Journal club MCQ January 2020

Learning outcome:

To evaluate and compare the effect on perinatal outcome of different fetal monitoring strategies for early-onset fetal growth restricted fetuses in the two existing randomised trial aiming to identify the optimal method for fetal monitoring in these high risk pregnancies.

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* 1. In the GRIT study the recruited women were randomized to:

a. Immediate delivery versus delayed delivery

b. Delivery for fetal distress versus expectant management

c. Delivery on the basis of the cCTG or abnormal fetal Doppler

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* 2. In the TRUFFLE study the recruited women were randomized to one of the three groups were delivery was determined by: (page 3 line 1-2)

a. Umbilical artery ARED flow

b. Conventional CTG

c. Reduced short term variation in computerized CTG or by abnormalities of the Ductus venosus Doppler assessment

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* 3. The interval to delivery was:

a. Shorter in the delayed delivery groups of GRIT than in TRUFFLE

b. Shorter in TRUFFLE than in the delayed delivery group

c. Comparable between the two studies

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* 4. Fetal death rate was:

a. Similar in women monitored with conventional CTG and in those monitored with cCTG

b. Perinatal death mortality was lower in the GRIT cCTG group

c. both

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* 5. The factors that are more associated with neurovelopment impairment at 2 years were:

a. Gestational age at inclusion and Umbilical artery ARED flow

b. Reduction of short term variation (STV) at cCTG

c. Conventional CTG abnormality