New technologies, management guides and their application in modern obstetrics: the example of intrauterine growth restriction (IUGR)

José Enrique Sanín-Blair, Jorge Hernán Gutiérrez-Marín

Resumen


Perinatal medicine has evolved significantly during the last 25 years; however, poor results have been obtained regarding topics such as premature birth compared to the economic, technological and human efforts being made. In the field of abnormal foetal growth, generalising the use of ultrasounderived technological media have irreversibly revolutionised the clinical course of a disease which, until 2 decades ago, was subjectively and indirectly evaluated by means of measuring uterine index or ponderal gain and post-natal or post-mortem confirmation, having minimum knowledge related to natural history.1 In fact, there is no consistency between the results of work presented during the 1980s and that currently obtained referring to foetuses having abnormal growth. This gives the impression that one will be talking about two different entities.


Texto completo:

PDF (English)

Referencias


Pritchard J, Mac Donald P, Gant N. Feto de crecimiento retardado. En: Pritchard J, Mac Donald P, Gant N. Williams Obstetricia. 3a ed. México: Salvat editores; 1986. p. 735-38.

Baschat A. Fetal growth disorders. En: James K, Steer E, Weiner C, Gonik B. High Risk Obstetrics. 3a ed. Elsevier editorial; 2005. p. 240-72.

American College of Obstetricians and Gynecologists. Utility of antepartum umbilical artery Doppler velocimetry in intrauterine growth restriction. ACOG Technical bulletin 188. Washington DC: ACOG; 1997.

Harman CR, Baschat AA. Comprehensive assessment of fetalwellbeing:whichDopplertestsshouldbeperformed? Curr Opin Obstet Gynecol 2003;15:147-57.

Montoya-Restrepo N, Correa-Morales J. Curvas de peso al nacer. Rev Salud Publica 2007;9:1-10.

Fouron JC, Gosselin J, Amiel-Tison C, Infante-Rivard C, Fouron C, Skoll A, Veilleux A. Correlation between prenatal velocity waveforms in the aortic isthmus and neurodevelopmental outcome between the ages of 2 and 4 years. Am J Obstet Gynecol 2001;184:630-6.

Singhal A, Lucas A. Early origins of cardiovascular disease: is there a unifying hypothesis? Lancet 2004;363:1642-5.

Hofman PL, Regan F, Jackson WE, Jefferies C, Knight DB, Robinson EM, et al. Premature birth and later insulin resistance. N Engl J Med 2004;351:2179-86.


comments powered by Disqus

Métricas de artículo

Cargando métricas ...

Metrics powered by PLOS ALM




Copyright (c) 2016 Revista Colombiana de Obstetricia y Ginecología

Licencia de Creative Commons
Este obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.

ISSN Impreso       0034-7434 

ISSN Electrónico   2463-0225

https://doi.org/10.18597/issn.0034-7434