Fetal growth restriction and small-for-gestational-age infant — case

Case summary

A term male infant is born at 38 weeks to a 31-year-old primigravida whose pregnancy was complicated by pre-eclampsia. Antenatal growth scans showed the estimated fetal weight falling from the 40th to the 5th centile, with absent end-diastolic flow on the umbilical artery Doppler in the last week, prompting induction. Birthweight is 2280 g (below the 3rd centile on an INTERGROWTH-21st chart). He is wasted with a disproportionately large head, loose dry skin and a low Ponderal Index. At two hours of age he is cool and a pre-feed glucose is low after a breastfeed. ^{[1] [3] [6]}