IUGR & SGA

 Abd Halim: Dr, correct me if im wrong here.

As of lately i noticed many of many collegues can't grasp the topic of FGR.

This is my summary of it.

FGR is the prevention of the fetus to grow to its maximum potential.

It can come in 2 forms. Either IUGR (Intrauterine Growth Restriction) or SGA (Small for Gestational Age).

We can differentiate IUGR from SGA based on their pattern on the growth chart & the process behind them.

In growth chart (fetal weight is used as parameter), fetuses with IUGR will have stunted growth.

I.e: The graph plateaus off. It becomes stagnant after a period of growth.

SGAs still progressively grow, but the graph will be below the 3rd centile.

(Both IUGR & SGA graph will be below the 3rd centile. What differentiates them is the pattern)

All IUGRs are SGAs, but not all SGAs are IUGRs.

 Dr Shaiful Ehsan: Dear Halim, some information are corrects....some are not... What is ur reference of SGA & IUGR below 3rd centile

 Safira Fyra: From ten tcers, it said some FGR fetuses may not actually be SGA..but nevertheless will hv failed to fulfill their growth potential..So tak semua fgr is sga la kan dr?

Dr Shaiful Ehsan: Yupp....👍🏻👍🏻Anyone would like to give definition of IUGR and SGA?

Safira Fyra: FGR = failure of fetus to achieve its genetic growth potential

SGA = weight of the fetus <10th centile for its gestation

Dr Shaiful Ehsan: Yupp...almost correct...I need more specific answer for iugr...

 Liza: Iugr : fetus growth < 10th percentile

Cemak Asma: Rasa mcm sga fetal growth <10th percentile.. Iugr fetal growth between 50th and 10th percentile.. Correct me if i'm wrong

 Azyati: Correct me if i'm wrong dr.. Iugr is when growth chart crossing less than 3 centile with oligo. Sga is when EFW + parameter less than 10th centile for that gestational age

Kak Zaim: Dr had mentioned iugr in previous cp session.. Xingat sangat tp dr mcm ada sebut  its crosses 2 centiles with or without oligo.. Huhu sorry dr kalau salah

 Dr Shaiful Ehsan: Okeylah....nasib baik ada yg masih ingt.... Yupp
SGA is when the fetal parameters & efwt is less than 10th centile for the gestational age....

 IUGR when the parameters on plot chart crossing 2 major centiles, usually with presence of oligohydramnios.....

Dr Shaiful Ehsan: HOMEWORK: definition of oligohydramnios....
****ni homework lama ni....xde org reveal answer yet....

Cemak Asma: Oligohydramnios: amniotic fluid index <5th centile for gestation on ultrasound estimation. Tp selalunya amik masa 3rd trimester because afi alters throughout gestation

Dr Shaiful Ehsan: Asma 👍👍👍

Dr Shaiful Ehsan: Oligohyramnios is afi less than 5th centile for respective gestational age....and deepest pole less than 3cm for twin pregnancy...