INTRAUTERINE GROWTH RETARDATION

I. Causes:

  • Vascular insufficiency (80% of cases; better prognosis)
  • Poor nutrition
  • Tobacco, cocaine
  • Vascular disease (including preeclampsia)
  • Placental infarction or degeneration, inc. antiphospholipid antibody sd
  • Multiple gestations
  • Genetic Abnormalities (10%; poorer prognosis)
  • Chromosomal or somatic
  • TORCH infections (10%; poorer prognosis)
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    II. Workup:

  • Ultrasound to evaluate fetal anatomy
  • Viral and chromosomal studies
  • Biweekly NST/BPP near term
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    III. Treatment: