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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(01): 104-106
DOI: 10.1055/s-0042-1758197
Brief Report

Color Doppler Ultrasonography in the Third Trimester of Pregnancy Significantly Reclassifies Fetal Growth Restriction in the Samrakshan Program of IRIA in India

Rijo Mathew Choorakuttil
1   Department of Clinical Radiology, AMMA Center for Diagnosis and Preventive Medicine, Kochi, Kerala, India
,
Shilpa R Satarkar
2   Department of Clinical Radiology, Antarang Sonography and Colour Doppler Center, Satarkar Hospital, Aurangabad, Maharashtra, India
,
Lalit K Sharma
3   Department of Clinical Radiology, Raj Sonography & X- Ray Clinic, Baiju Choraha, Nayapura, Guna, Madhya Pradesh, India
,
Anjali Gupta
4   Department of Clinical Radiology, Anjali Ultrasound and Colour Doppler Centre, Agra, Uttar Pradesh, India
,
Akanksha Baghel
5   Department of Clinical Radiology, Baghel Sonography Center. Harda, Madhya Pradesh, India
,
Praveen K Nirmalan
6   Department of Research, Chief Research Mentor, AMMA Education and Research Foundation, AMMA Healthcare Research Gurukul, Kochi, Kerala, India
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Introduction

The failure of a fetus to achieve its optimal growth potential is classified as fetal growth restriction (FGR). Small fetuses are a major risk for adverse perinatal outcomes including perinatal mortality, perinatal brain injury, and fetal distress compared to fetuses with normal growth.[1] [2] [3] [4] [5] FGR is considered as a fetus with an estimated fetal weight (EFW) less than 10th percentile. However, FGR also shows Doppler signs of hemodynamic redistribution as a fetal adaptation response to undernutrition or hypoxia and histological and biochemical signs of placental disease.[1] Small for gestational age (SGA) fetuses, on the other hand, are defined as constitutionally small fetuses without evidence for fetal adaptation to abnormal fetal environment and have perinatal outcomes similar to fetuses with normal growth.[1] Samrakshan, a national program of Indian Radiological and Imaging Association (IRIA), integrated trimester-specific Doppler studies with routine antenatal ultrasound assessments.[6] We present the results pertaining to the prevalence of FGR and SGA identified through the Samrakshan program.



Publication History

Article published online:
07 December 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Figueras F, Gratacós E. Update on the diagnosis and classification of fetal growth restriction and proposal of a stage-based management protocol. Fetal Diagn Ther 2014; 36 (02) 86-98
    CrossrefPubMedGoogle Scholar
  • 2 Moraitis AA, Wood AM, Fleming M, Smith GCS. Birth weight percentile and the risk of term perinatal death. Obstet Gynecol 2014; 124 (2 Pt 1): 274-283
    CrossrefPubMedGoogle Scholar
  • 3 Vasak B, Koenen SV, Koster MP. et al. Human fetal growth is constrained below optimal for perinatal survival. Ultrasound Obstet Gynecol 2015; 45 (02) 162-167
    CrossrefPubMedGoogle Scholar
  • 4 McIntire DD, Bloom SL, Casey BM, Leveno KJ. Birth weight in relation to morbidity and mortality among newborn infants. N Engl J Med 1999; 340 (16) 1234-1238
    CrossrefPubMedGoogle Scholar
  • 5 Gardosi J, Madurasinghe V, Williams M, Malik A, Francis A. Maternal and fetal risk factors for stillbirth: population based study. BMJ 2013; 346: f108
    CrossrefPubMedGoogle Scholar
  • 6 Choorakuttil RM, Patel H, Bavaharan R. et al. Samrakshan: an Indian Radiological and Imaging Association program to reduce perinatal mortality in India. Indian J Radiol Imaging 2019; 29 (04) 412-417
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Sotiriadis A, Hernandez-Andrade E, da Silva Costa F. et al; ISUOG CSC Pre-eclampsia Task Force. ISUOG Practice Guidelines: role of ultrasound in screening for and follow-up of pre-eclampsia. Ultrasound Obstet Gynecol 2019; 53 (01) 7-22
    CrossrefPubMedGoogle Scholar
  • 8 Bhide A, Acharya G, Bilardo CM. et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol 2013; 41 (02) 233-239
    CrossrefPubMedGoogle Scholar
  • 9 Lees CC, Stampalija T, Baschat A. et al. ISUOG Practice Guidelines: diagnosis and management of small-for-gestational-age fetus and fetal growth restriction. Ultrasound Obstet Gynecol 2020; 56 (02) 298-312
    CrossrefPubMedGoogle Scholar
  • 10 Unicef.org. 2022 Key data. Accessed July 14, 2022 at: https://www.unicef.org/india/key-data
    PubMed