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Growth Retardation: Individual Risk Assessment During Pregnancy

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Perinatal Events and Brain Damage in Surviving Children

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Abstract

Is it possible to assess the individual risk of brain damage in case of intrauterine growth retardation? It is difficult to give a clear, straightforward, and conclusive answer to this question. Yet, it is well worth answering. Indeed, obstetricians now tend to extract small for date infants more and more frequently and earlier for fear of perinatal death or psychomotor sequelae. If this attitude is generally accepted in cases of early and severe growth retardation, it can be considered in less severe cases. As an example, Table 1 reports the results of our department over a 5-year period. When considering the whole population, the rate of cesarean sections in small for date infants decreased. But if we look more precisely, we can see that the rate of cesarean sections increased slighty from 33% to 46% in early growth retardation but decreased significantly in late growth retardation.

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Authors
  1. G. Pontonnier
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  2. H. Grandjean
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  3. A. Fournie
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  4. M.-F. Sarramon
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Editor information

Editors and Affiliations

  1. Frauenklinik, Klinikum der Universität Heidelberg, Voßstraße 9, 6900, Heidelberg, Germany

    Fred Kubli

  2. Reproductive Medicine Office, Wards 37/38, Level 6, Ninewells Hospital, The University Dundee, Dundee, DD2 1UD, UK

    Naren Patel (Consultant Obstetrician) (Consultant Obstetrician)

  3. Frauenklinik, Klinikum der Universität Heidelberg, Voßstraße 9, 6900, Heidelberg, Germany

    W. Schmidt

  4. Kinderklinik Im Neuenheimer Feld, Klinikum der Universität Heidelberg, 6900, Heidelberg, Germany

    O. Linderkamp

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© 1988 Springer-Verlag Berlin Heidelberg

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Pontonnier, G., Grandjean, H., Fournie, A., Sarramon, MF. (1988). Growth Retardation: Individual Risk Assessment During Pregnancy. In: Kubli, F., Patel, N., Schmidt, W., Linderkamp, O. (eds) Perinatal Events and Brain Damage in Surviving Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72850-1_12

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  • DOI: https://doi.org/10.1007/978-3-642-72850-1_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-72852-5

  • Online ISBN: 978-3-642-72850-1

  • eBook Packages: Springer Book Archive

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