Management

The only treatment modality thought to be of benefit for IUGR is bed rest in a lateral recumbent position. This position prevents vena caval compression by the gravid uterus and allows maximal venous return to the heart, maximizing cardiac output and uteroplacental perfusion. Certain fetuses with growth restriction caused by significant maternal illness may benefit from improvement of the maternal condition. Antenatal testing is recommended for IUGR fetuses. If antenatal testing is abnormal or persistent oligohydramnios is present, delivery may be warranted before term. Otherwise, these fetuses are delivered at 38 to 40 weeks, depending on the degree of growth restriction.

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