SZRP (fetal growth retardation syndrome) of 1 degree - a fairly common diagnosis in pregnant women. It is about him that will be discussed in this article. You will learn what the first degree of SZRP during pregnancy is. You can also find out the main characteristics of this condition. It is definitely worth mentioning about which SZRP of the 1st degree has consequences. The causes of the pathology will be presented to your attention below.
What is first degree szrp during pregnancy?
This diagnosis can be made to the expectant mother in the second trimester of expectation of the baby. In most cases, during the next examination and measurement of the height of the uterus, the doctor establishes the fact that the reproductive organ is behind in size. In such cases, the obstetrician may suggest fetal development retardation syndrome (FDS) of degree 1, type 2, or type 3. However, only an additional study can confirm this condition for sure.
SZRP 1 degree - the lag of the size of the future baby from the time limit for no more than two weeks. If this period is longer, then we are talking about other stages of the pathology. So, with the second type of intrauterine growth retardation, its size diverges from the average for three to four weeks. When your baby is more than one month behind, gynecologists talk about the third stage of intrauterine growth retardation.
Fetal growth retardation syndrome is sometimes called other terms. However, their meaning and characteristics are the same. If a degree of SZRP is detected during pregnancy, treatment is indicated in most cases. Before the correction, additional studies are carried out. These include dopplerography, cardiotocography, ultrasound diagnostics in dynamics. Based on the data obtained, appropriate medications are prescribed.
Forms of pathology
SZRP 1 degree can have two different types. It is possible to identify them only during ultrasound. A routine examination cannot provide such details to the doctor and patient. So, intrauterine growth retardation syndrome can be as follows:
- symmetrical shape (in this case, the fetus has a proportional lag in bone size, head and abdomen, growth and weight), this type of intrauterine development occurs in approximately 20-40 percent of cases of this pathology;
- asymmetric appearance (lag occurs uneven, most parts of the body have normal values, while some of them are insufficient), this type of pathology occurs in seventy percent of all cases.
In some cases, the determination of the type of fetal retardation syndrome of the 1st degree may be erroneous. It is worth recalling that this form of pathology has slight discrepancies with standard norms. That is why it is so important to choose a qualified specialist to diagnose this condition.
Delayed development or normal?
Sometimes it happens that the treatment of szrp 1 degree is not carried out. However, this situation has no reason. The consequences in most cases do not arise. At the same time, doctors still make this diagnosis, although in this case it is more likely a hereditary feature.
In some families, all babies are born very small. Such babies simply inherited this feature from mom and dad. If you have been given the above diagnosis, but cardiotocography and dopplerometry are normal, it makes sense to remember how much weight you and your partner were born with.
Pathology development
SZRP 1 degree asymmetric shape or symmetrical form does not appear just like that. The only exceptions are hereditary features. In most cases, there is a reason for the problem. Why does intrauterine growth retardation develop?
The cause of this problem is a violation of the uteroplacental blood flow. At the same time, the baby begins to lack oxygen, vitamins and other nutrients. In most cases, the problem has a gradual development. So, in the second trimester, the baby can lag behind in size by only a few days. By the third part of pregnancy, this period increases to one and a half weeks. A child is born with a lag already in two weeks.
Let us consider in detail the main causes of the appearance of this pathology.
Household and social
To this reason, all bad habits can be attributed. If the expectant mother smokes, drinks alcohol-containing drinks on a regular basis, then for sure her baby gets considerable suffering. It is worth noting that passive smoking and the intake of certain medications have a similar effect. Heavy physical exertion or a passion for professional sports can also play a role.
It is worth considering separately the nutrition of a pregnant woman. Some women are afraid to gain weight very much. That is why they adhere to certain diets and consume low-calorie foods. You can’t do this. A woman in an interesting position should consume up to 2000 calories per day. Expectant mother must eat meat and blood products. Otherwise, the baby simply will not be able to develop correctly and evenly.
The age of a woman in the same way can affect the baby in the womb and cause a delay in its development. It is worth noting that this diagnosis is most often made to expectant mothers under the age of 18. After 36, there is also a risk of intrauterine growth retardation. Stressful situations during pregnancy can have a negative impact on the development of crumbs.
