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Infective Endocarditis Tips

What Are The Possible Ways To Care Of Intrauterine Growth Restriction (IUGR)?

Dr. Rakhi Gupta 92% (66 ratings)
FICOG, FICMCH, FIMSA, MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Delhi
What Are The Possible Ways To Care Of Intrauterine Growth Restriction (IUGR)?

Intrauterine growth restriction is a condition where the foetus is smaller than it should be according to its age because it is not growing at a normal rate inside the uterus. This puts the baby at risk for several dangerous conditions during pregnancy, delivery and post-birth. Some of these are low weight at birth, caesarian delivery, decreased oxygen levels, low blood sugar, low resistance power, breathing problems and low body temperature. IUGR can lead to stillbirth in extreme conditions and to long-term growth problems too. This is the main reason why prenatal birth monitoring is very important.

Causes
IUGR can occur in expecting mothers who have a problem with the placenta. We already know that placenta is the cord of life that joins the mother with the foetus. It provides oxygen and food to the developing baby inside the womb. Apart from this, IUGR can occur if the mother has:

  1. Diabetes
  2. Hypertension
  3. Heart disease
  4. Rubella or syphilis infections
  5. Kidney or lung disease
  6. Malnutrition or anaemia
  7. Twins and triplets also increase the risk for IUGR

The main symptom of IUGR is a small baby for its age in the womb. It may look small and sickly and the placenta is dry and shrivelled.

Management
Dealing with IUGR depends on many factors. Usually, doctors go for a slew of tests to see how the infant is doing. A detailed sonogram is usually performed to look for foetal anomalies. Tests like a urine sample, ultrasound, platelet count and liver function test are also administered to the mother. The mother is put on bed rest to improve blood flow to the foetus and antenatal steroids are prescribed to promote foetal lung maturity. General management also includes treatment of maternal disease like high BP and cessation of substance abuse or alcohol.

For management of IUGR, daily blood pressure measurements, foetal movement profiles, serial ultrasound examinations are important to determine the severity and progression of IUGR. If the situation becomes critical, labour is induced and the baby is delivered by caesarian section.

IUGR can’t be cured and can only be managed so it’s best to prevent it in the first place by keeping all of your prenatal appointments. You must be aware of your baby's movements. If your baby is not moving much or stops suddenly, you should rush to your doctor. You must also not take any medicine without consulting your doctor during pregnancy. Eat healthy and rest fully to have a risk free birth and last, but not the least, stay away from drugs, alcohol and smoke, even second hand, for the health of your baby.

5 people found this helpful

Sleep Apnea - 7 Ways it Can Be Treated!

MS - ENT, MBBS
ENT Specialist, Delhi
Sleep Apnea - 7 Ways it Can Be Treated!

Sleep apnea is a potentially dangerous sleep disorder in which you stop and start breathing frequently while you are sleeping. Symptoms of sleep apnea often include loud snoring and fatigue even if you sleep uninterrupted through the night. Obesity and age are the common risk factors of sleep apnea.

The most common type of sleep apnea is obstructive sleep apnea, in which the throat muscles contract and relax while you are asleep. The other type of sleep apnea, called central sleep apnea, usually occurs in people who have been diagnosed with brain tumors, infections or heart failure, or have had a stroke.

Treatment of sleep apnea includes:

  1. CPAP: The Continuous Positive Airway Pressure (CPAP) device is generally recommended in the treatment of sleep apnea. CPAP is a breathing machine that stops your airways from getting blocked when you are sleeping. The CPAP device is normally the size of a tissue box. It comes with a mask that you put over your mouth and nose. The machine attached to the mask pumps a continuous flow of air that keeps your airways clear as you sleep.
  2. BPAP: The Bilevel Positive Airway Pressure (BPAP) device is used as an alternative to the CPAP device, if you find it hard to adjust to the CPAP. If you have a weak pattern of breathing, the BPAP can be helpful.
  3. ASV: The Adaptive Servo-ventilation (ASV) device is used to treat both central and obstructive sleep apnea.
  4. Treatment for other medical conditions: Sometimes sleep apnea can be caused by underlying health conditions. Problems such as rhinitis (nasal passage inflammation) and hypothyroidism (underactive thyroid gland) can cause sleep apnea. In such cases, your doctor needs to diagnose these conditions first before treating your sleep apnea.
  5. Lifestyle changes: Excessive weight sometimes can cause sleep apnea; so losing excessive weight should be a priority. Also, alcohol and tobacco can contribute to your symptoms, so try avoiding those.
  6. Medication: Usually, doctors do not prescribe any medicine, since sedatives and sleeping pills actually worsen sleep apnea. But, in case of sleep apnea in children, doctors typically suggest intra nasal corticosteroid medicine to treat the symptoms.
  7. Surgery: Surgeries to increase the size of your airway or to remove your adenoids, tonsils or extra tissues in the rear of your throat or your nose can prove helpful. If you wish to discuss about any specific problem, you can consult a doctor.
3893 people found this helpful
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