Small for Gestational Age
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- Problems with the supply of nutrients and oxygen to the baby or a small uterus—can cause a condition known as intrauterine growth restriction (IUGR)
- Exposure to toxic substances or certain medications
- Infections or chronic illness during pregnancy
- Birth defects
- Genetic syndromes
- High blood pressure
- Substance abuse
- Excessive use of alcohol
- Not taking folic acid supplements during pregnancy
- A prior birth of a SGA baby
- Chronic medical conditions, such as kidney failure, diabetes, asthma, lupus, or anemia
- Previous bariatric surgery
- Certain medications
- Certain infections
- Silver-Russell syndrome
- Monitor your baby’s growth progress closely
- Deliver your baby early if the uterus is too small to allow your child to develop or there are problems with the mother’s health or the placenta that are affecting the babies growth
- Treat or try to improve the treatment of any conditions that you have
- Using warming beds or incubators
- Providing tube feedings
- Monitoring oxygen levels
- If you smoke, talk to your doctor about ways to quit.
- If you use drugs or alcohol, ask your doctor to refer you to a treatment program that will help you stop.
- Start prenatal care early and continue throughout pregnancy.
- Keep any chronic condition under good control.
American Pregnancy Association http://americanpregnancy.org
Healthy Children—American Academy of Pediatrics http://www.healthychildren.org
Canadian Paediatric Society http://www.cps.ca
Health Canada http://www.hc-sc.gc.ca
Intrauterine growth restriction (IUGR). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated September 26, 2014. Accessed October 30, 2014.
Intrauterine growth restriction (IUGR); Small for gestational age (SGA). American Pregnancy Association website. Available at: http://americanpregnancy.org/pregnancycomplications/iugr.htm. Updated January 2014. Accessed October 30, 2014.
Small for gestational age. Lucile Packard Children’s Hospital website. Available at: http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/hrnewborn/sga.html. Accessed October 30, 2014.
Small for gestational age babies. Patient UK website. Available at: http://www.patient.co.uk/doctor/small-for-gestational-age-babies. Updated May 28, 2013. Accessed October 30, 2014.
Small for gestational age introduction. The MAGIC Foundation website. Available at: http://www.magicfoundation.org/www/docs/111. Accessed October 30, 2014.
11/19/2013 DynaMed’s Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Roos N, Neovius M, et al. Perinatal outcomes after bariatric surgery: nationwide population based matched cohort study. BMJ 2013;347:f6460.
3/17/2015 DynaMed’s Systematic Literature Surveillance. http://www.ebscohost.com/dynamed: Hodgetts V, Morris R, et al. Effectiveness of folic acid supplementation in pregnancy on reducing the risk of small-for-gestational age neonates: a population study, systematic review and meta-analysis. BJOG. 2015 Mar;122(4):478-490.
- Reviewer: Michael Woods, MD
- Review Date: 03/2015 -
- Update Date: 03/17/2015 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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