{"id":1220,"date":"2025-04-04T20:03:01","date_gmt":"2025-04-04T20:03:01","guid":{"rendered":"https:\/\/clinicavous.com.br\/?p=1220"},"modified":"2025-04-04T20:03:02","modified_gmt":"2025-04-04T20:03:02","slug":"restricao-crescimento-fetal-peso-normal","status":"publish","type":"post","link":"https:\/\/clinicavous.com.br\/en\/restricao-crescimento-fetal-peso-normal\/","title":{"rendered":"Fetal Growth Restriction: when the baby stops growing... even at a normal weight."},"content":{"rendered":"<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">So, what exactly is fetal growth restriction?<\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">This occurs when the baby is unable to reach its full growth potential inside the womb. And this happens, in most cases, because of a <strong>placental insufficiency<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In other words, the placenta begins to &quot;fail&quot; in delivering nutrients and oxygen, the intrauterine environment becomes hostile, and the baby naturally slows down its growth. And we know that this has a direct impact on perinatal vitality and health.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Two different types: and two challenges as well.<\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">We have two main groups when we talk about RCF:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>early RCF<\/strong>, which happens before 32 weeks<\/li>\n\n\n\n<li><strong>Late RCF<\/strong>, which appears after 32 weeks<\/li>\n<\/ul>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">And here&#039;s where the difference begins:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Node <strong>early<\/strong>, Placental disease is usually severe. The baby is generally small, with biometrics well below what is expected. Fetal centralization is systemic. The placenta &quot;owes&quot; food and oxygen\u2014and the fetus adapts as best it can. <\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Node <strong>late<\/strong>, The biggest challenge is diagnosis. Because the baby may have a weight... <strong>within the normal range<\/strong>, But... it stopped growing as it should have.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">And that&#039;s where the danger lies.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">The baby is in the 30th percentile. What now?<\/h2>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">This is a classic. We look at the report and see: weight in the 30th percentile. Seemingly normal, right?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But then you compare it to the ultrasound from a few weeks ago\u2026 and you find out that this baby was in the 80th percentile. In other words: <strong>lost 50 points of growth.<\/strong>. And that, folks, is <strong>Late fetal growth restriction<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Furthermore, we now know\u2014based on recent and robust studies\u2014that drops of 25 to 50 points in the percentile are associated with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Increased perinatal mortality<\/li>\n\n\n\n<li>Admission to the neonatal ICU<\/li>\n\n\n\n<li>Higher chance of cesarean delivery<\/li>\n\n\n\n<li>lowest Apgar score<\/li>\n\n\n\n<li>And even an increased risk of intrauterine fetal death, even with a weight considered &quot;normal&quot;.\u201c<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">What changes in behavior?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A lot of things. Because when weight is normal, we tend to &quot;monitor&quot; it. But when there&#039;s a significant percentile drop, we have to... <strong>investigate and monitor closely<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And here is <strong>Doppler<\/strong> and the <strong>Fetal Biophysical Profile<\/strong> They became the protagonists.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Doppler ultrasound will tell us about placental perfusion. And the fetal biophysical profile, folks, is invaluable. It allows us to see, objectively, <strong>whether this baby is suffering or not<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Furthermore, the biophysical profile is quick\u2014taking 5 to 8 minutes\u2014and has high predictive value. In other words, if the baby&#039;s profile is good, the chance of them actually being oxygenated is very high. If it is altered, the chance of acidemia is great.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">So, what I would like to leave here is the following:<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not every baby with a normal weight is growing well. Not every pregnancy with a diagnosis of &quot;within expectations&quot; is risk-free.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Today, <strong>look at the growth trajectory<\/strong> \u2014 and not just the isolated value \u2014 is essential. And this changes how we handle the case, guide the parents, and decide the ideal time for delivery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because ultimately, what we want is this: to ensure that this baby has the best possible chance of being born healthy and well.<\/p>","protected":false},"excerpt":{"rendered":"<p>Folks, when we talk about Fetal Growth Restriction, it&#039;s very common to only think about that visibly small, thin baby with a lower than expected weight. But the truth is that the case isn&#039;t always that obvious.<\/p>\n<p>I had the opportunity to speak about this topic at the 6th Ultrasound Conference of the Brazilian Society of Ultrasound in Paran\u00e1 \u2013 SOPRUS 2025, here in Curitiba. And wow\u2026 it was special to be able to share this subject with colleagues, a subject that is increasingly appearing in our daily practice.<\/p>\n<p>Today, I want to share with you some important points from the lecture. Because understanding how fetal growth restriction (FGR) works\u2014especially late-stage FGR\u2014can completely change the outcome of a pregnancy.<\/p>","protected":false},"author":6,"featured_media":1223,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[130,53,56,134,131,132,133,48,45,118],"class_list":["post-1220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-medicina-fetal","tag-crescimento-fetal","tag-doppler","tag-gestacao","tag-gravidez-de-risco","tag-obstetricia","tag-percentil-fetal","tag-perfil-biofisico-fetal","tag-rcf","tag-restricao-de-crescimento-fetal","tag-ultrassonografia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Restri\u00e7\u00e3o de Crescimento Fetal: quando o beb\u00ea para de crescer... mesmo com peso normal - Clinica Vous<\/title>\n<meta name=\"description\" content=\"Nem todo beb\u00ea com peso normal est\u00e1 crescendo bem. 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