HomeAnswersObstetrics and GynecologyplacentaIs there any treatment for IUGR baby?

Is there any treatment for IUGR baby?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At August 5, 2018
Reviewed AtJanuary 29, 2024

Patient's 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. Any treatment or way to have a healthy baby and near to due date? IUD 18 weeks, fifth-week pregnancy due to no fetal heart rate, so DNE was done. Currently, I am taking Duphaston 10 mg BD, Asgard 75 mg OD, Glucophage 500 mg TDS, and Aldomet 250 mg QID two tablets.

Answered by Dr. Uzma Arqam


Welcome to icliniq.com.

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 drugs as well. Blood pressure is towards higher limit and urine protein is also high that is showing your kidneys are affected and secreted protein in the urine. Due to high protein and blood pressure that is confirming preeclampsia, placenta insufficiently working and nutrition that needs to reach baby is not reaching to the baby that why growth retardation is confirmed in the scan and this is completely pathological.

Your high blood pressure and urine protein are also really alarming as there are chances of eclamptic fits any time. That can be life-threatening to you. The only solution for preeclampsia is delivery, actually, if this is affecting mother and baby both too much. But, how and when that depends on the whole scenario of the patient, her vitals, signs, blood and urine reports, her scan report and baby's condition. Placental insufficiency also having grading that is helpful to make a decision. If the reversed flow in dopplers scanning is poor prognosis for intrauterine growth restricted fetus of preeclamptic, diabetic mother (who have a history of the previous stillbirth). As I do not have your complete history and recent scan but you need strict monitoring in high dependency unit. Baby is also very premature and growth-restricted as well, lung not developed and need months to develop. If delivers prematurely alive due to your unstable condition, it will need neonatal premature intensive care unit support for months and risk of neonatal infections, neonatal death even is very high.

Lung supportive injection (Dexamethasone) can be given but still, the tissue that can respond to that injection nicely is still in a very early stage of development. Under your high blood pressure, sugar levels and low placental perfusion with abnormal dopplers and growth restriction not only you have chances of eclamptic fits that will worsen your condition but also greater risk of intrauterine fetal death. Strict diabetic diet, with almost nil salt, blood thinning medications (tablet Aspirin and injection Heparin), strict sugar and blood pressure control with normal blood, urine investigations, normal vital signs, and scan, stress free life with light exercise or walk from start of pregnancy were the basic rules to treat patient like you (with high BP, sugar, and previous stillbirth). Have a discussion and all arrangements with a multidisciplinary team including neonatologist, anesthesiologist, obstetrician, you can reach to final discussion with your family as well.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy