scholarly journals Maternal socio-demographic determinants and fetal outcome of intrauterine growth restriction

2018 ◽  
Vol 7 (9) ◽  
pp. 3843
Author(s):  
Arpita Singh ◽  
Ambujam K.
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Maternal Risk ◽  
Intrauterine Growth ◽  
Factors Associated ◽  
Increased Risk ◽  
Uterine Growth ◽  
Intra Uterine Growth Restriction

Background: Intrauterine Growth Restriction is a major neonatal health issue. It is associated with increased risk of perinatal morbidity and mortality. Maternal factors are the major contributing factors of IUGR and studying these factors can help in preventing IUGR and reducing perinatal mortality. The objective is to study the maternal sociodemographic risk factors associated with Intra uterine growth restriction.Methods: This is a Case-control study conducted in the Department of Obstetrics and Gynaecology, GMC Thrissur. 115 cases of Intra Uterine Growth Restriction were compared to 115 controls. Data was collected by interviewing the mother using structured questionnaire which is pretested and by persual of antenatal records. Intra Uterine Growth Restriction is defined as occurring if the sonographic estimated fetal weight <10th percentile for that gestational age. Chi Square test was used for the analysis of data.Results: Low socio-economic status and malnutrition (BMI<18.5) were significant socio-demographic factors associated with fetal growth restriction. Mean birth weight in IUGR group was 1.8kg compared to 2.9kg in control group. Female fetuses were more commonly associated with IUGR. Intra Uterine Growth Restricted babies had lower Apgar scores (<7) and had more chances for NICU admission.Conclusions: By studying the maternal risk factors associated with Intra Uterine Growth Restriction, we could identify the high-risk group. Early predictive studies could be done in these high-risk pregnancies with focus on good antenatal care to reduce the problem of IUGR in the community.

scholarly journals Maternal and Placental Risk Factors associated with Intrauterine Growth Restriction and the Perinatal Outcomes

2015 ◽  
Vol 7 (3) ◽  
pp. 176-181 ◽  
Author(s):  
Valsa CA Thekkedathu
Keyword(s):  
Risk Factors ◽  
Statistical Analysis ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcomes ◽  
Growth Restriction ◽  
Chronic Hypertension ◽  
Maternal Risk ◽  
Intrauterine Growth ◽  
Factors Associated ◽  
The Impact

ABSTRACT Objectives Identifying the factors responsible for the intrauterine growth restriction (IUGR) is very important, so that early interventions could be suggested to improve the perinatal outcome. The major objectives of this study are to analyze the impact of risk factors, specifically the maternal and placental risk factors, on IUGR and the perinatal outcomes. Materials and methods A prospective study was done on 60 women with IUGR pregnancies from January 2013 to January 2014, at Pushpagiri Medical College Hospital, Thiruvalla. Inclusion criteria were: singleton pregnancies, above the gestational age of 28 weeks, clinically diagnosed IUGR and confirmed subsequently on ultrasound. The statistical analysis was performed utilizing Statistical Package of the Social Sciences (SPSS) software and the significance level of p-value < 0.05 was accepted as statistically significant. Results Statistical analysis shows that maternal risk factors like chronic hypertension, pre-eclampsia, low socioeconomic status of mother, overt diabetes, anemia, gestational diabetes mellitus, low prepregnancy body mass index and hypothyroidism were significantly associated with IUGR. In this study, placental factors like chorangiomatosis, increased syncytial knotting, villous infarction, increased perivillous fibrinoid deposition, accelerated villous maturation, retroplacental hemorrhage and acute chorioamnionitis were significantly associated with IUGR. Conclusion Alertness toward antenatal risk factors for poor pregnancy outcome is important for the optimal management of IUGR pregnancies. Despite antenatal recognition of IUGR and associated risk factors, not all perinatal deaths can be prevented. How to cite this article Thekkedathu VCA. Maternal and Placental Risk Factors associated with Intrauterine Growth Restriction and the Perinatal Outcomes. J South Asian Feder Obst Gynae 2015;7(3):176-181.

scholarly journals Maternal risk factors associated with intrauterine growth restriction: hospital based study

2016 ◽  
Vol 4 (12) ◽  
pp. 2125-2129 ◽  
Author(s):  
Dr. Neetika Ashwani ◽  
◽  
Dr. Aruna Rekha Neela ◽  
Dr. Suresh Babu Mendu ◽  
Dr. Suresh C. Kumar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Intrauterine Growth ◽  
Factors Associated

Risk Factors for Intrauterine Growth Restriction: 9 Years Analysis in Tertiary Care Hospital

