Small for gestational age Flashcards
1
Q
definition?
A
estimated foetal weight on US or symphysiofundal height < 10th centile for gestational age
2
Q
aetiology?
A
- contitutionally small
- IUGR
- genetic / structural abnormality
- multiple pregnancy
3
Q
what is IUGR?
A
pathology causing restricted growth of the foetus due to reduced amount of oxygen & nutrients being delivered to it
4
Q
other signs of IUGR, apart from being small for gestational age?
A
- reduced liquor volume
- abnormal doppler studies
- reduced foetal movements
- abnormal CTGs
5
Q
aetiology of IUGR?
A
- Idiopathic
- PET
- anaemia
- maternal smoking & alcohol
- malnutrition
- infection
6
Q
what do growth restricted babies have a tendency to develop later in life
A
- HT
- DMT2
7
Q
risk factors for SGA baby?
A
- older mother (>35)
- multiple pregnancy
- previous SGA baby
- obesity
- smoking
- diabetes
- HT
- PET
- anti-phospholipid syndrome
- low levels of PAPP-A
8
Q
Mx?
A
- investigate to find underlying cause
- regular monitoring antenatally
- CTG
- doppler
