Intrauterine Growth Restriction/IUGR (1)

Question 1

What occurs here?

What are the signs of it?

Answer 1

➊ Foetus not growing as expected due to a pathology that’s reducing the amount of nutrients and oxygen being delivered

➋ • Small foetus
• Oligohydramnios
• Reduced foetal movements
• Abnormal doppler or CTG studies

Question 2

What are the placenta-mediated causes?

What are the non-placenta mediated causes?

Answer 2

➊ • Idiopathic
• Pre-eclampsia
• Maternal smoking and alcohol
• Anaemia
• Malnutrition
• Infection

➋ • Genetic abnormalities
• Structural abnormalities
• Foetal infection
• Errors of metabolism

Question 3

What are the short-term complications?

What are the long-term complications?

Answer 3

➊ Stillbirth, Birth asphyxia, Neonatal hypothermia/hypoglycaemia

➋ CVD, T2DM, Obesity, Mood/behavioural problems