How To Gain Enough Weight During Pregnancy

Raising children without weight gain is a painful headache for every mother. But before facing the issue of appropriate nutrition for children, during pregnancy, many women face the anxiety of fetal growth retardation. This phenomenon does not have very specific manifestations but the consequences it causes are extremely serious. So what knowledge should be equipped with this monstrous phenomenon, let Hopital General Hospital answer your mother's questions!
What is fetal growth retardation and how does it affect it?
Growth retardation or development with the specialized term Intrauterine Growth Restriction (abbreviated IUGR) is the condition of fetal malnutrition right in the womb is determined by the size and weight of the fetus below the percentile line 10th or 5th, 3rd (depending on the documentation used). Delayed fetal growth (TCTT) is a common problem and affects 5-7% of pregnancies

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Delayed growth / development can lead to a number of very dangerous consequences, such as: Increased morbidity - complications and deaths after amniotic fluid dryness often occurs, resulting in compression. umbilical cord, babies who used to be fetus with intrauterine growth retardation will be prone to serious neurological consequences, mental retardation, old age hypertension and cardiovascular complications or jaundice , have an excess of erythrocytes than other normal healthy babies
The cause of fetal growth retardation / development
There are 4 groups of factors leading to fetal growth retardation / development that pregnant women need to learn.
Group of agents from pregnancy test
The fetus has chromosomal abnormalities: Turner syndrome, Down .



.. or hereditary
Birth defects
Multiple pregnancies: meeting the nutritional needs of multiple fetuses is more difficult than just one fetus and the risk of pre-eclampsia during multiple pregnancies is also higher. Up to 25-30% of fetal growth retardation during twins pregnancy
Group of agents from placenta: Impaired placental dysfunction, Uterine abnormalities, Placental adhesion
Group of agents from the mother:
Pregnant women with high blood pressure,
Pregnant women with small stature or lack of nutrients
Pregnant women with chronic diseases related to heart, kidney ...
Pregnant women with bleeding or diseases such as gestational diabetes, sickle cell disease .



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Group of external agents such as tobacco, alcohol, infection ... Any infection in the mother during pregnancy (syphilis, measles, toxoplasma, cytomegalovirus) can lead to fetal growth retardation. intrauterine growth.
Classification of fetal growth retardation / development
IUGR is divided into 2 types:
Proportional IUGR: meaning that all biological measurements of the fetus are small, mainly caused by genetic disorders, infections ..



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Asymmetrical IUGR: only a small fetal abdomen, head and thighbones normal
How to identify fetal growth retardation / development in the uterus
Pregnant women may gain less weight than usual or have amniotic fluid.
Pregnant women have conditions such as hypertension, diabetes.
In general, the signs of intrauterine growth retardation are often unclear, mainly detected by routine antenatal care visits and based on a number of relevant indicators such as:
Bipolar diameter index: up to 70% of intrauterine growth retardation cases are smaller in diameter than the gestational age
Abdominal circumference index: the most commonly used indicator to predict fetal growth retardation. The abdominal circumference index is more predictive of intrauterine growth retardation than the diameter of the diameter of the head, head circumference and femur length. In some cases, the woman cannot remember the exact date of the pregnancy, so the gestational age cannot be determined. If the rate of abdominal circumference increases below 10 mm for 15 days, the intrauterine growth retardation may be considered.
The femoral length index: This index is not particularly valuable for the diagnosis of intrauterine growth retardation.




Estimating the fetal weight is very difficult to get an accurate formula for the weight of the fetus in the womb, we can only estimate the weight of the fetus in the plus or minus 10% of the average value, compared with the chart develop fetal weight with gestational age to diagnose intrauterine growth retardation.
Arterial Doppler Index: In the case of an umbilical and uterine artery doppler, the case of intrauterine growth retardation may be due to chromosomal abnormalities and there is little risk of complications in the perinatal period. out. In the case of abnormal uterine artery doppler, this case fetal growth retardation due to pathology of the mother's circulatory system. Pregnant women with abnormal arterial Doppler results in a higher risk of pre-eclampsia and hypertension disorders in the last months, resulting in intrauterine growth retardation and possibly intrauterine stillbirth.
The main sign of intrauterine growth retardation is mainly detected by routine antenatal care visits
Groups of pregnant women at risk of having a growth / developmental pregnancy
These.

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