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Robson SJ et al. – There is no level–one evidence to guide management in this situation. Pre–pregnancy counseling is very important to detect and correct potential risk factors such as obesity, smoking and maternal disease. As timely delivery is the mainstay of management, early accurate determination of gestational age is vital. There is controversy regarding the pattern of surveillance, but evidence exists only for ultrasound and not for regular non–stress testing, nor formal fetal movement charting.


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