Fetal growth and weight which is suboptimal and in severe cases fall below the 5th percentile.
Fetal Risks of IUGR:

  • NICU stay
  • Low blood sugar
  • Increase fetal distress in labor
  • Low Apgar scores
  • Meconium aspiration
  • Stillbirth
  • Difficulty controlling body temperatures

Risks of developing IUGR:

  • Smoking, alcohol or substance use
  • Toxoplasmosis, syphillis or Rubella infections
  • Kidney, heart or lung disease
  • Hypertension
  • Diabetes
  • Prior History
  • Anemia
  • Poor nutrition
  • Multiple Gestations

Increased fetal monitoring:

  • Frequent antenatal visits
  • Monitoring fetal kick counts
  • Ultrasound evaluation:(Biophysical profile, amniotic fluid index checks, estimated fetal weight curve follow-ups, Doppler flow studies, and placenta grades)
  • Electronic fetal monitoring
  • Maternal weight assessment and nutritional consult
  • Genetic amniocentesis

Recommendations:

  • Reduced activity
  • improved nutrition
  • Increased fluid intake
  • Timely delivery even if premature in severe cases