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In the recent episode of the Healthful Woman podcast, “Personal and Professional Reflections on Suspected Fetal Growth Restriction,” host Dr. Nathan Fox and guest Dr. Mariam Naqvi, a Maternal-Fetal Medicine Specialist in Los Angeles, discuss fetal growth restriction (IUGR). Learn more about the diagnosis and management of fetal growth restriction.

What is Fetal Growth Restriction?

Fetal growth restriction (FGR), also known as intrauterine growth restriction (IUGR), occurs when a fetus does not grow to its expected size during pregnancy. This condition is often diagnosed through ultrasound measurements of the fetus’s head, abdomen, and femur bones. If these measurements fall below the 10th percentile for gestational age, the fetus is considered to have FGR.

Causes of FGR

The causes of FGR can include:

Placental Issues

Problems with the placenta, such as poor blood flow, can restrict the delivery of nutrients and oxygen to the fetus.

Maternal Health Conditions

Conditions such as hypertension, diabetes, and lupus can affect fetal growth.

Genetic Factors

Chromosomal abnormalities and congenital infections can lead to FGR.

Lifestyle Factors

Maternal smoking, alcohol consumption, and malnutrition can contribute to FGR.

Personal Experience with IUGR

Experiencing suspected IUGR during pregnancy can be emotionally challenging. For instance, Dr. Mariam Naqvi, a Maternal-Fetal Medicine Specialist, shared her experience with her first pregnancy. Her daughter was diagnosed with potential growth restriction around 28 to 30 weeks, with growth continuing to lag and ultimately falling below the first percentile by 34 weeks. Despite reassuring results from other ultrasound markers, the extremely low percentile was a significant concern. She expressed, “I was really worried. And, you know. Anyway, fast forward, I delivered at 38 weeks, and, of course, it was a totally fine delivery.” This story showcases Dr. Naqvi’s experience with IUGR.

Professional Reflections on Managing IUGR

From a professional standpoint, regular monitoring and individualized care are crucial for managing pregnancies complicated by IUGR. This involves frequent ultrasounds to assess fetal growth and well-being, as well as careful management of any underlying maternal conditions.

Management Strategies

Regular Monitoring

Frequent ultrasounds and fetal assessments help track the baby’s growth and detect any issues early.

Managing Maternal Conditions

Addressing health conditions such as hypertension or diabetes is crucial for improving fetal growth.

Lifestyle Modifications

Advising expectant mothers on proper nutrition, avoiding harmful substances, and managing stress can positively impact fetal growth.

Delivery Planning

Timing and delivery method are critical considerations to ensure the best outcomes for the mother and baby.

Important Considerations for Expectant Parents

Stay Informed

Understanding the potential causes and implications of FGR can help parents feel more in control and prepared.

Regular Check-Ups

Attending all scheduled prenatal appointments is vital for monitoring the baby’s growth and catching any issues early.

Healthy Lifestyle

Maintaining a healthy diet, avoiding harmful substances, and managing stress can contribute to better outcomes for the baby.

Open Communication

Discuss any concerns with your healthcare provider at Maternal Fetal Medicine Associates. Clear and empathetic communication can help alleviate anxiety and build trust.

Support System

Having a solid support system, whether through family, friends, or support groups, can provide emotional comfort and practical help during a high-risk pregnancy.

Schedule a Check-Up

Fetal growth restriction is a complex condition that requires comprehensive care and close monitoring. Regular check-ups, healthy lifestyle choices, and open communication with Maternal Fetal Medicine Associates healthcare providers are essential for managing suspected FGR. Contact us today through our online form.

Maternal Fetal Medicine blogs are intended for educational purposes only and do not replace certified professional care. Medical conditions vary and change frequently. Please ask your doctor any questions you may have regarding your condition to receive a proper diagnosis or risk analysis. Thank you!