Obstetric causes
SZRP 1 degree (asymmetric or symmetrical form) is often detected in expectant mothers who suffer from gynecological diseases. It is worth noting that they can be congenital or acquired. The first include abnormalities in the development of the genital organ (bifurcation, the presence of partitions, the uterus, and so on). Among the acquired, one can distinguish endometriosis, adenomyosis, the presence of tumors in the ovaries and in the cavity of the muscular organ, and so on.
It is worth saying that future mothers who have had earlier an abortion or spontaneous abortion are more likely to experience a delay in the development of the fetus in the womb. Early onset of sexual activity or underdevelopment of the uterus (early pregnancy) also leads to fetal growth retardation syndrome.
Somatic causes
SZRP 1-2 degrees during pregnancy is often detected with some concomitant problems. These include diseases of the kidneys and liver, heart and circulatory system. Even a stomach ulcer can cause intrauterine growth retardation.
This also includes diseases suffered by a woman while bearing a child. A particularly dangerous period is the first trimester. It is then that the main organs and systems of the baby are formed. A common cold can lead to a disruption and the emergence of SZRP in the future.
Complications
Intrauterine growth retardation syndrome can be caused by problems that appeared directly during pregnancy. In this case, the period of bearing the baby does not matter. Pathology sometimes develops at the very beginning. Also, the problem is likely to appear already at the end of pregnancy.
These reasons include the severe course of toxicosis or gestosis. Polyhydramnios or oligohydramnios, anemia, placenta previa, its heart attacks or cysts - all this can cause the appearance of a syndrome of delayed fetal development. If in the first half of pregnancy there was a detachment of the fetal egg, hematoma or bleeding, then the risk of developing pathology greatly increases.
Pathologies in the formation of the fetus
Sometimes intrauterine growth retardation syndrome occurs due to fetal abnormalities. In this case, we can talk about various deviations, for example, diseases of the thyroid gland, various syndromes, chromosomal abnormalities, the acquisition of intrauterine infections, and so on.
This reason for the occurrence of SZRP causes the most serious consequences, since here we are talking not only about the lag, but also about problems in the baby’s body.
What are the implications of the SZRP?
To answer this question, you need to find out what caused the pathology. If this is a genetic feature, and the baby's parents also had small stature and birth weight, then the consequences usually do not arise. These kids very quickly catch up with their peers. Already in the first three months, children can add from three to six kilograms and grow by ten centimeters. However, if there are reasons for the development of intrauterine delay, then consequences may arise. Consider them.
Premature birth
When the diagnosis shows severe suffering of the baby, doctors prescribe treatment. In most cases, it is carried out within the walls of the hospital. If after a few weeks there has been no improvement, then doctors can convene a consultation at which a decision is made on early delivery. In most cases, this is a cesarean section. It is worth noting that the baby may need appropriate help and certain conditions.
Birth complications
If the pathology is not pronounced, then after the correction, a woman can inform the baby before the due date. However, labor often causes problems. These include fetal asphyxiation , hypoxia, amniotic fluid staining with meconium, infection, and so on. In most of these situations, the child needs urgent medical attention to help avoid the development of irreversible effects.
Future growth and development
The majority of children with SZRP are catching up with their peers in height and weight by the age of two. But this cannot be said about psycho-emotional development. Here the differences are erased only at the age of ten to fifteen years. These children are more emotional and hyperactive, often they are not able to concentrate on one subject for a long time, they study poorly in school and are less likely to succeed in their careers.
Children with this diagnosis often get sick. They are prone to developing diabetes, obesity, lung and heart disease. In order to maximally avoid the development of such health disorders, it is necessary to timely show the child to doctors and carry out the treatment recommended by them.
Summarizing
You have now become aware of the fact that the SZRP 1 degree. You have learned about diagnostic methods and types of pathology. To prevent adverse events, it is necessary to plan a pregnancy. Before conception, be sure to visit a doctor and exclude all factors that may cause this pathology.
If you had to face the diagnosis described above, then do not panic. The nervous tension of the future mother can only aggravate the condition of the growing baby. Trust the doctors and, if necessary, undergo the prescribed treatment. Easy pregnancy and well-being!