IUGR

Question 1

What is ‘small for gestational age’?

Answer 1

Foetal weight (on USS) or abdominal cisrumference below the 10th centile for gestational age

Question 2

What is IUGR?

Answer 2

SGA due to a pathology reducing the amount of nutrients + oxygen being delivered to the foetus

Question 3

What other signs may indicate IUGR?

Answer 3

Reduced liquor volume, abnormal doppler, reduced foetal movement, abnormal CTG

Question 4

RFs for IUGR

Answer 4

HTN
Pre-eclapmsia
Diabetes
Smoking/ alcohol
Infection

Question 5

Management of women with a major RF (2)

Answer 5

Serial USS measurement of foetal size

Assessment of wellbeing with umbilical artery doppler

Question 6

When should umbilical artery doppler be done from?

Answer 6

From 26-28 weeks

or from 20 weeks if >3 minor RFs

Question 7

Findings in placental function doppler

Pulsatility index, resistance index, end diastolic flow

Answer 7

Assesses foetal artery blood flow in the umbilical artery
PI + RI are measures of resistance, so should be LOW
EDF should be positive

Question 8

Principles of IUGR management

Answer 8

Find + manage the underlying cause (e.g. pre-eclampsia)

Question 9

When are IUGR babies delivered?

Answer 9

Usually <37 weeks