Reduced Fetal growth in pregnancy

Question 1

Define IUGR

Answer 1

Slower than normal rate of growth. a condition in which fetus is unable to achieve it genetically determined potential size due to pathophysiology. typically <2.5kg and/or below 10th centile

Question 2

How to identify antenatally?

Answer 2

symphysis fundal height should be plotted on a customised chart
single SFH< 10th ceentile or measurements showing static growth refer for USS

Question 3

What does a USS measure ?

Answer 3

Fetal abdominal circumference and EFW <10th centile diagnose SGA

Question 4

If diagnosed SGA?

Answer 4

offer serial doppler

Question 5

Symmetrical IUGR

Answer 5

begins in first trimester
Caused by combination of intrinsic and extrinsic factors
intrinisic- assocciated with infection/chromosomal factors
extrinsic- lifestyle, domestic abuse

Question 6

problem associated with symmetrical

Answer 6

stillbirth
chromosonal abnormalities
infection

Question 7

Asymmetrical

Answer 7

3rd trimester - growth normal in 1/2nd
large head
extrinsic factors that disrupt placental perfusion

Question 8

problems with asymmetric

Answer 8

stillbirth 
mec aspiration 
hypoxia 
nec 
prem 
olihydramnios

Question 9

olihydramnios

Answer 9

300-500mls
small abdo
less intrauterine space