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[Foetal growth retardation].

Kjell Haram1, Knut Gjelland

  • 1Kvinneklinikken, Haukeland Universitetssjukehus, 5021 Bergen. kjell.haram@broadpark.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 24, 2007
PubMed
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Intrauterine growth restriction (IUGR) affects 3-10% of pregnancies, leading to adverse outcomes. Diagnosis involves ultrasound, with delivery indicated for severe cases or fetal distress.

Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Neonatology

Background:

  • Intrauterine growth restriction (IUGR) affects 3-10% of pregnancies.
  • This condition can lead to adverse fetal, childhood, and adult outcomes.

Purpose of the Study:

  • To review the causes, diagnosis, and management of intrauterine growth restriction.
  • To highlight the implications of IUGR for fetal and neonatal health.

Main Methods:

  • Literature search of PubMed and Cochrane databases.
  • Review of existing studies on IUGR.

Main Results:

  • Common causes of early IUGR (before 32 weeks) include placental failure, infections, fetal anomalies, and chromosomal abnormalities (up to 20%).

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  • Systemic diseases, twin-to-twin transfusion, and preeclampsia are also implicated.
  • Diagnosis is suspected via clinical assessment and confirmed by ultrasound.

    • Conclusions:

    • Neonatal weight below the 10th percentile is a key indicator of IUGR.
    • Management involves monitoring fetal well-being and timely delivery when indicated.
    • Antenatal corticosteroids are recommended for mothers at risk of preterm delivery before 34 weeks gestation.