IUGR Flashcards
1
Q
symetrical causes
A
Early insults congenital abnormality infection normal small poor nutrition
2
Q
Asymetrical causes
A
Late insults Placental insufficiency Pre eclampsia (hypertension) diabetes smoking abruption maternal chronic disease
usually do better and recover weight.
3
Q
IUGR sequelae
A
Higher levels of morbidity and mortality overall with many long term dequelae. They may be:
Cerebral palsy learning disability short stature IUD prematurity - all sequalae of that. NEC
4
Q
Management
A
immediate referral to obstetric team who will need to do:
close observation and monitoring
dopplers
scans
may indicate amniocentesis to test for congential abnormalities or infection
May need to consider early delivery if risks outweigh benefits
increased risk of emergancy c section
will need to have corticosteroids at some point to reduce risk of surfactant deficinecy and IVH.
5
Q
Polyhydramnios causes?
A
Maternal DM
fetal abnormalities such as duodenal atresia or tracheooesophageal fistula.
6
Q
Oligohydramnios causes?
A
premature rupture of membranes fetal renal problems e.g. renal agenesis/pckd/urethral obstruction intrauterine growth restriction post-term gestation pre-eclampsia