2019 ◽  
Vol 2 (1) ◽  
pp. 77-82
Author(s):  
Abha Shrestha ◽  
N Pradhan ◽  
B Kayastha
Keyword(s):  
Risk Factors ◽  
Intrauterine Growth Restriction ◽  
Tertiary Care ◽  
Adult Life ◽  
Growth Restriction ◽  
Optimal Time ◽  
Care Hospital ◽  
Singleton Pregnancy ◽  
Maternal Risk ◽  
Intrauterine Growth

Background: Intrauterine growth restricted (IUGR) fetuses are at higher risk of developing neonatal complications and also known to develop metabolic syndrome in adult life. So, an early antenatal detection, choosing the optimal time and method of delivery and intervention when required could minimize the risk significantly. Objective: To find out the prenatal outcome and the maternal and placental risk factors. Methods: A prospective study was conducted from January 2010 to January 2019, at a Teaching Hospital. 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) 23.0 software. Results: Maternal risk factors like low pregnancy body mass index, preeclampsia, anaemia, hypothyroidism and placental factors like retro placental hemorrhage were mainly responsible for intrauterine growth restriction. Conclusions: The early identification of risk factors and management of the same antenatal is an important issue to prevent adverse prenatal outcomes associated with IUGR.

scholarly journals An Ovarian Dermoid Cyst in Pregnancy: A Rare Cause of Intrauterine Growth Restriction

Med Phoenix ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 75-78
Author(s):  
Rubby Das ◽  
Subrina Rajbhandari
Keyword(s):  
Dermoid Cyst ◽  
Intrauterine Growth Restriction ◽  
Fetal Distress ◽  
Ovarian Tumour ◽  
Growth Restriction ◽  
Intrauterine Growth ◽  
Antenatal Period ◽  
Uterine Growth ◽  
Intra Uterine Growth Restriction ◽  
Ovarian Dermoid Cyst

The most common ovarian tumour presenting during pregnancy are dermoid cysts, usually present in the second trimester. Mostly dermoid cysts are diagnosed during ultrasound in antenatal period. We report a case of large unilateral dermoid cyst which was missed in all USG done in antenatal period but diagnosed intra-operatively while performing caesarean section for Intra uterine growth restriction (IUGR) with fetal distress. Ovarian cystectomy was done and remaining ovarian tissues were preserved. The large dermoid cyst hampered the proper growth of the fetus in utero leading to IUGR and fetal distress. Ovarian dermoid cyst in antenatal period, a rare cause of IUGR and its successful management prompted us to report this case.

scholarly journals Monochorionic twin pregnancies increases perinatal risk and is a high risk factor of selective intrauterine growth restriction

2019 ◽  
Author(s):  
Jie Chen ◽  
Yue Lian Yang
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
High Risk ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Prenatal Health ◽  
Monochorionic Twin ◽  
Intrauterine Growth ◽  
High Risk Factor ◽  
Twin Pregnancies

Abstract Background Twins pregnancy can cause a lot of disease, especially monochorionic twin pregnancies, the prenatal infant will have many diseases and have high mortality rate. According to analysis and compare of the twin pregnancy, especially pregnant woman and puerpera’s situation and complication and baby’s situation; we hope we can find the reason which causes the fetus growth restrain of monochorionic twin pregnancies. So we can provide some reference for the prenatal health care, complication prevention and prenatal outcome. Methods We divided 489 cases of twin pregnancies into two groups: monochorionic twin and dichorionic twin and compared the clinical features of them. At last, we used the logistic regression analysis method to analyze the risk factors of selective intrauterine growth restriction(sIUGR). Results The incidences of premature rupture of membranes and sIUGR were significant higher in monochorionic twin and twin-twin transfusion syndrome (TTTS) only exists in monochorionic twin. The weight of the newborn babies(both big and small babies)were significant lower in Monochorionic twin. The neonatal transfer rate was significant higher in monochorionic twin. Gestational weeks and weight of newborn babies are the high risk factors of sIUGR. Conclusions The type of chorion has a great influence to the pregnant period and the ending of maternal women. Monochorionic is a high risk factor of the sIUGR, which means that the main cause of sIUGR is from placenta, so it is a kind of “placental origin disease”.

scholarly journals INTRAUTERINE GROWTH RESTRICTION : AN UPDATE

2004 ◽  
Vol 43 (154) ◽  
Author(s):  
Pushpa Chaudhary
Keyword(s):  
Intrauterine Growth Restriction ◽  
Fetal Monitoring ◽  
Volume Estimation ◽  
Growth Restriction ◽  
Fetal Biometry ◽  
Intrauterine Growth ◽  
Doppler Study ◽  
Uterine Growth ◽  
Intra Uterine Growth Restriction ◽  
Dedicated Team

