Professional Documents
Culture Documents
below the 10th percentile for gestational age as determined through an ultrasound. This can
also be called small-for gestational age (SGA) or fetal growth restriction.
Symmetric or primary IUGR is characterized by all internal organs being reduced in size.
Symmetric IUGR accounts for 20% to 25% of all cases of IUGR.
Asymmetric or secondary IUGR is characterized by the head and brain being normal in
size, but the abdomen is smaller. Typically this is not evident until the third trimester.
Placental abnormalities
Multiple pregnancy
Measurements calculated in an ultrasound are smaller than would be expected for the
gestational age
If gestational age is 34 weeks or greater, health care providers may recommend being
induced for an early delivery.
If gestational age is less than 34 weeks, health care providers will continue monitoring
until 34 weeks or beyond. Fetal well-being and the amount of amniotic fluid will be
monitored during this time. If either of these becomes a concern, then immediate
delivery may be recommended.
Depending on your health care provider, you will likely have appointments every 2 to 6
weeks until you deliver. If delivery is suggested prior to 34 weeks, your health care
provider may perform an amniocentesis to help evaluate fetal lung maturity.
Increased risk for hypoxia (lack of oxygen when the baby is born)
Increased risk for meconium aspiration, which is when the baby swallows part of the first
bowel movement. This can cause the alveoli to be over distended, a pneumothorax to
occur, and/or the baby can develop bacterial pneumonia.
Hyperviscosity (decreased blood flow due to an increased number of red blood cells)
http://americanpregnancy.org/pregnancycomplications/iugr.htm