Chapter-10 Maternal-fetal Work-up and Management in Intrauterine Growth Restriction (IUGR)

BOOK TITLE: An Introduction to Genetics and Fetal Medicine

1. Puri Randhir
2. Malhotra Narendra
3. Malhotra Jaideep
4. Malhotra Neharika
Publishing Year
Author Affiliations
1. Military Hospital, Belgaum, India, Military Hospital, Belgaun, Karnataka, India, Belgaum, India, Military Hospital, Belgaum, India, e-mail: randhir0256@gmail.com, Hospital Administration, Shivam Hospital, Hoshiarpur, Punjab, India, Belgaum, Karnataka, India, Gynecologist, Military Hospital, Belgaum, India
4. ART Rainbow IVF and MNMH (P) Ltd and Ujala Cygnus Rainbow Hospital, Agra, Uttar Pradesh, India; FOGSI; YTP Committee, FOGSI, Rainbow Hospital, Agra, UP, India, Rainbow IVF, Agra, Uttar Pradesh, India
Chapter keywords


Intrauterine growth restriction (IUGR) also refers to a condition in which a fetus is unable to achieve its genetically determined potential size. This functional definition seeks to identify a population of fetuses at risk for modifiable but otherwise poor outcomes. IUGR remains a challenging problem for clinicians. Most cases of IUGR occur in pregnancies in which no risk factors are present; therefore, the clinician must be alert to the possibility of a growth disturbance in all pregnancies. No single measurement helps secure the diagnosis; thus, a complex strategy for diagnosis and assessment is necessary. The ability to diagnose the disorder and understand its pathophysiology still outpaces the ability to prevent or treat its complications. The current therapeutic goals are to optimize the timing of delivery to minimize hypoxemia and maximize gestational age and maternal outcome. Further study may elucidate preventive or treatment strategies to assist the growth-restricted fetus.

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