Complications of pregnancy - foetal growth Flashcards
1
Q
What is done to assess foetal growth?
A
Symphysiofundal height in cms
2
Q
Investigation if suspect baby is small or large for dates
A
USS
3
Q
What measurements are done on USS?
A
Abdominal circumference
Femur length
Head circumference
4
Q
What is the liquor volume?
A
Amniotic fluid index
5
Q
Causes of small foetus for dates
A
Low BMI/Maternal build Age Ethnicity, familial/genetic Social class smoking Substance misuse Foetal alcohol syndrome/alcohol misuse Maternal disease - pre eclampsia, chronic HTN, severe asthma, autoimmune, repeated APHs Infections e.g. toxoplasma, CMV Foetal abnormality e.g. gastroschisis Chromosomal abnormality like triploidy Turners XO
6
Q
Causes of large foetus for dates
A
Multiparity Ethnicity/family/genetic/social class Maternal diabetes Polyhydramnios - maternal diabetes, foetal abnormality e.g. trachea-oesopheageal fistula, unexplained Multiple pregnancy
7
Q
Tests to confirm foetal well being
A
Confirm good foetal movement
Foetal cardiotocography
Good doppler blood flow in umbilical artery on scan
