Small for Gestational Age Flashcards
1
Q
define
A
EFW or AC below the 10th centile
2
Q
causes
A
preterm
IUGR
LBW
3
Q
what is IUGR/FGR?
A
failure to achieve growth potential
4
Q
what is LBW?
A
birth weight of <2.5kg
5
Q
what is a pre-term delivery?
A
before 37 weeks gestation
6
Q
classification of pre-term delivery
A
- Extreme preterm= 24-27+6 weeks
- Very preterm= 28-31+6 weeks
- Moderate to late preterm= 32-36+6 weeks
7
Q
causes of prematurity
A
infection multiple polyhydramnios placental abruption intercurrent illness
8
Q
diagnosis of SGA
A
- Measure AC and EFW (head circumference +/- femur length)
- Liquor volume or amniotic fluid index and dopplers
- Assess foetal wellbeing= cardiotocography, biophysical assessment and doppler USS
9
Q
risk factors for SGA
A
drugs alcohol maternal disease placental abruption congenital abnormalities
10
Q
what is presence of uterine artery notching at 20 weeks likely to cause?
A
SGA
11
Q
management of uterine artery notching
A
aspirin at night from 12 weeks
12
Q
most common cause of SGA
A
PET
13
Q
classification of IUGR
A
normal
symmetrical
asymmetrical
14
Q
risks in IUGR
A
hypoxia
hypoglycaemia
hypothermia
15
Q
what is given if delivered <36 weeks?
A
steroids
