antenatal growth charts

Question 1

what is the role of antenatal growth charts

Answer 1

detect fetuses who are large/small for their dates

Question 2

failure to detect abnormal growth can lead to…

Answer 2

increased mortality and morbidity

Question 3

causes for small baby (estimated fetal weight <10th centile)

Answer 3

uteroplacental insufficiency
chromosomal abnormalities
foetal abnormalities
foetal infections

Question 4

causes for large baby (estimated fetal weight >90th centile)

Answer 4

maternal DM - gestational diabetes, insulin-dependent diabetes

Question 5

customised growth chart

Answer 5

customised to mother’s weight, parity, ethnicitiy
- better fetal outcomes and lower stillbirth rate

symphysis-fundal height against gestation and estimated fetal weight

any change in the curve (up/down) warrants obstetric review