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Updated: Mar 14, 2026

Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
Published on: June 29, 2013
Genetic, metabolic and endocrine aspect of intrauterine growth restriction: an update
Deepak Sharma1, Pradeep Sharma2, Sweta Shastri3
1a Consultant Neonatologist, Department of Neonatology , NEOCLINIC , TN Mishra Marg, Everest Vihar, Nirman Nagar , Jaipur , Rajasthan , India.
Insights
Intrauterine growth restriction (IUGR) affects fetal growth potential, leading to complications. This review explores the genetic, metabolic, and endocrinal factors contributing to IUGR and small for gestational age (SGA) infants.
Area of Science:
- Perinatology
- Genetics
- Endocrinology
Background:
- Intrauterine growth restriction (IUGR) signifies fetal growth below potential, distinct from small for gestational age (SGA) newborns.
- IUGR is associated with significant short- and long-term infant morbidities and mortalities.
- The etiology of IUGR/SGA is multifactorial, involving maternal, placental, fetal, and genetic factors.
Purpose of the Study:
- To review the genetic, metabolic, and endocrinal factors implicated in the development of IUGR.
- To highlight the increasing role of genetic causes in IUGR, including maternal, placental, and fetal genes.
Main Methods:
- Literature review focusing on genetic, metabolic, and endocrinal causes of IUGR.
- Synthesis of current understanding regarding the molecular biology of IUGR.
Main Results:
- Genetic factors, including maternal, placental, and fetal genes, are increasingly recognized as causes of IUGR.
- Metabolic and endocrinal dysregulations also play a significant role in fetal growth restriction.
Conclusions:
- Understanding the genetic, metabolic, and endocrinal underpinnings of IUGR is crucial for addressing its associated complications.
- Further research into these factors can improve diagnosis and management of IUGR and SGA.
Abstract:
Intrauterine growth restriction (IUGR) is defined as growth of fetus below its in-utero growth potential. Small for gestational age (SGA) is defined as newborn with birth weight less than 10th centile as per the gestational age, sex and race. There exists major difference between IUGR and SGA. IUGR infants have multiple short-term and long-term complications and IUGR is a silent cause of various morbidities and mortalities in these infants. IUGR/SGA is usually end results of maternal, placental, fetal and genetic causes. With the advance of molecular biology, the list genetic cause of IUGR is increasing and these genetic causes include maternal, placental and fetal genes. Several metabolic and endocrinal causes are also responsible to cause IUGR. In this review, we will try to cover genetic, metabolic and endocrinal factors that are responsible for IUGR.
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