IUGR

Question 1

what is IUGR

Answer 1

birth weight

Question 2

causes IUGR maternal

Answer 2

multiple pregnancy, malformation, infection, smoking, diabetes, nicr BP, decr Hb, pre eclampsia, heart/renal disease, asthma

Question 3

what is spared in placental insufficiency

Answer 3

fetal head circumference

Question 4

what are signs of placental insufficiency

Answer 4

asymmetric growth restriction (head spared), poor fetal movements, oligohydramnios

Question 5

if growth restriction is suspected how is growth monitored

Answer 5

serial US scans- head and abdominal circumferences,umbilical cord doppler

Question 6

what are growth restricted foetuses at higher risk of

Answer 6

hypoxia

Question 7

what may be a problem after birth with IUGR baby

Answer 7

temp regulation due to lack of subcut insulation

Question 8

what can happen to restricted baby after birth

Answer 8

jaundice as high Hb in utero, prone to hypoglycaemia, more susceptible to infection

Question 9

how can you distinguish between prem baby and growth restricted1

Answer 9

breast bud tissue >34 weeks, ear cartilage at 35-39 weeks

Question 10

effects IUGR on later life

Answer 10

diabetes type 2, hypertension, thyroid disease, CAD

Question 11

specific problems of IUGR baby

Answer 11

perinatal hypoxia, resp distress, hypothermia, hypoglycaemia, incr risk infection, polycythaemia, congenital malformation