ASYMMETRIC IUGR
Ultrasound parameters show head sparing, but abdomen is small.
Etiology is decreased placental perfusion due to chronic maternal diseases
(hypertension, diabetes, SLE, cardiovascular disease) or abnormal
placentation (abruption and infarction).
Amniotic fluid index is often decreased, especially if uteroplacental
insufficiency is severe.
Monitoring is with serial sonograms, non-stress test, amniotic fluid index,
biophysical profile, and umbilical artery Dopplers.