Analysis of frequency and risk factors for intrauterine growth restriction

Abstract

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Intrauterine growth restricted (IUGR) fetuses are at greater risk of developing fetal hypoxia, neonatal complications, impaired neurodevelopment, and also neonatal intensive care unit stay and neonatal mortality. They are also known to develop metabolic syndrome in adult life. So, the main objective of this study was to find out the frequency of intrauterine growth restriction, to identify the maternal and placental risk factors associated with intrauterine growth restriction and its perinatal outcome amongst pregnant women attending the Obstetric Outpatient Department in Dhulikhel Hospital, Kathmandu University Hospital</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A prospective study was conducted from June 2011 to June 2017, at Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal. A singleton pregnancy, above 28 weeks of gestation with clinical diagnosis of IUGR and confirmed by ultrasonography were included in the study. The statistical analysis was performed by Statistical Package of Social Sciences (SPSS) 20.0 software. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Maternal risk factors like preeclampsia, anaemia, low pregnancy body mass index and placental factors like retroplacental hemorrhage were mainly responsible for intrauterine growth restriction</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Antenatal risk factors responsible for IUGR are important for the management of IUGR pregnancies and to prevent adverse perinatal outcome. </span></p>

DETERMINANTS OF THE INCIDENCE OF LOW BIRTH WEIGHT IN SMALL FOR GESTATIONAL AGE (SGA) AND APPROPRIATE GESTATIONAL AGE (AGA) IN RSUD Dr. M YUNUS BENGKULU

“…The findings showed that preeclampsia had a significant risk of increasing the SGA by 7.43 times compared to mothers who did not experience preeclampsia. It is also strengthened by the research of Shrestha (2018), which showed that maternal factors, the condition of preeclampsia, had a significant and robust relationship with the incidence of IUGR. Placenta previa is a condition where there is an abnormality in the implantation of the placenta that can partially or wholly cover the internal uterine os (OIU).…”

Risk Factors and Short Term Morbidities Associated With Term-Small for Gestational Age Babies Delivered at Nepalgunj Medical College

“…23 In the present study, other maternal risk factors contributing to SGA babies were observed and according to Shrestha et al hypothyroidism contributing to IUGR were 5%. 20 Mandhar et al found the other maternal risk factor causing IUGR were chronic renal disease, rheumatic disease, uterine anomaly, obstetric cholestasis, antiphospholipid antibodies(APLA) and chemotherapy. 21 The 107(33.12%) babies suffered from some forms of neonatal complications.…”

Factors Leading to Intra Uterinegrowth Restriction in Termneonates

“…Fetal factors include aneuplodies. As effective screening measures have not yet been established, these clinical criteria have, nevertheless, demonstrated a distinct impact for each unique instance and their relevance [8].The various factors leading to IUGR were BMI<18.5kg/m 2 was found in 22 (36.7%). IUGR was observed in10(16.7%) of smoking mothers [9].…”

“…IUGR was observed in10(16.7%) of smoking mothers [9]. Preeclampsia was found in 38(19.2%), anemia in 35(17.7%), gestational diabetes mellitusin12(6.06%), hypothyroidism in 10(5.05%) and retroplacental clot was found in28(14.4%) [10].…”