What is NOT typically included in the management of IUGR?

The management of intrauterine growth restriction (IUGR) focuses on monitoring fetal well-being, assessing growth, and determining the optimal timing for delivery if necessary. Frequent weight checks of the mother are not typically a direct component of IUGR management. While maternal nutrition and weight are important for overall pregnancy health, weight alone does not provide specific information about fetal growth or well-being, which is the primary concern in IUGR cases.

In contrast, serial ultrasounds of fetal biometry are essential for tracking fetal growth over time, allowing healthcare providers to assess whether the fetus is continuing to grow appropriately or showing signs of distress. Fetal heart rate monitoring is crucial for evaluating fetal well-being, especially in cases of suspected IUGR, where there might be concerns about the fetus's oxygenation and overall health. Doppler flow assessment of the umbilical artery is also a key tool in IUGR management; it provides information regarding placental blood flow and can indicate whether the fetus is receiving adequate nutrients and oxygen.

Thus, while monitoring maternal weight is part of overall prenatal care, it is not usually a focused aspect of managing IUGR, making it the least relevant choice in this context.