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Obstetrics: Intrauterine Growth Restriction (IUGR)
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Obstetrics: Intrauterine Growth Restriction (IUGR)

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Questions and Answers

What is the primary difference between IUGR and SGA?

  • IUGR is a diagnosis made at birth, while SGA is diagnosed prenatally.
  • IUGR implies a pathological process, while SGA is a statistical definition. (correct)
  • IUGR is diagnosed based on ultrasound, while SGA is diagnosed based on birth weight.
  • IUGR is always caused by chromosomal defects, while SGA has various etiologies.
  • What percentage of fetuses are classified as IUGR if the 3rd centile is chosen?

  • 10%
  • 1%
  • 3% (correct)
  • 5%
  • Which of the following is NOT a factor that directly affects the intrinsic growth potential of the fetus?

  • Single-gene effects
  • Chromosomal defects
  • Uteroplacental insufficiency
  • Maternal hypertension (correct)
  • What is the term for the process by which a pathological process modifies the intrinsic growth potential of the fetus?

    <p>Growth modification</p> Signup and view all the answers

    Which of the following infections is a known cause of IUGR?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Study Notes

    Definition and Classification of IUGR

    • IUGR is defined as the failure of the fetus to achieve its genetic growth potential, resulting in a fetus that is small for gestational age (SGA).
    • SGA implies that the fetus or neonate is below a certain defined centile of weight or size for a particular gestational age.
    • IUGR indicates a pathological process that modifies the intrinsic growth potential of the fetus, reducing its growth rate.
    • The terms SGA and IUGR are not synonymous.

    Incidence of IUGR

    • The incidence of IUGR is around 3% if the 3rd centile or 5% if the 5th centile is chosen.

    Etiology of IUGR

    • There are many causes of IUGR, which can be grouped into two main categories.

    Factors Affecting Intrinsic Growth Potential

    • Chromosomal defects, such as trisomy 18 and triploidy.
    • Single-gene effects, such as Seckel's syndrome.
    • Structural abnormalities, such as renal agenesis and anencephaly.
    • Infections, such as cytomegalovirus, rubella, and protozoal infections like toxoplasmosis.

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    Description

    Learn about intrauterine growth restriction (IUGR), a condition where the fetus fails to achieve its genetic growth potential, often resulting in small for gestational age (SGA) babies.

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