Fetal Growth Abnormalities Flashcards
(17 cards)
What is considered Fetal Growth restriction?
Weight in the bottom 10th percentile
Abdominal circumference in bottom 5th percentile
What are common causes of Fetal Growth Restriction (FGR)?
Chr. Abnormalities
Neural tube defects
Infections
Multiple gestations
Maternal HTN and renal disease: smoking
What is performed to confirm the gestational age and fetal weight?
US
What are complications of FGR?
Premature labor
Stillbirth
fetal hypoxia
Lower IQ
seizures
Intellectual disability
How does Congenital Toxoplasmosis present?
Chorioretinitis, Intracranial calcifications and hydrocephalus
How does congenital Syphillis present?
Nonimmune hydrops fetalis, vesicular rash, anemia, thrombocytopenia, hepatosplenomegaly, high mortality
Hutchinson teeth, saber shins, saddle nose, deafness
How does Congenital Rubella present?
Sensorineural deafness, cataracts, cardiac issues, intellectual diasbility, hepatosplenomegaly, thrombocytopenia, blueberry muffin rash
How does congenital HSV present?
High mortality, meningoencephalitis, intellectual disability, pneumonia, hepatosplenomegaly, jaundice, petechiae
How does Congenital GBS present?
risk of neonatal sepsis, pneumona, meningitis
How does Congenital CMV present?
IUGR, prematurity, microcephaly, jaundice, petechiae, periventricular calcifications, chorioretinitis
How does Congenital Varicella present?
Zigzag lesions, limb hypoplasia, microcephaly, microphthalmia, chorioretinitis, cataracts
How does Congenital Zika present?
Microcephaly, facial disproportion, hypertonia, seizures, irritability, sensorineural hearing loss
What is considered Macrosomia?
Birth weight >4,000g
What are common risk factors for Macrosomia?
Maternal DM or obestity
Advanced maternal age
postterm pregnancy
If the fundal height >3cm greater than the gestation age what should you perform?
US to confirm estimated gestation weight by
-femur length
-abdominal circumference
-head circumference
-biparietal diameter
What are potential complications of Macrosomia?
Shoulder Dystocia
Birth injuries
Low Apgar scores
Hypoglycemia
When is C-Section indicated for Macrosomia?
Maternal DM and fetus >4,500g
Mother is nondiabetic and fetus >5,000g
