FACTORES DE RIESGO ASOCIADOS A RETARDO DE CRECIMIENTO INTRAUTERINO EN PACIENTES PRIMIGESTAS DE 17 A 19 AÑOS DE EDAD EN EL HOSPITAL SANTA MARIA DEL SOCORRO

Abstract

Intrauterine / fetal growth restriction (IUGR / FGR) is the most important cause of perinatal morbidity and mortality affecting normal pregnancies in approximately 7-15% or pregnancies complicated with hypertension in up to 30% of cases. Although "small" fetuses with intrauterine growth restriction are described in many ways, specialized literature defines it more commonly as a fetus with an estimated weight below the 10th percentile for its gestational age. Recent fetuses with IUGR are evaluated from a metabolic and vascular point of view, demonstrating that transport and metabolic disturbances occur in these fetuses, even when umbilical blood flow and fetal heart rate are normal. Fetal growth restriction (FGR) is a serious complication of pregnancy in which the fetus does not reach its genetically predetermined growth potential. It is a common condition that affects 5-15% of all pregnancies and is linked to a third of all prenatal deaths. A continuing problem for obstetricians is the difficulty in diagnosing and predicting RFA and those most at risk for poor outcomes. Placental insufficiency is an important cause of FGR and specific abnormalities in the morphology and function of the placenta occur in this condition; constituting a placental phenotype of FGR.