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See related patient information handout on intrauterine growth restriction , written by the authors of this article. Intrauterine growth restriction IUGR is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high risk for growth restriction, although a substantial percentage of cases occur in the general obstetric population.

Accurate dating early in pregnancy is essential for a diagnosis of IUGR.

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The New York Times Article Archive contains articles dating back to , which can be accessed through archive search. Articles from are available either in full-text or partial articles. Full-text versions are available for all articles published after Full-text archive articles include the entire text of an article. Partial articles include an excerpt of the article and a link to TimesMachine where subscribers can view the entire article in its original form.

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Advanced Search. Your award is aligned with your current Health Center Program funding proportions 2 and may support a wide range of in-scope activities, dating back to January 20, You have flexibility in how you use the funding as the coronavirus and related community, patient, and organizational needs evolve.

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Name the time in gestation when ultrasound is most accurate 2. Discuss the ACOG recommendations for redating a pregnancy based on trimester. Postgraduate Institute for Medicine PIM requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest COI they may have as related to the content of this activity.

PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest. Faculty: Susan J. During the period from Dec 31 through Dec 31 , participants must read the learning objectives and faculty disclosures and study the educational activity. If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation.

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.

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Our aim was to develop gender-specific fetal growth curves in a low-risk population and to compare immediate birth outcomes. First, second, and third trimester fetal ultrasound examinations were conducted between and The data was selected using the following criteria: routine examinations in uncomplicated singleton pregnancies, Caucasian ethnicity, and confirmation of gestational age by a crown-rump length CRL measurement in the first trimester.

These longitudinal fetal growth curves for the first time allow integration with neonatal and pediatric WHO gender-specific growth curves. Boys exceed head growth halfway of the pregnancy, and immediate birth outcomes are worse in boys than girls. Gender difference in intrauterine growth is sufficiently distinct to have a clinically important effect on fetal weight estimation but also on the second trimester dating. Therefore, these differences might already play a role in early fetal or immediate neonatal management.

Ultrasound has been an indispensable tool for diagnosis in obstetrics and fetal growth assessment for at least 4 decades [ 1 , 2 , 3 ]. Clinical management in pregnancies is increasing based on ultrasound measurements derived in the first trimester and on the recognition of pathological fetal growth, which depends on reliable, standardized growth curves [ 4 ]. Although it is widely known that boys are slightly larger than girls in the first trimester and at birth, there has been no consideration of fetal gender in the development and interpretation of fetal growth curves [ 5 , 6 , 7 , 8 ].

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