IUGR Definition Is defined as failure of the

  • Slides: 6
Download presentation
IUGR Definition : - Is defined as failure of the fetus to achieve its

IUGR Definition : - Is defined as failure of the fetus to achieve its genetic growth potential. Incidence : 3% if the 3 rd centile is chosen 5% if the 5 th centile is chosen.

A etiology : �I – Factors that directly affect the intrinsic growth potential of

A etiology : �I – Factors that directly affect the intrinsic growth potential of � the fetus. � � 1. Chromosomal defects. � 2. Single – gene defect. � 3. Structural abnormalities � 4. Infections.

II – External influences. � 1. Maternal Factors : �a. Maternal under-nutrition �b. maternal

II – External influences. � 1. Maternal Factors : �a. Maternal under-nutrition �b. maternal hypoxia. �c. Drugs. � 2. Placental Factors : �a. Reduced uteraplacental. �b. Reduced feto-placental perfusion.

Types : �- Symmetrical IUGR. �- Asymmetrical IUGR. �Investigations : � 1. Accurate assessment

Types : �- Symmetrical IUGR. �- Asymmetrical IUGR. �Investigations : � 1. Accurate assessment of gestational age. � 2. Serial u/s ( Biometry & anatomy amount of liquor ) � 3. Doppler u/s. � 4. Amino centesis and rapid fetal karyotype.

Management : � 1. Adverse factors should be stopped � 2. Bed rest in

Management : � 1. Adverse factors should be stopped � 2. Bed rest in hospital. � 3. Timing delivery. � 4. Medical therapy.

Prognosis : � 1. Intrauterine fetal death. � 2. Prematurity complication. � 3. Catch-up

Prognosis : � 1. Intrauterine fetal death. � 2. Prematurity complication. � 3. Catch-up growth after delivery. 4. adult incidence of both � hypertension and diabetes