Early severe IUGR: purpose of a case and review of the literature

• Autores: Ayala Yauri, Maryllini, Guerrero Torres, Jhon Carlo, Ventura Laveriano, Walter R., Sugajara Rosario, Ricardo R., Ibañez Rodríguez, Cecilia, Castillo Urquiaga, Walter
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/221
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/221
• Nivel de acceso: acceso abierto
• Materia: RCIU; DOPPLER; IUGR

Intrauterine growth restriction is defined as a fetus that does not reach its growth potential. The early (<32 weeks) and late (> 32 weeks) presentations have differential but not exclusive characteristics; in relation to the degree of placental obstructive compromise that affects the severity of the hemodynamic manifestations. For its diagnosis, follow-up and management, we have a multivessel Doppler evaluation, which provides information on the deterioration and the risk of intrauterine mortality, allowing to establish the opportune moment of birth. We present the report of a case of early-onset intrauterine growth restriction with severe Doppler alteration evaluated by our department and review the pathogenesis, clinical, and diagnostic approach and management of this condition.