IUGR is defined when :-
IUGR is defined as, when the Bih weight is below the 10th percentile of the average of gestational age . Classification of IUGR TYPE SYMMETRIC / TYPE 1 (20%) ASYMMETRIC / TYPE 2 (80%) ONSET Early in utero Later onset ETIOLOGY Congenital infections, genetic disorders Utero - placental insufficiency, maternal malnutrition, hypeension,renal disease PATHOPHYSIOLOGY Impaired cell division Decreased cell number Irreversible Impaired cellular hyperophy Decreased cell size Reversible CLINICAL FEATURES Inadequate growth of head and body Head: abdomen ratio may be normal Brain is spared, therefore head: abdomen ratio increased PROGNOSIS Poor prognosis More orable prognosis
Bih weight is below the tenth percentile of the average of gestational age
Bih weight is below 20 percentile of the average of gestational age
Bih weight is below the 30 percentile of the average of gestational age
Weight of baby is less than 1000 gm
Obstetrics