SMALL FOR GESTATION FOETUS vs GROWTH RESTRICTED FOETUS - HOW TO DIFFERENTIATE | DR ALPANA JOSHI

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Learn about small for gestation fetus, growth restriction, percentile abdominal circumference and fetal weight

[@ncprad]

Even if (1) biometry is within normal range and (2) growth velocity is normal (i.e no dropping of centiles), Doppler can still be abnormal (MCA, umb Artery, CPR and uterine artery). And this can be labelled as FGR. Therefore, Doppler MUST be an integral part of every growth scan.

[@IndianRadiologist]

yes ❤️

[@rdc1rdc1]

Not true. The article first talks about SGA Vs FGR. And the doppler criteria are applicable to such fetuses. Deranged doppler in a normal sized fetus will either predispose it to FUTURE growth retardation or will lead to fetal mortality but wont allow fetus to be termed it as FGR on same day. Article looks nice as long as its not misunderstood and used only as reference for certain situations. Based on guidelines, the article promotes more and more usage of doppler, hence more antenatal visits, might lead to more confusion and possibly lead to more apprehension among patients and ultimately more financial burden only on the patients. Till the time such articles become part of standard USG books like Callen or Rumack, it may be good idea to follow them only as reference for certain cases.

[@shruti2884]

​@@IndianRadiologist When calculating doppler percentile we use pog by lmp or usg?

[@liezlrodriguezyummyrecipes1667]

@@IndianRadiologistHello ma'am my baby's told in cass ultrasound that his has short femur and short humerus

[@farihaiqbal7238]

I love to listen to your lectures. May Allah bless you the best of all. Respect from Pakistan.

[@IndianRadiologist]

thanks for watching Fariha and best wishes.. ✌️

[@baidyanathpurbey449]

Excellent presentation, mam , as usual you simplify the subject and give clear concept.Thank u so much mam🙏🙏

[@IndianRadiologist]

thx for watching Baidyanath Purbey

[@babasahebkolhal5100]

Thanks Ma'am for making concept more simple

[@dr.rashmimohril5766]

Very nicely explained. Blessed to have her around.🙏

[@IndianRadiologist]

Thanks a lot 👍

[@ncprad]

Crisp and comprehensive. Thank you.

[@IndianRadiologist]

You're very welcome Nitin ✌️

[@rasheedabdul.t.5152]

Explained a complicated subject in a simple manner 👍

[@Orthokey]

Thanks a lot! this video clearly explained my concern on differentiation of SGA & IUGR!

[@salbz5617]

Beautiful presentation naaam..thank you for the basics

[@virajshah7296]

Amazing lecture 🙏 thank you

[@shashwatpriyadarshi972]

Beautifully explained

[@akshayjoshi548]

Nyc information in easy simple words mam u r great

[@ajayabishek6602]

Very helpful Mam.. thanks a lot🙏

[@Dr_amoljadhav2607]

wow mam.Amazing lecture.Cleared lots of concepts.It will definately help in my practice.

[@compulsiverambler1352]

I was born small, and the nurses assumed I was premature when they saw me, but I was only one week early. I don't have access to any information about my growth in the womb. I am on a waiting list for Genetics, I suspect I have Temple Syndrome. I wish records were kept for everyone, to make it easier to find clues like being SGA for conditions later in life.

[@liezlrodriguezyummyrecipes1667]

How are you now? What height are you now?

[@namratashah6953]

Thank u ma'am for another excellent lecture

[@IndianRadiologist]

It's my pleasure thank u namrata

[@sagarwagle1]

I have always loved Indian Radiologist lectures. Thanks a lot for another great one. It would have been even better if you could have said what the abbreviations means. For someone who is not an OB expert and trying to learn OB US, the alphabet soups are kind of confusing.

[@IndianRadiologist]

Thanks for your comments Sagar Alphabet soup its looking like to us 2 now once u've mentioned it 😊😂 Adding the full form on the TITLE NAME. On poster thumbnail its still not fitting 😔 Thx for watching ❤️ Admin

[@mohdahmad9118]

Another informative lecture ! Thanks a lot mam

[@IndianRadiologist]

thank you✌️

[@ramylast1698]

Nice lecture Thanku mam

[@brutallyhonest27]

Maam , what if EDD in 3rd trimester scan is 2-3 wk disproportionate to EDD by LMP ? Is it that we made mistakes in calculation even after more than one time recording value??

[@snehasissarkar522]

The problem is usg centres don’t mention centile values of various doppler parameters, rather they give numerical values.

