Growth disturbances-risk of intrauterine growth restriction.

US pregnant uterus 9 Assessment of fetal measurement, growth, amniotic fluid, fetal anatomic survey, and activity patterns is appropriate. O US pregnant uterus biophysical profile 4 Assessment of biophysical profile is of indeterminate appropriateness. Biophysical profile components: 1) fetal heart-rate reactivity; 2) fetal breathing movements; 3) fetal movement; 4) fetal tone; and 5) amniotic fluid volume. O US pregnant uterus with Doppler 4 Assessment of umbilical and uterine arteries of indeterminate appropriateness. Evaluation of cerebral to umbilical artery ratio, cerebral arteries, and venous Doppler velocimetry are not appropriate. US pregnant uterus 9 Optimal follow-up interval is 2-4 weeks. As the pregnancy enters the third trimester and approaches the time of possible (urgent) delivery, shorter scanning intervals may be indicated. O US pregnant uterus biophysical profile 8 Assessment of biophysical profile is appropriate. Biophysical profile components: 1) fetal heart-rate reactivity; 2) fetal breathing movements; 3) fetal movement; 4) fetal tone; and 5) amniotic fluid volume. O US pregnant uterus with Doppler 8 Interrogation of uterine artery, umbilical artery, middle cerebral artery, and venous Doppler velocimetry may provide important ancillary data to the BPP but is not, in general, a stand-alone test. US pregnant uterus 9 Optimal follow-up interval is 2 weeks. O US pregnant uterus biophysical profile 9 Assessment of biophysical profile is appropriate. Biophysical profile components: 1) fetal heart-rate reactivity; 2) fetal breathing movements; 3) fetal movement; 4) fetal tone; and 5) amniotic fluid volume. O US pregnant uterus with Doppler 8 Doppler velocimetry may provide important ancillary data to the BPP but is not, in general, a stand-alone test. Intrauterine growth restriction (IUGR) is an important complication of pregnancy. It can be associated with significant risks of perinatal morbidity and mortality. One of the primary mechanisms of IUGR is uteroplacental insufficiency, which may occur in a variety of maternal or placental conditions. The major concern in IUGR is not the small size of the fetus per se, but the possibility of life-threatening fetal compromise. IUGR is usually characterized as a small-for-gestational-age (SGA) fetus whose estimated fetal weight (EFW) is below the 10 th percentile for that gestational age according to a reference population. However, some SGA fetuses are constitutionally small and not jeopardized by unfavorable placental health. Some growth-restricted fetuses may measure at or above the 10%, yet still be compromised by suboptimal rate of growth [1]. When clinically suspected, IUGR can be confirmed as probably present by sonographic …