Abstract

PENALOZA, Juan José et al. RESTRICCIÓN DE CRECIMIENTO FETAL INTRAUTERINO REPORTE DE UN CASO CLINICO H.M.I.G.U.. Rev. méd. (Cochabamba) [online]. 2009, vol.20, n.30, pp. 31-37. ISSN 2074-4609.

Alterations fetal growth affects about 10% of pregnancies.   The main determinants are genotype fetal and uterine environment. As part of the pathophysiology in most of these causes of IUGR prevents a proper exchange of oxygen and nutrients to the fetus in utero to enable it to grow. The antenatal diagnosis of IUGR is based on an approximation adequate gestational age, the presence of elements of suspicion and a review ultrasonographic to estimate fetal weight. We report the case of a patient aged 36 G3C3 with a pregnancy of 30 weeks, valvular heart disease and rheumatic with intrauterine growth restriction that was handled in the Hospital Maternológico "German Urquidi" with advanced studies of fetal wellbeing such as the profile biophysical and uterine artery Doppler, umbilical and cerebral media that gave us the pattern of management. Perhaps the biggest area where development has been studying Doppler ultrasound fetal vascular has been monitoring the intrauterine growth restriction. At present it is considered that those products of conception with estimated fetal weight below the 10 percentile for gestational age, should go to a Doppler study as routine, so as to establish or rule out the diagnosis and through the Doppler study we know the right time to end pregnancy and vessels which must be assessed and are the umbilical artery and middle cerebral artery.

Keywords : Intrauterine growth restriction; percentil; ultrasound Doppler.