Common Obstetric Problems

Failure to thrive in the womb - intrauterine growth restriction (IUGR) (cont.)
The relationship between maternal psychosocial factors, and low birth weight and preterm delivery is not fully understood. Negative mood states such as anxiety, depression, and/or hostility, and rejection of the pregnancy were more likely to be associated with low birth weight. Emotional support, counselling and strengthening of the woman's social network and other efforts to improve self-esteem may help to promote the health of the mother and baby.

Reduced fetal movement
A woman will usually feel her baby move in the womb from about 20 weeks gestation. At first there are plenty of kicks and frequent episodes of activity. As the pregnancy progresses there are less kicks and more general body movements, and the frequency of activity reduces. This is completely normal. The available evidence suggests that many women become concerned by these changes and seek reassurance from their midwife or obstetrician. An ultrasound scan can help reassure the patient that all is well (see scanning in the second half of pregnancy). The outcome for this group of women is as good as the general population of women having a baby. (continued next page)