Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Can Be The Long Term Problems Of A Child With Asymmetrical IUGR?
Question: I have am currently 35 w 4 d pregnant carrying an Asymmetrical IUGR child which got detected during my 32 weeks growth scan. I will am scheduled for a c-section delivery at 36 w 4 d.
l have the following questions:
1. How sever is A-IUGR in my case?
2. What are the long term problems that these babies face?
3. Do they ever reach their genetic height and weight.
Reports attached
l have the following questions:
1. How sever is A-IUGR in my case?
2. What are the long term problems that these babies face?
3. Do they ever reach their genetic height and weight.
Reports attached
Brief Answer:
I won't get overly worried
Detailed Answer:
Hello
Thanks for asking to Healthcaremagic
I have gone through the reports.The two serial fetal USG done at interval of 2 weeks showed weight gain of about 500 gm,which is a very good marker.
In both the reports the mentioned centile for abdominal circumference is 10th centile.But if we see the rate of increase in abdominal circumference, it is also matching the weight.Other parameters are within normal range except for the amniotic fluid.
The birth weight of less than 2500 gm is considered to be low birth weight.In your case the predicted birth weight(if weight at 35 week is 2466 gm)is more than 2500 gm.
There can be short term and long term effect of IUGR. If managed well we can avoid the short term problems like birth asphyxia,hypoglycemia.
The lower the birth weight and the earlier the gestational age, the less the child's chance of catching up the normal growth. Neurologic development also depends the degree of growth restriction and prematurity.
I won't get overly worried as the weight is approaching 2500 gm and the scheduled delivery is not too early(close to term 37 weeks).
Wish you good health.
Regards
I won't get overly worried
Detailed Answer:
Hello
Thanks for asking to Healthcaremagic
I have gone through the reports.The two serial fetal USG done at interval of 2 weeks showed weight gain of about 500 gm,which is a very good marker.
In both the reports the mentioned centile for abdominal circumference is 10th centile.But if we see the rate of increase in abdominal circumference, it is also matching the weight.Other parameters are within normal range except for the amniotic fluid.
The birth weight of less than 2500 gm is considered to be low birth weight.In your case the predicted birth weight(if weight at 35 week is 2466 gm)is more than 2500 gm.
There can be short term and long term effect of IUGR. If managed well we can avoid the short term problems like birth asphyxia,hypoglycemia.
The lower the birth weight and the earlier the gestational age, the less the child's chance of catching up the normal growth. Neurologic development also depends the degree of growth restriction and prematurity.
I won't get overly worried as the weight is approaching 2500 gm and the scheduled delivery is not too early(close to term 37 weeks).
Wish you good health.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you doc:
Following question:
1. How severe is IUGR in my case?
2. Do these babies catch up genetic growth and weight?
3. If yes within what time frame?
Following question:
1. How severe is IUGR in my case?
2. Do these babies catch up genetic growth and weight?
3. If yes within what time frame?
Brief Answer:
I would say it is mild IUGR
Detailed Answer:
Thanks for writing back.
The definition of IUGR is weight less than 10th centile for the gestation age and abdominal circumference less than 2.5th centile.
According to the weight your baby is not an IUGR baby.
A single parameter can not assess the severity of IUGR.
Estimated fetal weight, abdominal circumference, biparietal diameter, and umbilical artery S/D ratio;combining all these parameters increases the accuracy in prediction of IUGR.
Out of all these the umbilical artery flow is the most sensitive parameter.
In your case except abdominal circumference all the parameters are within normal limit.
So in short I would say it is mild IUGR.
Most of the babies with IUGR catch up their height and weight by age 2-2.5 years.
The higher the birth weight and the later the gestational age, the more the child's chance of catching up the normal growth.
I hope this answers your query.
Regards
I would say it is mild IUGR
Detailed Answer:
Thanks for writing back.
The definition of IUGR is weight less than 10th centile for the gestation age and abdominal circumference less than 2.5th centile.
According to the weight your baby is not an IUGR baby.
A single parameter can not assess the severity of IUGR.
Estimated fetal weight, abdominal circumference, biparietal diameter, and umbilical artery S/D ratio;combining all these parameters increases the accuracy in prediction of IUGR.
Out of all these the umbilical artery flow is the most sensitive parameter.
In your case except abdominal circumference all the parameters are within normal limit.
So in short I would say it is mild IUGR.
Most of the babies with IUGR catch up their height and weight by age 2-2.5 years.
The higher the birth weight and the later the gestational age, the more the child's chance of catching up the normal growth.
I hope this answers your query.
Regards
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
