Title

Intrauterine growth restriction: identification and management

Document Type

Article

Peer Reviewed

1

Publication Date

8-1-1998

NLM Title Abbreviation

Am Fam Physician

Journal/Book/Conference Title

American Family Physician

PubMed ID

9713399

Start Page

453

End Page

460, 466-467

Abstract

Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high risk for growth restriction, although a substantial percentage of cases occur in the general obstetric population. Accurate dating early in pregnancy is essential for a diagnosis of IUGR. Ultrasound biometry is the gold standard for assessment of fetal size and the amount of amniotic fluid. Growth restriction is classified as symmetric and asymmetric. A lag in fundal height of 4 cm or more suggests IUGR. Serial ultrasonograms are important for monitoring growth restriction, and management must be individualized. General management measures include treatment of maternal disease, good nutrition and institution of bed rest. Preterm delivery is indicated if the fetus shows evidence of abnormal function on biophysical profile testing. The fetus should be monitored continuously during labor to minimize fetal hypoxia.

Keywords

Female, Fetal Growth Retardation/diagnosis/etiology/therapy, Humans, Patient Education as Topic, Pregnancy, Teaching Materials

Published Article/Book Citation

American Family Physician, 58:2 (1998) pp.453-60, 466-7.

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URL

https://ir.uiowa.edu/obgyn_pubs/493