Intra-uterine Growth Retardation is associated with:
|a.||infection of the fetus||True|
|b.||hypertensive disorders of pregnancy||True|
|h.||raised serum AFP at 16 weeks followed by normal 18 week scan||True|
|k.||respiratory distress syndrome||False|
|l.||low socio-economic status||True|
IUGR is inversely related to social class.
Infection, chromosomal and other abnormalities e.g. Potter's syndrome cause IUGR.
Diabetes is associated with macrosomia, but also IUGR.
Multiple pregnancy is often associated with IUGR, hence the routine practice of scanning all multiple pregnancies fortnightly from 28 or 30 weeks.
Premature labour produces low birthweight babies, but not IUGR.
things to remember about fags is that they cause IUGR, but are associated with a
reduced risk of hypertensive disease.
A raised AFP with an apparently normal baby (see question 1 above) is associated with:
a high incidence of IUGR,
a high incidence of premature labour,
a high incidence of fetal death in utero.
and oligohydramnios go hand in hand.
The 'small for dates' baby has low glycogen stores and is at risk of hypoglycaemia.
They need regular 'Dextrostix' monitoring and early feeding.
They are at reduced
risk of respiratory distress syndrome and generally put on weight rapidly so
long as there is no underlying problem.
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