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Summary OBGYN SGA & IUGR ROYAL COLLEGE OF SURGEONS IRELAND
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ROYAL COLLEGE OF SURGEONS IRELAND SMALL FOR GESTATIONAL AGE LECTURE NOTES
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SGA &IUGR
TAN Cheng
GTG31 Investigation and
Management of SGA Fetus
, Internet connection (prepare
yourself)
Smart devices (smart phone,
ipad, tablets) with a camera
You will
need: App for scanning QR codes
Enough battery to finish the
entire session (bring your
own powerbank)
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, Definition
SGA • Infant with BW <10th centile (customized for
maternal height, weight, parity, ethnic, as well as
gestational age at delivery and infant sex identify
babies at higher risk of morbidity and mortality)
• EFW or AC <10th centile
• 50-70% SGA are constitutionally small but fetal
growth appropriate for maternal size and ethnicity
Severe SGA • EFW or AC <3rd centile
• Higher likelihood of FGR
FGR • Implies pathological restriction of genetic growth
potential
• May manifest evidence of fetal compromise
(abnormal Doppler, ↓ liquor volume)
LBW • Birth weight <2500g
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