Signs of FEFD
When a woman comes to scheduled check-ups to her doctor, he must make measurements of the height of the bottom of the uterus (WDM). This indicator should correspond to the gestational age, which is measured in weeks. For example, in the period of 17 weeks, the index of VDM is 17 centimeters, in 30 weeks - 30 centimeters. Lagging from the norm of two or more centimeters is the basis for additional diagnostic methods.
Types of FGRS
Today obstetrician-gynecologists classify the fetal development delay syndrome into two forms. The first is symmetric. It means that all indicators of fetal development are reduced proportionally. Statistics say that this form of pathology is observed in 10-30% of expectant mothers with a similar diagnosis. The second form is asymmetric. It is observed in 70-90% of cases of FGR. It is characterized by smaller dimensions of the circumference of the abdomen with normal parameters of the femur.
Also the FERD are divided into degrees. The first is the lag of the development of crumbs for up to two weeks; the second from two to four; the third - more than for four weeks.
Why does the fetus lag behind in development?
There can be many reasons. However, they can be combined into such groups:
- Social-domestic. This is the age of the pregnant over 35 years and under the age of 17; smoking; use of alcohol and drugs, some drugs; physical overstrain; stress; work in harmful conditions.
- Weighed down anamnesis of a pregnant woman. Gynecological diseases belong to this group of causes; abnormalities of the uterus; miscarriage of pregnancies in the past.
- Somatic factors: chronic and acute diseases of the kidneys and liver, heart and blood vessels, endocrine and infectious ailments during the period of gestation.
- Complications of the course of pregnancy. This is gestosis and toxicosis; fetoplacental insufficiency; risk of miscarriage; previa and placental abruption; water scarcity and polyhydramnios; anemia.
- Factors associated with the characteristics of the fetus. These are chromosomal abnormalities; congenital diseases; multiple pregnancies; intrauterine infections.
Sometimes the diagnosis of "fetal development retardation syndrome" is posed even when the baby itself is not large, and the reason for this is likely that its parents are of small stature and medium build.
Danger of FEFD
Fetal growth retardation syndrome is a condition that can have dangerous consequences. But it all depends on the severity of the pathology. If it is a question of the first degree, the risk of complications is small, and everything can be completely corrected. And when a specialist states the third degree of NWFP, the situation is more serious. Then complications in the generic period are possible, for example, hypoxia, asphyxia; In the neonatal period, there may be difficulties in adapting the crumbs to life outside the womb of the mother. The statistics states that babies born to a weight of less than 2500 grams are more exposed to diseases of the endocrine and cardiovascular systems, lungs. In low-birth-rate children, speech and psychomotor development delay, hyperactivity syndrome are more often observed.
Treatment of ARDS
Usually, the therapy is aimed at eliminating infections, chronic diseases, normalization of uteroplacental blood flow, relaxation of the uterus musculature. The woman is ultrasound every 7-14 days, as well as dopplerography. Every three to five days, they observe the uterine-placental blood flow with the help of cardiotocography.
If it is a question of the first degree of a syndrome of a delay of development of a fetus, in most cases the prognosis of treatment is successful, and there is no danger for the mother and child. When it comes to the third degree of pathology, then on the basis of observations, the doctor can make a decision about the need for urgent delivery or its conduct by caesarean section.
NWFP should not be taken as a sentence. Especially when it comes to the first degree of pathology. Carrying out medical recommendations clearly and unconditionally, a woman can give birth to a healthy child.