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Article
Intrauterine growth restriction: identification and management
American Family Physician
  • D. Peleg
  • Colleen Kennedy Stockdale, University of Iowa
  • Stephen K. Hunter, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
8-1-1998
NLM Title Abbreviation
Am Fam Physician
PubMed ID
9713399
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.

Citation Information
D. Peleg, Colleen Kennedy Stockdale and Stephen K. Hunter. "Intrauterine growth restriction: identification and management" American Family Physician Vol. 58 Iss. 2 (1998) p. 453 - 460, 466-467 ISSN: 0002-838X
Available at: http://works.bepress.com/colleen_stockdale/40/