IUGR and Tallipes

Question 1

what are the major risk factors for IUGR?

Answer 1

• maternal age >40
• > 11 cigarettes per day
• cocaine
• HTN, DM, CVD, renal impairment
• preeclampsia

Question 2

what is the management for a small for gestational age where delivery is being considered?

Answer 2

• single course of antenatal corticosteroids

Question 3

what might be the indication for delivery with IUGR?

Answer 3

• reversed end diastolic velocity of the umbilical artery

- non compliance of the umbilical artery

Question 4

what is another word for talipes?

who is more likely to get it?

Answer 4

• club foot
• boys 2x
• in 50% it is bilateral

Question 5

what neuromuscular problems are associated?

Answer 5

• cerebral palsy
• spina bifida
• arthrogryposis

Question 6

how is diagnosis usually made?

Answer 6

• can be done after birth or antenatal US scan

- often graded with piraña score 0-6

Question 7

What is the treatment for talipes?

Answer 7

• Surgery used to be common
• but not Ponseti technique is preferred
• This works for 9/10
• if not then surgery
• foot will be smaller