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Less common causes include intrauterine infections such as cytomegalovirus and rubella, and congenital anomalies such as trisomy 21 and trisomy 18.When IUGR is recognized, it is important to attempt to correct reversible causes, although many of the conditions responsible for IUGR are not amenable to antenatal therapy.This FAQ covers ultrasound information and issues specific to women of size.Big moms are STRONGLY urged to read the FAQ on Ultrasound Safety and Accuracy BEFORE reading this FAQ, so that they can better understand the benefits and risks of ultrasounds before reading about their implications in women of size.Close fetal surveillance with delivery before 38 weeks of gestation is usually recommended.Some infants born with IUGR have cognitive and medical problems, although for most infants the long-term prognosis is good.

However, since they may be at a somewhat increased risk for problems like neural tube defects, they also face greater pressure than others to have these prenatal tests, even though the tests are often difficult to interpret.Serial ultrasonograms are important for monitoring growth restriction, and management must be individualized.General management measures include treatment of maternal disease, good nutrition and institution of bed rest.This section is an attempt to present an overview of the most basic prenatal tests most pregnant women in the US are pressured to have, including Ultrasounds, the AFP/Triple Screen Test, Gestational Diabetes tests, and under certain conditions, Amniocentesis.It is further designed to address the special concerns that large women might have in taking these tests---their fears, any special equipment or techniques that might be helpful, the controversies over interpretation of results, whether large women have a higher rate of so-called 'false-positives' on certain tests and why, etc.

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