Intrauterine growth restriction [IUGR] is one of the leading cause of perinatal mortality and morbidity.Antenatal fetal surveillance should be focused to identify intra uterine growth restriction and intervenetimely. Screening begins with identifying pregnant women at risk of carrying growth restricted fetuses.Ultrasonic fetal biometry, amniotic fluid volume estimation and Doppler study of fetal blood flow velocityplay a valuable role in screening as well as management of IUGR. There is no promising antepartum fetaltherapy to correct IUGR. Therefore intensive fetal monitoring, which may be limited by facilities available,is suggested to time the delivery of growth restricted fetuses. Further care in a well equipped neonatal unitby dedicated team of pediatrician and nurses and appropriate follow up of these growth restricted newbornsdetermines the overall outcome.Key Words: Intrauterine growth restriction, Etiology, Screening, Diagnosis, Management.

scholarly journals Factores de riesgo asociados a retraso del crecimiento intrauterino

2021 ◽  
Vol 2 (5) ◽  
pp. 6423-6440
Author(s):  
Ricardo Salas Flores ◽  
Brian González Pérez ◽  
Verónica Olvera Mendoza ◽  
Raúl de León Escobedo ◽  
Hebert Huerta Martínez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
Intrauterine Growth Restriction ◽  
Growth Restriction ◽  
Maternal Risk ◽  
Intrauterine Growth ◽  
Linear Association ◽  
Factores De Riesgo ◽  
Clinical Records ◽  
Hospital General

INTRODUCCION: El crecimiento de un feto se considera restringido si el peso es dos desviaciones estándar menor que el de la media correspondiente a su edad gestacional, está por debajo del percentil 3 para su misma edad gestacional, o se estanca, es decir, no alcanza el tamaño que le corresponde por su potencial biológico. OBJETIVO: Identificar los factores de riesgo asociados con la restricción del crecimiento intrauterino en recién nacidos vivos. METODOS: Estudio observacional, descriptivo, transversal y retrospectivo. Se revisaron los expedientes clínicos  de madres cuyo producto haya nacido vivo con un peso igual o menor a 2500 gramos en el periodo comprendido de Enero del 2012 a Diciembre del 2013, en el Hospital General Regional N° 6 (HGR#6) del IMSS. El análisis de los datos obtenidos se llevó a cabo mediante regresión lineal, estadística descriptiva y mediante medidas de tendencia central, para variables continuas, variables categóricas, porcentajes y frecuencias. RESULTADOS: El análisis estadístico realizado demostró una asociación lineal significativamente fuerte de 94 %  entre las anormalidades placentarias y el RCIU (p=0.000) IC 95%, DE 127.9-425.0. Así mismo existe asociación lineal moderada entre la Hipertensión arterial crónica y RCIU en un 47% (p= 0.013) IC 95%  DE 25.9-205.5 CONCLUSIONES: Los factores de riesgo maternos son los que se asocian con mayor frecuencia a RCIU en recién nacidos vivos del HGR #6 del IMSS.   INTRODUCTION: The growth of a fetus is considered restricted if the weight is two standard deviations less than that of the mean corresponding to its gestational age, is below the 3rd percentile for the same gestational age, or is stagnant, that is, it does not reach the size that corresponds to it due to its biological potential. OBJECTIVE: To identify the risk factors associated with intrauterine growth restriction in live newborns. METHODS: Observational, descriptive, cross-sectional and retrospective study. The clinical records of mothers whose product was born alive with a weight equal to or less than 2500 grams in the period from January 2012 to December 2013 were reviewed at the Hospital General Regional N ° 6 (HGR # 6) of the IMSS. The analysis of the data obtained was carried out using linear regression, descriptive statistics and measures of central tendency, for continuous variables, categorical variables, percentages and frequencies. RESULTS: The statistical analysis performed showed a strong significant linear association of 94% between placental abnormalities and intrauterine growth restriction (IUGR) (p = 0.000) 95% CI, SD 127.9-425.0. Likewise, there is a moderate linear association between chronic arterial hypertension and IUGR in 47% (p = 0.013) 95% CI SD 25.9-205.5 CONCLUSIONS: Maternal risk factors are those most frequently associated with IUGR in live newborns from HGR # 6 of the IMSS.

scholarly journals Analysis of frequency and risk factors for intrauterine growth restriction

2017 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Abha Shrestha
Keyword(s):  
Risk Factors ◽  
Intrauterine Growth Restriction ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Adult Life ◽  
Growth Restriction ◽  
University Hospital ◽  
Singleton Pregnancy ◽  
Maternal Risk ◽  
Intrauterine Growth

<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>

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