Intrauterine growth restriction
Definition
Intrauterine growth restriction describes poor growth of a fetus. Specifically, it refers to a fetus whose weight is below the 10th percentile for gestational age.
Alternative Names
Intrauterine growth retardation; IUGRCauses
Many different things can lead to intrauterine growth restriction (IUGR). An unborn baby may not get enough nutrition because of:
- Heart disease in the mother
- High altitudes
- Multiple pregnancies (twins, triplets, etc.)
- Placenta problems
- Preeclampsia or eclampsia
Congenital or chromosomal abnormalities are often associated with below-normal weight. Infections during pregnancy that affect the fetus, such as rubella, cytomegalovirus, toxoplasmosis, and syphilis may also affect the weight of the developing baby.
Risk factors in the mother that may contribute to IUGR include:
- Alcohol abuse
- Drug addiction
- High blood pressure or heart disease
- Poor nutrition
- Smoking
If the mother is small, it may be normal for her to have a small fetus, but this is not due to IUGR.
Depending on the cause of IUGR, the fetus may be symmetrically small, or have a head that is normal size for gestational age, while the remainder of the fetus is growth restricted.
Symptoms
- Currently pregnant with a feeling that the baby is not as big as it should be
- Uterine fundal height less than expected for gestational age
Exams and Tests
Intrauterine growth restriction (IUGR) may be suspected if the size of the pregnant woman's uterus is small. The condition is usually confirmed by ultrasound.
Further tests may be needed to screen for infection or genetic problems if IUGR is suspected.
Treatment
IUGR increases the risk for intrauterine death. If this condition is suspected, the pregnant woman will be closely monitored with several pregnancy ultrasounds and non-stress testing. Depending on the results of these tests, delivery may be necessary.
Outlook (Prognosis)
The prognosis for normal newborn growth and development varies by the degree and cause of IUGR. Prognosis should be discussed with your obstetrician and pediatrician.
Possible Complications
Depending on the specific cause, IUGR increases the risk for a variety of pregnancy and newborn complications. Infants may have a non-reassuring fetal heart rate during labor.
When to Contact a Medical Professional
Call your health care provider if your infant or child does not seem to be growing or developing normally.
Prevention
Control risk factors during pregnancy, when possible.
Reviewed By: Deirdre O’Reilly, MD, MPH, Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts. Review Provided by VeriMed Healthcare Network.
