logging in or signing up Small for gestational age ravimohanv Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1233 Category: Science & Tech.. License: Some Rights Reserved Like it (1) Dislike it (0) Added: December 16, 2008 This Presentation is Public Favorites: 2 Presentation Description A power point presentation on small for gestational age Comments Posting comment... Premium member Presentation Transcript Small for gestational age : Small for gestational age Dr.V.Ravimohan SpR http://www.mrcogexam.net Slide 2: Thank you Visit my site http://www.mrcogexam.net Slide 3: Definition Implications Causes Diagnosis management Definition : Definition SGA refers to a fetus that has failed to achieve a specific biometric or estimated weight threshold by a specific gestational age. One of most frequently sited suboptimal care is the failure : One of most frequently sited suboptimal care is the failure to suspect growth restriction in a mother with a previous history to detect to act on to monitor Implications : Implications stillbirth birth hypoxia neonatal complications Neurodevelopment delay type 2 (non-insulin-dependent) diabetes and hypertension in adult life. Slide 7: Ott Wj.The diagnosis of altered fetal growth.Obstet Gynecol Clin North Am 1988;15:237-63 Improving sensitivity… : Improving sensitivity… Use customised ultrasound charts(maternal weight, maternal height, ethnic group and parity) Use growth velocity in addition to size Management : Management (I) aetiology(ex.chromosomal defects) (ii)arrange surveillance (iii) delivery- when? how? where? Causes of Growth restriction : Causes of Growth restriction High risk pregnancy management options 2nd edition p300 Chromosomal abnormalities : Chromosomal abnormalities Surveillance : Surveillance Umbilical artery doppler is the primary surveillance tool frequency of monitoring in SGA fetuses with normal Doppler need not generally be more than once every fortnight. Doppler indices : Doppler indices <34 weeks with RED/AED : <34 weeks with RED/AED Daily CTG/Biophysical profile/Venous doppler Consider delivery Pathological CTG Biophysical score <4 Reversal of doppler velocities in ductus venosus during atrial contraction or umbilical vein pulsations Slide 20: My web site:www.mrcogexam.net MY blog :http://mrcogfacts.blogspot.com/ Survival by birth weight : Survival by birth weight Survival by gestation : Survival by gestation Growth Restriction Intervention Trial (GRIT) : Growth Restriction Intervention Trial (GRIT) Hypothesis:early delivery,to pre-empt intrauterine hypoxia,would alter brain development compared with delaying delivery for as long as possible ,to gain maturity. OR 1.1(0.7-1.8) : OR 1.1(0.7-1.8) Conclusion : Conclusion The present study should discourage doctors who deliver fetuses (<30 weeks) before at which they delivery can be delayed no longer. Mode of delivery : Mode of delivery Indications for LSCS (I)late decelerations in antenatal CTG (II)Reversed End diastolic flow (III)thick meconium during induction of labour Clinical obstetrics and Gynaecology 40:4:1997;p822 Summary : Summary Definition Implications Causes Diagnosis management You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.