WOMENS-HEALTH Messages for April, 1997: Re: Interuterine growth retardation- Assymmetrical- IUGR

Re: Interuterine growth retardation- Assymmetrical- IUGR

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Fri, 25 Apr 1997 22:53:31 -0500 (CDT)

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In reply to: SuzanneL: "Interuterine growth retardation- Assymmetrical- IUGR"

At Wed, 23 Apr 1997, SuzanneL wrote:

At 20 weeks gestation >my baby's head measured normal size for gestational date but the body
>measured approx 3 weeks behind which placed it in the bottom 5th
>percentile range.

Suzanne-

A number of conditions can cause asymmetric intrauterine growth restriction (IUGR) including hypertension, diabetes, malnutrition, certain infections, or probably the most common cause, diminished blood flow from the placenta to the baby. As long as the baby is growing and shows no signs of "distress" (for example not enough amniotic fluid, normal doppler studies, a normal ultrasound biophysical profile, or a normal fetal heart rate pattern) the pregnancy can usually continue. Monitoring includes some or all of the above studies, depending on the clinical situation.

Treatment varies depending on the situation and can include limiting activity (sometimes as much as strict bedrest), hospitalization with regular fetal monitoring, steroid injections to strengthen the fetal lungs, or induction of labor to deliver the fetus if growth is not appropriate.

This is a "high-risk" situation that fortunately usually turns out very well. However, it will certainly involve a lot of trips to the doctor for fetal monitoring and ultrasounds, as well as discussions about how the baby is doing and when delivery is planned.

Best wishes to you and your baby!

Ashley

--
Ashley Hill
D. Ashley Hill, M.D.
Assistant Director, Department of Ob/Gyn
Florida Hospital Family Practice Residency
Orlando, FL
dahmd@gate.net

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