9. Malnourished SGA
Commonest type of SGA
Asymmetric IUGR
2/3 rd of IUGR
malnourishment during latter part of
gestation – placental dysfunction
(uteroplacental insufficiency)
11. LONG,THIN & MARASMIC
Head Circumference,brain unaffected
Internal organs,liver grossly shrunken
HC > CC by 3cm
Loose skin folds
Ponderal index ( g/cm3) < 2
12. ONLY DECREASE IN CELL SIZE, CELL NUMBER
NORMAL
GROWTH POTENTIAL (+)
NUTRITIONAL REHABILITATION
NEONATAL PROGNOSIS - BETTER
13. Hypoplastic SGA
Symmetric IUGR
1/3 rd of IUGR
Growth retardation in early pregnancy a/w
intrauterine infection
genetic defects,
chromosomal aberrations
Incidence of anomalies 10 – 20 times higher
14. FEATURES OF HYPOPLASTIC SGA
o
o
o
o
o
DECREASE IN CELL NUMBER
ALL ORGANS AFFECTED,INCLUDING BRAIN
ALL PARAMETERS ARE PROPORTIONATELY SMALL
PONDERAL INDEX - NORMAL
POOR PROGNOSIS
PERMANENT PHYSICAL & MENTAL RETARDATION
15.
16. MIXED SGA
ADVERSE FACTORS DURING BOTH EARLY & MID PREGNANCY
NEITHER OBVIOUS MALNOURISHED,NOR GROSSLY
HYPOPLASTIC
DECREASE IN BOTH CELL SIZE AND COUNT
23. THOSE 3 LETTER WORDS!!
•
•
•
•
•
•
RDS
ROP
IVH
PDA
NEC
BPD
24. MANAGEMENT OF SGA
•
•
•
•
•
Emergency CS – fetal distress
Screening for cong.malformations
Early and adequate breast feeding (NGT/IVF)
Correct hypoglycemia,hypocalcemia,polycythemia
Control infections,temperature regulation
39. Marshall Smith Syndrome
craniofacial characteristics:
large forehead,
hypertelorism,
micrognathia,
long philtrum
Advanced maturation of carpal bones
44. AGA
Appropriate for gestational age
(AGA) describes a fetus or newborn
infant whose size is within the
normal range for his or
her gestational age
45. • AGA:
Appropriate for Gestational Age;
birthweight b/w 10th & 90th percentile
An appropriate for gestational age full-term
infant is heavier than 2500 grams and lighter
than about 4000 grams