Intrauterine Growth Restriction

Intrauterine Growth Restriction (IUGR) is reduced fetus growth in the mother's womb during pregnancy. Causes for IUGR include increased altitudes, multiple pregnancies, placental obstacles, and preeclampsia. In addition, smoking, alcohol or drug addiction, clotting disorders, diabetes, hypertension, cardiac problems, inadequate nutrition, renal diseases are the risk factors.

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What could go wrong in an ultrasound taken at 22 weeks of pregnancy?

Query: Hello doctor, I took an ultrasound at 22 weeks of pregnancy and was informed about the gender of the baby. However, the scan took about two hours which was more than what I anticipated, and I was advised to take another ultrasound in about two weeks which seemed unusual to me. I am very anxious if s...  Read Full »

Dr. Muhammad Shoyab

Answer: Hello, Welcome to I read your query and can understand your concern. I have seen the report you have attached (attachment removed to protect the patient's privacy). While camera images are not the ideal way for interpretation, I will try to give you a glimpse of the core findings. 1...  Read Full »

The 25th week pregnancy scan showed oligohydramnios and IUGR. What to do?

Query: Hi doctor, I am 31 weeks and two days pregnant. I had an ultrasound at 20 weeks, and everything was normal. However, with time, I noticed there was little or no movement, and the baby's movement was more like a ball rolling in a difficult position. So, my doctor sent me for an ultrasound at the thir...  Read Full »

Dr. Balakrishnan R

Answer: Hi, Welcome to Let me put forth few facts about pregnancy and baby growth. The growth of the baby is progressive, but if it stops at some stage, that amount of growth cannot be regained. Some reason has been missed by the doctor during the pregnancy monitoring. There could be many c...  Read Full »

What could be the reason for the unsteady gait of my daughter?

Query: Hello doctor, My daughter was a late walker. She started to walk when she was 18 months old. Now, at 20 months, it feels like she is still very unsteady and her gait is weird. I have attached a link to a video of how she walks. Please see it. Is there a real reason to be concerned or is it normal af...  Read Full »

Dr. Nene Devavrat Harihar

Answer: Hello, Welcome to After seeing the video (attachment removed to protect patient identity), it appears that she walks with an ataxic gait. There may also be some component of spasticity (stiffness in her lower limbs). It looks a little abnormal because she is tripping and fall...  Read Full »

Which of my twins have a better chance of surviving?

Query: Hello doctor,I have recently delivered twins, both weighing 2.2 kg. One of them was preterm, and the other had IUGR. Now, I am concerned. Which of them has a better chance of surviving?  Read Full »

Dr. Balakrishnan R

Answer: Hello, Welcome to How are you doing? I feel the preterm baby has a better chance. Both the babies are of the same age and weight. If only one baby has IUGR (intrauterine growth restriction), then it should be having some anomaly, organ problem, or selective problem in some blood vessels...  Read Full »

Is there any treatment for IUGR baby?

Query: Hello doctor, I am 27 weeks pregnant now and by scan two weeks back and the doctor says the baby is IUGR due to placental insufficiency. She said to terminate the pregnancy but I feel baby movement and heart rate. Also, I am pre-eclamptic and diabetic but sugar is controlled. Tell me what can I do....  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to It would be better if you can send me your ultrasound report. You have the previous history of stillbirth around 19 weeks. At present, as your medicines that you have described here, you have been on diabetes and blood pressure control drugs and placental supportive dru...  Read Full »

Why did my fetus stop growing at seven weeks of pregnancy?

Query: Hello doctor, When I was 7 weeks pregnant, I visited my gynecologist, and my next appointment was fixed four weeks after that visit. But, two weeks later, I noticed a brown discharge and consulted my doctor to check my baby's heartbeat, and the doctor said there was no heartbeat. And upon further...  Read Full »

Dr. Busi Maneesha

Answer: Hello, Welcome to I understand your concern, and I am sorry for the miscarriage that happened. You had an abortion which was diagnosed by the absence of fetal heartbeat. A missed abortion is caused by chromosomal anomalies, uterine anomalies, and undiagnosed maternal illness. The ...  Read Full »

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