Resumen

LEDEZMA CUBA, Laydi Dayanna; DEL VILLAR VILLARROEL, Max Fernando; SORIA GALVARRO, Nicole Trino  y  GOMEZ WEBBER, Micaela. SEVERE PLACENTARY DYSFUNCTION ASSOCIATED WITH EARLY IUGR. CASE REPORT. Rev. Méd. La Paz [online]. 2025, vol.31, n.1, pp.77-82.  Epub 30-Jun-2025. ISSN 1726-8958.

Intrauterine growth restriction is defined as a fetus that does not reach its growth potential, having a size and weight less than the corresponding one for the gestational age. If it is early, before 32 weeks, it is usually attributed to placental obstructive involvement that restricts the supply necessary for fetal development. On the other hand, placental insufficiency is an anatomical-clinical syndrome developed by extrinsic causes related to the mother (diabetes, toxemia, deficiency states) or intrinsic causes, related to placental senescence.

The case of a 38-year-old patient with a poor obstetric history who was admitted at 20 weeks of pregnancy due to severe oligohydramnios is presented. In search of the cause, routine examinations, immunology and genetic evaluation are performed, ruling out infectious, autoimmune and fetal causes. Of note is the altered Doppler of uterine arteries with a mean IP of 1.6, which indicates greater uterine vascular resistance and a decrease in perfusion through the placenta, which can lead to the development of intrauterine growth restriction and preeclampsia.

Palabras clave : Placental Insufficiency; IUGR; DOPPLER.

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