Reduced Fetal growth in pregnancy Flashcards Preview

midwifery > Reduced Fetal growth in pregnancy > Flashcards

Flashcards in Reduced Fetal growth in pregnancy Deck (9)
Loading flashcards...
1
Q

Define IUGR

A

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

2
Q

How to identify antenatally?

A

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

3
Q

What does a USS measure ?

A

Fetal abdominal circumference and EFW <10th centile diagnose SGA

4
Q

If diagnosed SGA?

A

offer serial doppler

5
Q

Symmetrical IUGR

A

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

6
Q

problem associated with symmetrical

A

stillbirth
chromosonal abnormalities
infection

7
Q

Asymmetrical

A

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

8
Q

problems with asymmetric

A
stillbirth 
mec aspiration 
hypoxia 
nec 
prem 
olihydramnios
9
Q

olihydramnios

A

300-500mls
small abdo
less intrauterine space