[Momnet Feature] When some pregnant mothers have a B-ultrasound examination, if the result is too small, the doctor will suggest "nutrition injection". No matter what you eat, the weight of the pregnant mother is normal. How can I eat it? The fetus is not long? "Fat mothers don't fat tires" why?
The knowledge explosion in this issue will popularize knowledge related to "fetal growth restriction". Let’s take a look at the news that a 240-jin mother gave birth to a 2.6-jin baby.
, a mother weighing 240 kilograms and 1.65 meters tall, gave birth to a baby girl weighing only 2.6 kilograms after 7 and a half months of pregnancy! Nurse
introduced: "When she was first born, the baby girl weighed more than 1,300 grams, only a little over one kilogram, and her body length was as long as one and a half palms of an adult. Now she has a normal physiological weight loss and weighs 1270 grams."
Don't think the little guy is very compact, but her mother is a "fat girl" of 240 pounds! This mother
is 25 years old. She was very plump before pregnancy. She developed high blood pressure after pregnancy, protein also had three plus signs, and her body was swollen. The doctor said that when the expectant mother came for the check-up, she found that the fetus was developing very slowly. The head circumference of a normal fetus over 7 months should be 8 cm, but this fetus is only about 7 cm. This is because the position of the little guy in the uterus is not very good, the mother's placenta is prefronted, and the fetus is on the edge of the placenta. It is very difficult to absorb nutrients, and all of them are absorbed by the mother. Coupled with oligohydramnios, not only the child is at risk of suffocation during delivery, but the mother is also at risk of postpartum hemorrhage and removal of the uterus. Dr.
has formulated a series of fetal protection measures for the mother-to-be, which provides a lot of nutrition for the little guy and helps her mature as soon as possible. After the last seven and a half months of pregnancy, the "pocket" baby was born smoothly, and everything was safe for her mother.
Why is mother so fat, yet giving birth to such a thin baby? "Fat mothers don't have fat fetuses". In medical terms, this situation is called "fetal growth restriction". This knowledge explosion will show you why there is a "fetal growth restriction" in popular science.
What is fetal growth restriction?
Fetal growth restriction (FGR), also known as intrauterine growth restriction (IUGR), means that the fetus is affected by various unfavorable factors and does not reach the growth rate that ta should have (abnormal fetal size). The birth weight of a full-term fetus is less than 2500g, while a non-term fetus is expressed as two standard deviations below the average weight of the same gestational age, or below the 10th percentile of the normal weight of the same gestational age Number (this calculation method, only professional doctors can calculate and judge.) What are the reasons for
causing fetal growth restriction?
The factors affecting fetal growth, including maternal nutrition, placental transfer and fetal genetic potential, have complex causes. The cause of about 40% of patients is not clear. The main risk factors are:
1. Pregnant women factors
1) Nutritional deficiency: pregnant women have partial eclipse, hyperemesis during pregnancy, and insufficient intake of protein, vitamins and trace elements.
Mom circle netizen ***:
I was hospitalized twice because of pregnancy reaction, dripping did not enter, and because of hyperemesis, the stomach hurts for more than eight hours every day, and the throat is vomiting blood. In order to let the baby develop nutrition, I have been in the hospital. Get a nutritional shot! The hospital hangs on vitamins and the like, which will not affect the baby!
2) Pregnancy complications and complications: complications such as hypertension during pregnancy, multiple pregnancy, placenta previa, abruption of placenta, prolonged pregnancy, intrahepatic cholestasis of pregnancy, etc., complications such as heart disease, chronic hypertension , Nephritis, anemia, antiphospholipid antibody syndrome, etc., can reduce placental blood flow and perfusion.
mom circle netizen Qiu ** meaning:
I have pregnancy-induced hypertension. I found out in the last month that the child was only four catties due to pregnancy-induced hypertension in the last month.
mom circle netizen angel**:
found preeclampsia during the 35-week birth check. After nine days of hospitalization in the local hospital, the blood pressure was basically controlled. After a series of tests, it was found that the urine protein was 3+, and the hospital was also sick. The notice was repeated. Three days later, the doctor notified a caesarean section. The delivery process was very stressful. Finally, she gave birth to a baby girl at 37 weeks, only 4 kilograms, which looked much smaller than other children! But fortunately, the girl is upbeat, all indicators are very healthy!
3) Others: uterine malformations, smoking, drug abuse, alcohol abuse, intrauterine infection, maternal exposure to radiation or toxic substances, etc.
mom circle netizen pregnant**Month:
baby is born, born on Christmas Eve, four catties and two or two. Because I am a mediastinal uterus, the baby is not big and weighs lighter. Because it was too small, I kept it in the incubator for 7 days.
2. Fetal factors
studies have confirmed that growth hormone, insulin-like growth factor, leptin and other substances that regulate fetal growth are reduced in cord blood, which may affect fetal endocrine and metabolism. Fetal genetic or chromosomal abnormalities and congenital developmental abnormalities are often accompanied by fetal growth restriction.
Mom circle netizen w** Xu:
My previous baby was two weeks old when it was 37 weeks old. First, he brought nutrient water to go home and hanged it. Later, he was hospitalized for abortion after being rechecked for four weeks. Fetal heart, baby is gone! After the body recovered, I went to the hospital to check my body, and it was found out that I needed immune antibody treatment. In this way, I spent nearly 20,000 yuan in total.
3. Placental factors
various pathological changes of the placenta lead to reduced blood flow in the uterus and placenta, and insufficient blood supply to the fetus.
mom circle netizen QdGirlbao:
I went to the city to do 4D for women and children the day before yesterday, but it was too small for two weeks. The doctor asked me to do b-ultrasound three weeks later. I am a racket-shaped placenta. The root of the umbilical cord is too thin), twisted umbilical cord, knotted umbilical cord, etc.
Mom circle netizen DD**:
I am quite fat, but because my husband and I are both short, the doctor discovered that the baby was small, we thought it was genetic, but later the baby was severely hypoxic and had a laparotomy After that, the umbilical cord was twisted. The baby is less than 5 pounds. The doctor said that because the umbilical cord spins too many circles, it affects the nutrition transportation, so I am so fat and the baby is so small.
Once the fetus is small, what should I do?
1. Determine the cause and treat according to the cause.
2. Except for fetal malformations.
3. General treatment
(1) Resting on the left side can restore normal renal blood flow and renal function, thereby improving blood flow to the uterus and placenta and promoting fetal growth and development.
(2) Eliminate the leading factors that cause FGR, such as stopping smoking, drinking, and changing bad eating habits such as partial eclipse.
(3) Nutritional therapy includes high-protein, high-energy diet nutrition and intravenous drip nutrition therapy. Combination therapy with compound amino acids, compound salvia and vitamin C. (That is, nutritional injections we often say)
4. After treatment, monitor fetal growth and intrauterine safety
(1) No stress test once a day, and oxytocin stimulation test if necessary.
(2) Regular ultrasound monitoring of fetal growth, amniotic fluid status and placental maturity.
5. Timely termination of pregnancy
is not effective in treating FGR with pregnancy complications or complications, and has poor placental function. Although the pregnancy has not reached 37 weeks, pregnancy needs to be terminated. Amniotic fluid should be performed to check fetal lung maturity, and dexamethasone should be given to promote fetal lung maturity, and the method of induction of labor should be determined according to cervical conditions. If the function is low and the fetus has severe intrauterine hypoxia, cesarean section should be considered.
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