Abstract
The article presents its own data and summarizes the literature data concerning the causes, methods of diagnosis and treatment of fetal growth restriction. Chronic placental insufficiency and fetal growth restriction are relevant obstetric problems that require a careful approach to diagnosis, follow-up dynamics, treatment and collegial resolution for choosing a strategy for the method and timing of delivery. According to the opinion of researchers, IGR is diagnosed on the basis of a decrease in the body weight of a particular fetus in comparison to the average weight corresponding to the gestational age. A comparative analysis of the reliability of diagnoses of chronic placental insufficiency and fetal growth restriction at the outpatient and inpatient clinics was carried out. It has been shown that the introduction of the INTERGROWTH-21st scale into the clinical practice allows not only to punctually diagnose fetal growth restriction, but also to a certain extent reduce the frequency of unjustified diagnosis of IGR and associated with it early operative delivery.
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