Selective intrauterine growth restriction (sIUGR)

Abstract

Selective intrauterine growth restriction is a rare complication of monochorionic gestation characterized by growth deficiency of one fetus, phenomenon due to asymmetric distribution of the placental territory; the influence of the vascular anastomosis determines the type of evolution in each case. Umbilical artery Doppler study of the restricted fetus determines the clinical status and possible outcome in order to minimize risk of intrauterine death and brain damage in both fetuses.