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The fetus should be monitored continuously during labor to minimize fetal hypoxia.

Fetal growth is dependent on genetic, placental and maternal factors.

The fetus is thought to have an inherent growth potential that, under normal circumstances, yields a healthy newborn of appropriate size.

The maternal-placental-fetal units act in harmony to provide the needs of the fetus while supporting the physiologic changes of the mother.

The causes of both can be intrinsic or environmental.

The most widely used definition of IUGR is a fetus whose estimated weight is below the 10th percentile for its gestational age and whose abdominal circumference is below the 2.5th percentile.

At term, the cutoff birth weight for IUGR is 2,500 g (5 lb, 8 oz).

An error that is commonly made is to change a patient's due date on the basis of a third-trimester ultrasonogram. IUGR is usually classified as symmetric and asymmetric.

Symmetric growth restriction implies a fetus whose entire body is proportionally small.

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