Multidisciplinary consensus on screening for, diagnosis and management of fetal growth restriction in the Netherlands

作者: Viki Verfaille , , Ank de Jonge , Lidwine Mokkink , Myrte Westerneng

DOI: 10.1186/S12884-017-1513-3

关键词:

摘要: Screening for, diagnosis and management of intrauterine growth restriction (IUGR) is often performed in multidisciplinary collaboration. However, variation screening methods, IUGR may lead to confusion. In the Netherlands two monodisciplinary guidelines on do not fully align. To facilitate effective collaboration between different professionals perinatal care, we undertook a Delphi study with uniform recommendations as our primary result, focusing issues that are aligned or for which specifications lacking current guidelines. We conducted three rounds. A purposively sampled selection 56 panellists participated: 27 representing midwife-led care 29 obstetrician-led care. Consensus was defined agreement professional groups same answer among at least 70% within groups. Per round 51 52 (91% - 93%) responded. This has led consensus issues, leading four based eight The project group decided additional no reached by panel. No could be made about induction labour versus expectant monitoring, nor choice caesarean section. These will implemented effectiveness cost-effectiveness routine third trimester ultrasound monitoring fetal growth. Research needed evaluate effects implementation these outcomes. NTR4367 .

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