Small/Large for gestation age Flashcards Preview

Women's Health > Small/Large for gestation age > Flashcards

Flashcards in Small/Large for gestation age Deck (17)
Loading flashcards...
1
Q

What does a customised growth chart for SFH take into account

A
→	Maternal age 
→	Parity
→	BMI
→	Ethnicity
→	Birthweights of prev. children
2
Q

when is a fetal US indicated?

A

single SFH <10th percentile

static growth

3
Q

What are SGA foetuses more at risk of?

A

CP
fetal distress
meconium aspiration
emergency LSCS

4
Q

What are placental factors that predispose to SGA

A

Preeclampsia
infarction
abruption

5
Q

What are fatal factors that predispose to SGA

A
genetic abnormalities (especially trisomy 13, 18 and 21)
turner syndrome
congenial anomalies
congenital infection - CMV, rubella
multiple pregnancy
6
Q

What is the management of SGA + normal umbilical artery doppler

A

growth scans every 2-3 weeks

IOL at 37 if still normal

7
Q

up to what gestation do CS’s need to be given?

A

up to 35+6 weeks

8
Q

What are the risks of growth restricted foetuses?

A

hypoxia
hypothermia
hypoglycaemia after birth due to little stored glycogen

9
Q

What are the main causes of SGA

A

constitutionally small fetuses

IUGR

10
Q

What is the management of SGA w absent or reversed end diastolic flow in UAD

A

delivery by LSCS

11
Q

What are maternal causes of IUGR

A
Poor weight gain 
poor nutrition 
anaemia
smoking
drugs/alcohol
DM
HTN
12
Q

What are uteroplacental causes of IUGR?

A

Pre-eclampsia
multiple getstation
uterine abnormalities
placental insufficiency

13
Q

What are fetal causes of IUGR?

A

chromosomal abnormalities

vertically transmitted infections

14
Q

What is LGA defined as?

A

above 95th centile in weight

15
Q

What are the causes of LGA

A

Constitutionally large
maternal DM
Obesity

16
Q

What are larger babies at greater risk of?

A

birth injury e.g. shoulder dystocia
hypoglycaemia
hypocalcaemia
left colon syndrome

17
Q

What is left colon syndrome

A

self-limiting condition mimicking Hirshsprungs disease whereby temporary bowel obstruction occurs