الفهرس 
Asymmetrical IUGR (Malnourished babiesOnly 14 pages are availabe for public view
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Abstract
Summary and Conclusion
Intrauterine growth restriction (IUGR) is a major cause of
perinatal mortality and morbidity.
It is noted to affect approximately 5-15 % of pregnant women.
Egypt has one of the highest incidences of IUGR. The incidence of
Intrauterine Growth Restriction (IUGR) varies among countries,
populations, races and increases with decreasing gestational age. 14
to 20 million infants have been affected with IUGR cases in the
developing countries annually.
IUGR may be symmetrical, in which all internal organs are
reduced in size, or asymmetrical, in which the brain is normal in size
but other organs are reduced in size. When growth restriction occurs
in the first and early second trimester it tends to be symmetrical, but
if occurs later in pregnancy it will be asymmetrical.
A complex and dynamic interaction of maternal, placental and
fetal environment is involved in ensuring normal fetal growth. An
imbalance or lack of coordination in this complex system may lead to
IUGR.
The IUGR infant is at risk to develop an intrapartum fetal
distress, hypoglycemia, hypothermia, meconium aspiration, impaired
neurological development, necrotizing enterocolitis and intrauterine
fetal death.
Babies and intrauterine growth restriction (IUGR) have a wide
range of perinatal complications, distinctive hematological
abnormalities including polycythemia, thrombocytopenia and