[@drektatrivedi4085]

Excellent

[@alvinamalala5996]

Understood thanks❤

[@niyatikumari3428]

Very nice explanation madam. If there is any recent update related to this topic then please inform.

[@kedarnathdixit5756]

Superlative 🙏🙏

[@malinipatil485]

very nice presentation. need to clear one dobt.what if biometry and doppler parameters are normal but growth velocity is decreased when GA

[@premilabenpatel8180]

Absolutely nice explanation Mam I want to ask which charts should we use in India is it intergrowth ,hadlock or local Is there any difference?

[@prakashayya5722]

Thanks🙏 mam

[@malikirshad.rdx9940]

Can u simply define interms of numarical values rather than centile

[@prakashgandhal498]

Madam please guide me I want to information about x-ray computed tomography liquid this liquid have any magnetic resonance for CT Scan machine Or any other uses of this liquid plz guide me. 🙏

[@parthaborah406]

Which centile charts to follow in India..?? Please clarify

[@dralpanajoshi2488]

Machines have charts which are appropriate for asian population

[@KPSinghCardiosonologist]

Ok

[@saurabhpandey3593]

Thank you mam💐

[@jagadeepmr2048]

Thank u . Very nicely explained ..

[@miniworld1123]

Mam if EFW is 14 percentile and AC is 5centile is that also UGR? Or its SGA?

[@mohdahmad9118]

Mam how to label fgr when LMP is not known ?

[@riffatabdulaziz139]

So for the percentile chart you can only follow up a patient if you use 1 specific machine through out the whole pregnancy?

[@jawaharize]

practically its quite difficult to interpretate whether its 3rd centile or 5 th centile..the machine shows just below 10 th centile .in late FGR few articles say to look for MCA instead of umbilical artery as it may be normal in late trimester..give your feed back on this ?

[@dralpanajoshi2488]

In late fgr CPR is looked at for management decisions as umb art may be normal

[@prashantraju6]

@@dralpanajoshi2488 mam can you provide percentile chart or any reference for doppler PI

[@vijayawankhade9886]

Hello mam.. Do u hav any teaching courses

[@RaviKumar-fm4it]

Informative with Excellent explanation mam, as always.....

[@IndianRadiologist]

Thanks a lot

[@SantoshYadav-sq9co]

Hello meri ongoing pregnancy 29.3 wks size (mean gestational age) asymmetric growth is noted as short length of FH/HL FL 27.2wks HL 27.5wks HC 31.1wks Fetal weight 1246 gram +-182 grams Adi 16cm AC 28.5wks please reply it's normal

[@jawariaarshad177]

Plz santosh yadev my brother tell me how is your baby now

[@liezlrodriguezyummyrecipes1667]

How is your baby now,

[@RAMYAramya-kn4uk]

Madam my baby is 15.3 centile in growth scan means my baby is small

[@jawahardr1171]

is there any cut off for doppler age ?around 12 to 20 weeks its quite dfficult to get umbilical and mca doppler ..if we r suspecting early iugr ..wn can we apply doppler ,any specific age by weeks?

[@prateekgupta9272]

Mam which birth weight percentile should we take into account.. the lmp percentile or aua percentile?

[@Allclear415]

Established percentile or LMP percentile. Never AUAU percentile. All depends on first growth at dating scan.

[@BANGSUYOG]

Is IUGR or SGA can be given before 20 wks of gest?

[@dralpanajoshi2488]

Yes fgr can be given but infections genetic etc causes should be ruled out

[@BANGSUYOG]

@@dralpanajoshi2488 thank u mam

[@BANGSUYOG]

Is it possible iugr or sga fetus at 23 wks

[@MukeshKumar-gq4ij]

Very simple method for assesIUGR 1st trem- less than one week of LMP 2nd trem-less than two wks of LMP 3rd trem- less than three wks of LMP 🙏🙏🙏🙏🙏🙏

[@shashwatpriyadarshi972]

Centile concept please

[@IndianRadiologist]

COMING UP SOON!

[@shashwatpriyadarshi972]

You talk about things like below this percentile and above that percentile, but how we will get to know this

[@njscan007]

@@shashwatpriyadarshi972 Through charts.

[@babbybabby931]

Below 3% percentile babies catch up growth

[@liezlrodriguezyummyrecipes1667]

How is your baby now?

[@user-pr2uf4ck9e]

Can we detect late onset FGR in second trimester.. By ear length, mouth, jaw dysmorphic face in anomaly or 3d scan