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Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
Published on: June 29, 2013
Perinatal outcome and later implications of intrauterine growth restriction
Eugenia K Pallotto1, Howard W Kilbride
1Children's Mercy Hospitals and Clinics, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri 64108, USA.
Insights
Infants born with intrauterine growth retardation (IUGR) or small-for-gestation-age (SGA) face higher risks of mortality and birth complications. These growth issues can lead to long-term health and developmental challenges in childhood.
Area of Science:
- Neonatal Health
- Pediatric Outcomes
- Developmental Pediatrics
Background:
- Intrauterine growth retardation (IUGR) and small-for-gestation-age (SGA) status affect infant health.
- These conditions pose significant risks during the perinatal period and beyond.
Observation:
- Infants with IUGR/SGA are prone to perinatal mortality and birth adaptation issues like acidosis and hypoglycemia.
- Complications of prematurity, such as chronic lung disease and necrotizing enterocolitis, are also prevalent.
Findings:
- Childhood implications include short stature, cognitive delays, and increased risk of neurologic disorders like cerebral palsy.
- Low socioeconomic status exacerbates IUGR risks and is linked to long-term disabilities.
Implications:
- Preterm delivery morbidities add to fetal growth restriction issues, increasing neurodevelopmental risks.
- Early identification and management of IUGR/SGA are crucial for mitigating long-term adverse outcomes.
Abstract:
This chapter reviews outcomes for children who have intrauterine growth retardation (IUGR) or small-for-gestation-age (SGA) status at birth. Such infants are at risk for increased perinatal mortality, birth adaptation complications, including perinatal acidosis, hypoglycemia, hypothermia, coagulation abnormalities, and selected immunologic deficiencies. IUGR infants also appear to be at great risk for complications of prematurity, including chronic lung disease and necrotizing enterocolitis. Childhood implications for IUGR include an increased risk for short stature, cognitive delays with decreased academic achievement, and a small but significant increased risk of neurologic disorders, including cerebral palsy. Low socioeconomic status is correlated with the occurrence of IUGR and is significantly related to long-term disabilities. Morbidities associated with preterm delivery appear to be additive to those associated with fetal growth restriction so IUGR, preterm infants may be at great risk for poor neurodevelopmental outcome.
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