Chapter 69. Intrauterine Growth Restriction

  1. John T. Queenan MD Professor Chairman Emeritus3,
  2. John C. Hobbins MD Professor of Obstetrics4 and
  3. Catherine Y. Spong MD Chief5
  1. Ursula F. Harkness MD, MPH1 and
  2. Ray O. Bahado-Singh MD2

Published Online: 30 APR 2009

DOI: 10.1002/9781444312904.ch69

Protocols for High-Risk Pregnancies, Fourth Edition

Protocols for High-Risk Pregnancies, Fourth Edition

How to Cite

Harkness, U. F. and Bahado-Singh, R. O. (2009) Intrauterine Growth Restriction, in Protocols for High-Risk Pregnancies, Fourth Edition (eds J. T. Queenan, J. C. Hobbins and C. Y. Spong), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444312904.ch69

Editor Information

  1. 3

    Department of Obstetrics and Gynecology, Georgetown University School of Medicine, 3257 N Street NW, Washington, DC 20007, USA

  2. 4

    University of Colorado Health Sciences Center, Department of Obstetrics and Gynecology, 4200 East 9th Avenue, B-198, Denver, CO 80262, USA

  3. 5

    National Institute of Child Health and Human Development, Center for Developmental Biology and Perinatal Medicine, Pregnancy and Perinatology Branch, National Institutes of Health, 6100 Executive Bivd, Bethesda, MD 20892-7510, USA

Author Information

  1. 1

    Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Cincinnati, 231 Albert Sabin Way, PO Box 670526, Cincinnati, OH 45267-0526, USA

  2. 2

    University of Cincinnati, Department of Obstetrics and Gynecology, 231 Albert Sabin Way, PO Box 670526, Cincinnati, OH 45267-0526, USA

Publication History

  1. Published Online: 30 APR 2009
  2. Published Print: 9 SEP 2005

ISBN Information

Print ISBN: 9781405125796

Online ISBN: 9781444312904

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Keywords:

  • intrauterine growth restriction (IUGR);
  • IUGR - disproportionate to fetal and neonatal morbidity and mortality;
  • vascular disorders - chronic hypertension, pre-eclampsia, renal insufficiency;
  • Last menstrual period (LMP) – pregnancy dating;
  • formulas to estimate fetal weight - Hadlock formula/Shepard formula;
  • Hadlock formula - head circumference, abdominal circumference and femur length;
  • Shepard formula - biparietal diameter and abdominal circumference;
  • improving management of IUGR pregnancies - umbilical artery Doppler velocimetry

Summary

This chapter contains sections titled:

  • Introduction

  • Definitions

  • Pathophysiology

  • Dating the Pregnancy

  • Clinical Diagnosis of the Small Fetus

  • Initial Assessment

  • Complications

  • Treatment

  • Follow-Up: Assessing the Fetus

  • Follow-Up: Timing of Delivery

  • Prevention

  • Conclusions

  • Suggested Reading