Gynecology Master CME: IUGA: Optimizing Intrauterine Conditions

COURSE OVERVIEW

Intrauterine growth restriction (IUGR) is a term used to describe a condition in which the fetus is smaller than expected for the number of weeks of pregnancy. IUGR affects 3-10% of pregnancies. It is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. IUGR has a multifactorial etiology and can be classified as maternal, placental or fetal. The cause for IUGR is unknown in about 40% of the cases. The condition is most commonly caused by inadequate maternal-fetal circulation, with a resultant decrease in fetal growth. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. The more logical approach of multiple micronutrient supplements or improved overall micronutrient quality of mother’s diet is generally recommended. This module gives a concise overview of intrauterine growth restriction and strategies to improve fetal outcomes.

LEARNING OBJECTIVES

After successfully completing this CME course, the participant should be able to:
• Identify the causes and pathology of IUGA.
• Describe the ultrasound criteria to determine the presence of IUGA.
• Discuss the clinical management once IUGR is diagnosed.
• Emphasize on preventing maternal malnutrition.

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