Concluded Case

Preterm IUGR with oligo with normal Doppler parameters.

Also her Doppler parameters were normal except liquor : moderate oligo AFI 4-5cm.

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Concluded answer
Primi at almost 34 wks beta methad one given Usg shows IUGR with Oligiamnios and not in labour Is she hypertensive or diabetic what’s her colour Doppler findings Better go for CS with good nursery back up
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Primi with 5 weeks IUGR Good, steroids r given. If no contractions then keep her under observation if possible. She can be given duvadilon drip. Natural progesterone. Monitoring for foetal fhs. Rule out UTI,GDM &PIH. Arginine sachets. High protein diet. Usg after 15 days for IUGR & foetal wt,if she doesn't go in active labour.
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ARGININE(ALMINE) SACHET HELPFULL SALT RESTRICTION DIET
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I totally agree with vasundhara mam
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Primi at almost 34 wks beta methad one given Usg shows IUGR with Oligiamnios and not in labour Is she hypertensive or diabetic what’s her colour Doppler findings Better go for CS with good nursery back up
Her BP is normal 120/80mmhg .Also no h/o DM with RBS 110. Her color Doppler findings were normal except oligo AFI 4-5 cm. UCs are absent but on P/V examination 1FL & minimal effacement was present. Any point to prolong pregnancy with tocolytics, Hydrotherapy for a week or so.
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Oligohydramnios with 29 wks GA and IUGR Start with iv fluids, wait and watch for progress. If delivery occurs baby is enough small and will require extracare
No need for termination at present??
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