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Intrauterine Growth Restriction

I.U.G.R.. DefinitionTypes of IUGREtiologyFeto placentalMaternalDiagnosisFetal MeasurementsOligohydramniosMaternal Doppler Velocimetry. I.U.G.R. ManagementAntepartumFetal GrowthFetal Well BeingTherapyTiming of DeliveryNeonatal outcomeImmediate MorbidityLong Term Morbidity. I.U.G.R.. D

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Intrauterine Growth Restriction

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    1. Dr. Mahmoud Ismail Professor and Chief of Maternal Fetal Medicine University of Chicago Department of Obstetrics & Gynecology Intrauterine Growth Restriction

    2. I.U.G.R. Definition Types of IUGR Etiology Feto placental Maternal Diagnosis Fetal Measurements Oligohydramnios Maternal Doppler Velocimetry

    3. I.U.G.R Management Antepartum Fetal Growth Fetal Well Being Therapy Timing of Delivery Neonatal outcome Immediate Morbidity Long Term Morbidity

    4. I.U.G.R. Definition Failure of the fetus to reach growth potential associated with increased morbidity and mortality

    5. I.U.G.R. Facts Perinatal mortality 120/1000 2nd leading contributor to the Perinatal mortality rate 40% of all stillbirths are IUGR Incidence of intrapartum asphyxia in cases of IUGR has been reported to be 50%. Early and proper identification and management lowers this perinatal mortality and morbidity

    6. Phases of fetal growth First 16 weeks: mostly cellular hyperplasia 16-32 weeks: both hyperplasia and hypertrophy >32 weeks: mostly hypertrophy Thus: early growth restriction will affect cell numbers and have a global (symmetrical) effect. Later cell size will be affected.

    7. Factors influencing intrauterine growth Race (Pygmy=2.64kg Altitude USA Amerindian=3.6kg) Gender Multiple gestation Smoking, alcohol Socioeconomic level Pathology * Maternal * Fetal (genetic disorders, infections) * Placental

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