When to Deliver IUGR Baby? | IUGR Babies Long Term Effects

Being a mother is an opportunity, but many of these having complications like IUGR, so it is very important to know When to deliver IUGR baby?

34-37 weeks is an ideal time to deliver an IUGR baby

IUGR is a complicated and common obstetric problem among women. In that Baby is less develop or less growth than a healthy baby. The Baby’s weight is less than 2.5kg. It seems in the preterm and post-term babies.

IUGR babies’ long-term effect means a baby born from 37 to 41 weeks of pregnancy. These IUGR babies appear may be physically mature but small.

Table of Contents

Causes of IUGR

All of the following reasons are responsible for IUGR.

Maternal Factors

  • Constitutional: Small women, thin built, low body mass index (BMI), maternal genetic and racial background
  • Maternal nutrition: Before and during pregnancy Lack of amino acids, oxygen, and Glucose during pregnancy.
  • Social factor: Bad habits of taking alcohol, smoking, and poor nutrition lead to growth retardation of the baby.
  • Maternal diseases : Anemia (sickle cell disease, hereditary anemias), hypertension, thrombotic diseases, heart diseases, chronic renal disease, collagen vascular disease, etc. are important causes for IUGR.
  • Toxins : Alcohol, smoking, cocaine, heroin, drugs
  • Structural anomalies – Cardiovascular, renal

Chromosomal abnormality

  • 8-12% growth-retarded infants
  • Triploidy, aneuploidy
  • Trisomies( 13, 18, 21), Turner’s syndrome

Disorders of bone and cartilage

  • Osteogenesis imperfect, chondrodystrophy

Multiple pregnancies

Placental dysfunction

  • Less blood supply to the uterine wall leads to chronic placental insufficiency with an inadequate substrate transfer.

Idiopathic(Unknown causes)

  • 40% of causes of IUGR are unknown

Clinical features

  • Weight deficit at birth about 600 mg
  • Length: unaffected
  • Head circumference larger than body
  • Reflexes: normal
  • Baby is alert, active, typical cry, and eyes open

To learn more, you can read Pregnancy with Heart Disease: Symptoms, Causes, And Treatment.

Symptoms of IUGR

Lower maternal weight gain and less or no fetal movements or actions may show in IUGR. Symptoms present in infants having IUGR are:

  • Lack of buccal fat or fat in the cheeks
  • Deficient muscle mass and subcutaneous fat
  • Small abdomen
  • Long fingernails
  • Large head
  • Average big eyes

I also wrote a tutorial on Premature Infant: Cause, Treatment, And Health Problem In Pregnancy 

Types of IUGR

Based on ultrasound and clinical evaluation of fetuses are divided into two types :

Symmetrical (20%)

  • Affected by early developments of cellular growth.
  • Due to congenital and chromosomal abnormalities.
  • The pathological process that will affect all organs including head.

Asymmetrical (80%) 

  • Affected in later months during cellular hypertrophy.
  • A pathological process that will affect maternal disease and fetus.
  • It affects the fetus due to a lack of oxygen and nutrients to the baby.
  • lack of oxygen to the brain.

Prevention of IUGR

To prevent IUGR, mothers should have to do care before and during pregnancy.

Before pregnancy

  • A healthy eating pattern, physical exercise should be done by the mother.
  • Appropriate Spacing between two babies to prevent IUGR.
  • Irons and folic acid supplementation.
  • Management of specific disease conditions like diabetes and hypertension.

Care during pregnancy 

  • The mother should have proper bed rest to supply blood to the uterus.
  • Take a well-balanced diet.
  • Vitamins and mineral supplementation.
  • Get a medicine that is prescribed by the doctor.
  • Avoid caffeine, alcohol, and smoking.

This article you should read for a healthy pregnancy:

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There is no known way to prevent IUGR. However, there are ways to reduce your child’s risk, like Focus on eating healthy foods. As per doctors’ prescription, take your prenatal vitamins with folic acid.

Avoid unhealthy lifestyles, such as drug use, alcohol use, and smoking. Stay stress-free, doing exercise. These all factors help to reduce the risk of intrauterine growth restriction.

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