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Intrauterine growth restriction

Contents of this page:

Illustrations

Ultrasound, normal fetus - abdomen measurements
Ultrasound, normal fetus - abdomen measurements
Ultrasound, normal fetus - arm and legs
Ultrasound, normal fetus - arm and legs
Ultrasound, normal fetus - face
Ultrasound, normal fetus - face
Ultrasound, normal fetus - femur measurement
Ultrasound, normal fetus - femur measurement
Ultrasound, normal fetus - foot
Ultrasound, normal fetus - foot
Ultrasound, normal fetus - head measurements
Ultrasound, normal fetus - head measurements
Ultrasound, normal fetus - arms and legs
Ultrasound, normal fetus - arms and legs
Ultrasound, normal fetus - profile view
Ultrasound, normal fetus - profile view
Ultrasound, normal fetus - spine and ribs
Ultrasound, normal fetus - spine and ribs
Ultrasound, normal fetus - ventricles of brain
Ultrasound, normal fetus - ventricles of brain

Alternative Names    Return to top

Intrauterine growth retardation; IUGR

Definition    Return to top

Intrauterine growth restriction refers to the poor growth of a baby while in the womb. Specifically, it refers to a fetus whose weight is below the 10th percentile for its gestational age.

Causes    Return to top

Many different things can lead to intrauterine growth restriction (IUGR). An unborn baby may not get enough nutrition because of:

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:

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    Return to top

Exams and Tests    Return to top

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    Return to top

IUGR increases the risk for intrauterine death. If this condition is suspected, the pregnant woman will be closely monitored with several pregnancy ultrasounds to measure the baby's growth, movements, blood flow, and fluid around the baby. Non-stress testing will also be done. Depending on the results of these tests, delivery may be necessary.

Outlook (Prognosis)    Return to top

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    Return to top

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, requiring delivery by c-section.

When to Contact a Medical Professional    Return to top

Contact your provider right away if you are pregnant and notice that the baby is moving less than usual.

Also call your health care provider if your infant or child does not seem to be growing or developing normally.

Prevention    Return to top

Control risk factors during pregnancy, when possible. Avoid alcohol, smoking, and drug use, and get regular prenatal care.

References    Return to top

Baschat AA, Galan HL, Ross MG, Gabbe SG. Intrauterine growth restriction. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 29.

Williams DE, Pridjian G. Obstetrics. In: Rakel RE, ed. Textbook of Family Medicine. 7th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 29.

Update Date: 2/19/2009

Updated by: Linda Vorvick, MD, Family Physician, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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