Avtor/Urednik		Cedilnik, E
Naslov		Effectiveness of discovering IUGR in Slovenia
Tip		članek
Vir		In: Novak-Antolič Ž, editor. Učinkovitost predporodnega varstva v Sloveniji. Zbornik prispevkov 7. Novakovi dnevi; 2000 jun 1-3; Moravske Toplice. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Leto izdaje		2000
Obseg		str. 185-9
Jezik		eng
Abstrakt		Introduction: Intrauterine growth restriction is a big perinatological problem, causing higher perinatal mortality and morbidity and having impact on later life, while its diagnosis is inadequate. Diagnosis of IUGR in Slovenia: In Slovenia in 1997, only 11,6% of IUGR fetuses were diagnosed before birth and more than half diagnoses made were falsely positive (62%). Perinatal mortality for falsely positive and falsely negative diagnosed fetuses was significantly higher than that of general population. Grow programme: The GROW (Gestation Related Optimal Weight) programme predicts term optimal weight and the growth curve by which the fetus arrives to it. It takes into account physiological variables to make individualised growth curve. It also allows for plotting the serial fundal height measurements on the same chart. In Ljubljana, a study about the use of GROW in high risk population is about to be started. Its aim is to determine whether the use of fundal height measurements and individualised growth curves would improve the diagnosis of IUGR and indicate fetuses at risk for adverse perinatal outcome. Discussion: In our study in Ljubljana in 1998 we found that there were significant differences in the quality and quantity of US measurements among the groups of falsely positive, falsely negative and correctly positive diagnosed fetuses. Correctly diagnosed fetuses had more ultrasounds and more measurements of biparietal diameter, femur length and abdominal circumference than others. A more extensive study is necessary to determine whether by adjusting ultrasound measurements and by using the GROW programme we could improve the diagnosis of IUGR and predict adverse outcome.
Deskriptorji		FETAL GROWTH RETARDATION PREGNANCY, HIGH-RISK FETAL DEATH INFANT MORTALITY INFANT, NEWBORN BIRTH WEIGHT ULTRASONOGRAPHY, PRENATAL TIME FACTORS GESTATIONAL AGE