according to the indication. Ultrasound follow-up of 8 biometric parameters of the foetus is performed at 2 weeks intervals. The scoring system for foetal biophysical profile after A. Vintzileos (1983) in combination with the AF indexers is introduced as a routine practice. Foetal lung maturation is surveyed by quantitative obtaining of lecithin/sphingomyelin ration in the AF after Gluck (1974). Decision on way and time of delivery is made based on the complex results.

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