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Fetal Growth Restriction (IUGR)

Failure of the fetus to achieve the expected growth for gestational age.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Fetal Growth Restriction (IUGR)?

IUGR is a condition in which fetal weight falls below the 10th percentile of expected values, with pathological growth restriction. It may be symmetric (early onset, all measurements small) or asymmetric (late onset, head sparing).

Causes may be maternal (hypertension, diabetes, smoking, poor nutrition), placental (placental insufficiency, previa, abruption), or fetal (chromosomal anomalies, infection, multiple gestation). Placental insufficiency is the most common cause.

Babies with IUGR have higher perinatal mortality, neonatal hypoglycemia, hypothermia, polycythemia, and a long-term risk of metabolic syndrome. Early diagnosis and close fetal well-being monitoring are life-saving.

Symptoms

Fundal height behind the gestational week
Estimated fetal weight <10th percentile on ultrasound
Oligohydramnios (decreased amniotic fluid)
Reduced perception of fetal movements
Reversed/absent end-diastolic flow in the umbilical artery
Abnormal Doppler findings

Risk Factors

Gestational or chronic hypertension
Preeclampsia
Smoking, alcohol, and substance use
Poor maternal nutrition and underweight
Advanced maternal age
Previous IUGR history and multiple pregnancy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When fundal height is found to be small
  • When decreased fetal movements are felt
  • In known maternal hypertension or preeclampsia
  • If smoking continues during pregnancy
  • When growth arrest is observed on ultrasound follow-up

Treatment Methods

01
Serial ultrasound for fetal growth monitoring (every 2 weeks)
02
Umbilical and fetal Doppler assessment
03
Non-stress test (NST) and biophysical profile
04
Maternal bed rest and nutritional support
05
Treatment of underlying maternal disease
06
Early delivery (usually cesarean) if fetal well-being deteriorates

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.