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Advanced Technical IVT

selective fetal growth restriction

Also written as: sFGR — selective fetal growth restriction

Condition in twin pregnancies where one twin exhibits significantly impaired growth compared to its co-twin.

Full Definition

A complication of monochorionic twin pregnancies where there is discordant fetal growth with one twin showing significantly reduced growth parameters compared to its co-twin, typically defined as estimated fetal weight discordance >25%. This condition may be associated with unequal placental sharing and can progress to twin-to-twin transfusion syndrome. Management may include selective cord occlusion or laser therapy depending on severity and gestational age.

Usage

Usage note: Commonly abbreviated as sFGR or sIUGR in clinical notes.

In Context

  • "Selective fetal growth restriction was diagnosed with 30% weight discordance between the twins." — Ultrasound evaluation report
  • "The sFGR case required close monitoring for progression to TTTS." — Maternal-fetal medicine follow-up

Also known as

sFGR selective intrauterine growth restriction

Don't confuse with

twin-to-twin transfusion syndrome discordant growth

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