Analysis of the newborns condition during active management of pregnant women with a high risk of fetal growth restriction development

Aim. To assess the features of pregnancy progression in women with high risk of fetal growth restriction, and to investigate the condition of newborns born to these women. Material and methods. A prospective non-randomized study including 534 women at high risk of fetal growth restriction. The control group consisted of 112 patients with a physiological pregnancy. The women with high risk of fetal growth restriction were divided into groups based on the timing of seeking medical assistance. Anamnestic data pregnancy course and outcomes, and fetal condition were evaluated. Results. Early toxicosis, fetal distress, and placental insufficiency were more frequent in the comparison group, where active pregnancy management was not carried out. The frequency of preterm labor was similar between the study and control groups, but in the comparison group, the primary method of delivery was cesarean section. In the groups at high risk of fetal growth restriction, lower birth weight and length of newborns were observed. Fetal growth restriction was diagnosed in 29.96% of the children, more often in the comparison group. Conclusion. Early intervention and correction of pathology in women with high risk of fetal growth restriction improve pregnancy outcomes and reduce fetal risks.