Paces

Question 1

what is small for gestational age

Answer 1

refers to an estimated fetal weight or abdominal circumferance below 10th centile

severe SGA is when it is below 3rd centile

Question 2

severe SGA laboratory investigations

Answer 2

cytomegalovirus
toxoplasmosis infection

karotyping for fetuses

Question 3

what are Serial ultrasound scans

Answer 3

SGA fetuses have these

26-28 weeks gestation

USS measurement every 3-4 weeks ; umbilical artery doppler

Question 4

Umbilical artery Doppler

Answer 4

assess fetal wellbeing

> reassuring - end diastolic flow

absent end diastolic flow
>higher risk of adverse fetal outcomes.
indicates positive blood flow to the fetus during systole only - increased resistance in placental circulation

reverse end diastolic flow - this is worse outcomes

Question 5

mx for SGA

Answer 5

smoking cessation
drug counselling

co morbid - medically optimise