Fetal growth requires the correct balance of nutrients, oxygen, and gr
owth factors operating under the direction of a genetic plan modified
by maternal factors. The classic hormones of postnatal growth play dif
fering roles with alternative controls compared to those after birth.
The study of conditions of abnormal fetal growth illuminates the mecha
nism of normal fetal growth. It is now apparent that abnormal birth we
ight leads to long-term consequences.