Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of suspected IUGR. Current gestational age [GA] weeks by [LMP/EDD]. Reports [stable/decreased] fetal movement. No history of vaginal bleeding, leakage of fluid, or uterine contractions. Maternal comorbidities include [HTN/Pre-gestational DM/Autoimmune/Other]. Serial ultrasound measurements indicate EFW <10th percentile for gestational age.
Clinical Examination Findings
Fundal height measured at [X] cm, which is [concordant/discordant] with gestational age. Fetal heart rate [FHR] is [baseline] bpm with [reactive/non-reactive] tracing. Leopold maneuvers reveal [fetal lie/presentation]. Maternal blood pressure [BP] is [value] mmHg. Edema [present/absent].
Treatment Protocol
Plan: 1. Serial growth ultrasounds every 2-4 weeks. 2. Weekly BPP and/or umbilical artery Doppler velocimetry. 3. Maternal assessment for preeclampsia and fetal aneuploidy/infection if indicated. 4. Consider low-dose aspirin [81mg] if high risk. 5. Corticosteroid administration for fetal lung maturity if delivery is anticipated before 34 weeks. 6. Delivery timing based on Doppler findings and gestational age.