Scribd
Upload
4 views6 pages

IUGR Notes

For pediatrics

Uploaded by

innerdemons1717
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
4 views6 pages

IUGR Notes

For pediatrics

Uploaded by

innerdemons1717
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

IUGR

·
Intrauterine growth restriction :
Referring to babies
with clinical
features of malnutrition or undernutrition.
such as :

(a) Presence of three or more

loose skin folds in buttock

region .

(b) Emaciated appearance

(
Peeling of skir
.

with
·
Babies clinical
feature of malnutrition ,
but with

birth t between 10th-25th percentile of expected


getational age
ImportantCause of Ivar :

Screening For IUGR :

hi Measure symphysiofundal height

(ii) Head Circumference 4 ( > 2 s D


. =
[VaR)
Abdominal Circumference
(ii Femer Circum
.
Abd .
circum

(iv) Doppler studies -


To detect Uteroplacental insufficiency .

Management of IUUR :

· Fetal montering -

i USU =

Every 3 weeks

evaluation of Amniotic
(ii)
Weekly
↓ luid

Weekly evaluation
his of
umbilical Artery doppler .

· Genetic testing
Mode
of delivery :

Delivery
·
As long as
fetal HR is normal =
Vaginal .
Labor can't tolerate
·

During ,
if fetre = c-section .
Prevention :

(2) Antiplatelet agents (Risk 10 %)

ii) Balanced energy ,


diet , protein supplementation .

(Risk 30 % As
Anti-oxidants
(iii) (VitC &
E) - No
effect
cirs Restriction of Caffeine (Risk 1)

Pondoral Index :

You might also like