FGR : Early Onset Fetal Growth Restriction (Early Onset FGR) - By Dr Kavita Aneja

One of the primary aim of antenatal care is to identify fetus with growth lag because aim is to deliver a neurologically healthy baby and not just a live baby. Approximately 26-30% of pregnancies in India have small fetuses which are 4-8 times at higher risk of perinatal mortality and morbidity. Samrakshan Diaries - Pre-eclampsia Awareness Series Part -1    • Part 1: Awareness of Pre-eclampsia and FGR...   Samrakshan Diaries - Pre-eclampsia Awareness Series Part -2    • Part 2: Awareness of Pre-eclampsia and FGR...   #Fetal_Growth_Restriction #FGR #IUGR #Intrauterine_Growth_Restriction #Early_FGR #Early_Onset_FGR #FGR_Stage 1 #FGR_Stage_2 #FGR_Stage_3 #FGR_Stage_4 #FGR_Stages #Types_of_FGR #FGR_Stages #Growth_Charts # When_to_Deliver_in_FGR #Gratacos #Barcelona #Growth_Velocity #Color_Doppler #Preeclampsia #Late_Onset_IUGR 0:00 Introduction 0:22 The outline 1:55 Identifying a small fetus 2:23 Estimating fetal weight 2:39 Small fetus - SGA 3:21 Charts discrepancy 3:44 SGA - small for gestational age 4:52 Genetic growth potential 5:32 FGR vs SGA - fundamental difference 8:29 Definition of Early Onset FGR 10:58 Management "KEY concept" 11:38 Placenta - nutritional and respiratory organ 13:09 Early FGR - Cardiovascular adaptation 14:05 Brainstem suppression 15:11 Hypoxic threshold vs lung maturity 15:39 Tools to gauge FGR - Diagnosis and surveillance 16:24 Growth Velocity curve 18:10 Umbilical artery Doppler 18:45 Tips 20:29 30-70 concept 22:47 Middle cerebral artery Doppler 24:06 Cerebro-placental ratio (CPR) 25:18 Ductus venosus - normal 25:44 Hypoxia - venous change 26:02 Ductus venosus (DV) 27:52 Wave form explained... 28:22 Two types of abnormalities 29:17 Aortic isthmus Doppler 29:30 Pitfalls 30:10 Management of FGR - The challenge 30:40 Why Barcelona stage based management? 31:08 Chances of survival without handicap 32:31 Stage II FGR (severe placental insufficiency) 32:59 Stage III FGR (advanced fetal deterioration - early acidosis) 35:13 The right time - Early onset FGR 35:55 Magic figure of 32 weeks