Brief Answer: NEED TO RULE OUT IUGR BY CLINICAL ASSESSMENT. Detailed Answer: Hello, Thanks for writing to us. Followings are my comments: 1) One week less growth on ultrasound scan in comparison to original gestational age (calculated from last period date) at 7 months of pregnancy may be NORMAL thing as ultrasound scan gives a gross fetal maturity at the time of scanning. One week discrepancy of fetal maturity is mostly considered NORMAL if other fetal parameters including weight are within normal range. 2) Here, we need to rule out Intrauterine Growth Retardation (IUGR) by proper clinical assessment and repeated obstetrical ultrasound scan. Pregnancy induced hypertension (PIH or high BP) is often associated with IUGR baby due to utero- placental insufficiency. You can consult with your OBSTETRICIAN regarding this. Severe hypertension or Pre-eclampsia/ Eclampsia can cause fetal distress if it is not properly treated. After birth, Special Neonatal Care in NICU or SNCU may be required in some cases. 3) BP should be well controlled with safe anti-hypertensive drug. Salt restricted diet is preferable. Blood sugar, urine albumin and other investigations should be completed in due course. She would take protein rich healthy diet or L-Arginine granules like LRZin FORTE (1 XXXXXXX daily for 1 month mixed with 1 cup water). Drink more water for better feto-placental circulation and take adequate bed rest in left lateral position. Do periodic check up to your doctor. Hope, I have answered your query. Kindly, close the discussion, if you don't have any other query. Wish her good health and successful motherhood. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up queries. 1) One week discrepancy in fetal maturity doesn't always mean IUGR baby. But, it should be ruled out by your OBSTETRICIAN through proper clinical examination and ultrasound scan. 2) IUGR (Intrauterine Growth Restriction) can result in Small for Gestational Age or Low Birth Weight at the end of pregnancy. They are NOT physically challenged or mentally retarded. After birth, Special Neonatal Care in NICU or SNCU may be required in some cases due to low birth weight. 3) Treatment of IUGR baby consists the following things: a) Healthy protein rich diet with IRON & Calcium supplements (NO OVERDOSE). Drink more water for better feto-placental circulation. b) L-Arginine granules like LRZin FORTE (1 XXXXXXX daily for 1 month mixed with 1 cup water) helps to improve utero-placental circulation and growth of the baby. c) BP and blood sugar should be normal with proper medication. Anemia should be corrected (if Hb% below 10 gm%). d) Take adequate bed rest in left lateral position. Do periodic check up to her OBSTETRICIAN for assessment of fetal growth and overall well being. Hope, I have guided you properly. Kindly, close the discussion. Good luck and all the best. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up queries. 1) Intrauterine Growth Restriction (IUGR) is the condition where baby is smaller than normal during pregnancy period. High BP (like Pre-eclampsia etc), utero- placental insufficiency, mother infection, drug abuse may be underlying causes. Sometimes, no definite cause is ruled out for IUGR. 2) The baby is not growing inside the uterus at the normal rate. These babies usually have a low birth weight. Breathing problem or fetal distress may arise due to immature lung or preterm delivery. It is better to give betamethasone 2 dose with 12 hrs apart to mother around 32 weeks to facilitate fetal lung maturity. 3) I have already mentioned the treatment of IUGR baby in my earlier text (no. 3 paragraph). She needs to follow that with complete prescription from her doctor. Her weight gain is quite good with normal amniotic fluid volume. She MUST TAKE L-ARGININE FORTE - 1 XXXXXXX daily mixed with 1 cup water for 1 month to improve utero-placental circulation and growth of the baby. Hope, it helps for your information and understanding. Good luck and all the best. Regards, Dr Soumen

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