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Intrauterine growth restriction
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==Causes== IUGR is caused by a variety of factors; these can be fetal, maternal, placental or genetic factors.<ref name=":5">{{cite journal|last1=Sharma|first1=Deepak|last2=Shastri|first2=Sweta|last3=Sharma|first3=Pradeep|date=2016|title=Intrauterine Growth Restriction: Antenatal and Postnatal Aspects|journal=Clinical Medicine Insights. Pediatrics|volume=10|pages=67β83|doi=10.4137/CMPed.S40070|issn=1179-5565|pmc=4946587|pmid=27441006}}</ref> ===Maternal=== * Pre-pregnancy weight and nutritional status * Poor weight gain during pregnancy * [[Malnutrition]] * [[Anemia]] * Substance use: smoking, alcohol, drugs including marijuana or cocaine * Medication: warfarin, steroids, anticonvulsants * Inter-pregnancy interval of less than 6 months * [[Assisted reproductive technology|Assisted reproductive technologies]] * [[diabetes mellitus|Pre-gestational diabetes]] * [[Gestational diabetes]] * Pulmonary disease * Cardiovascular disease * Kidney disease * [[Hypertension]] * [[Celiac disease]] increases the risk of intrauterine growth restriction by an [[odds ratio]] of approximately 2.48<ref name=SacconeBerghella2015>{{cite journal|vauthors=Saccone G, Berghella V, Sarno L, Maruotti GM, Cetin I, Greco L, Khashan AS, McCarthy F, Martinelli D, Fortunato F, Martinelli P|title=Celiac disease and obstetric complications: a systematic review and meta-analysis |journal=Am J Obstet Gynecol |volume=214|issue= 2|pages= 225β34|date= October 9, 2015 |pmid=26432464|doi=10.1016/j.ajog.2015.09.080|hdl=11369/330101|hdl-access=free}}</ref> * Subclinical hypothyroidism<ref>{{Cite journal|last1=Tong|first1=Zhao|last2=Xiaowen|first2=Zhang|last3=Baomin|first3=Chen|last4=Aihua|first4=Liu|last5=Yingying|first5=Zhou|last6=Weiping|first6=Teng|last7=Zhongyan|first7=Shan|date=2016-05-01|title=The Effect of Subclinical Maternal Thyroid Dysfunction and Autoimmunity on Intrauterine Growth Restriction: A Systematic Review and Meta-Analysis|journal=Medicine|volume=95|issue=19|pages=e3677|doi=10.1097/MD.0000000000003677|issn=1536-5964|pmc=4902545|pmid=27175703}}</ref> * [[Thrombophilia|Blood clotting disorder/disease]] (e.g., [[Factor V Leiden]]) ===Uteroplacental=== * [[Preeclampsia]] * [[Multiple birth|Multiple gestation]] * [[uterus|Uterine]] malformations * [[Placental insufficiency]] ===Fetal=== * [[Chromosome|Chromosomal abnormalities]] * [[Vertically transmitted infection]]s: TORCH, [[Malaria]], congenital HIV infection, [[Syphilis]] * [[Erythroblastosis fetalis]] * [[Congenital abnormalities]] === Genetic === * Placental genes * Maternal genes: Endothelin-1 over-expression, Leptin under-expression * Fetal genes
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