Prevalence of Intrauterine Growth Retardation on Antenatal Ultrasound Scan in Lahore, Pakistan (original) (raw)
Related papers
National Journal of Community Medicine, 2012
Objectives: To study the maternal determinants of intrauterine growth retardation among cases admitted for delivery in Bundelkhand Medical College, Sagar. Methods: A Case-control study was conducted in the year January 2010 to December 2010 in Bundelkhand Medical College (BMC) Sagar M.P. The participants included mothers who underwent normal delivery in BMC Sagar. Mother's age, parity, maternal height, maternal weight, body mass index, hemoglobin level during pregnancy, birth weight of the baby were considered as study variables. Intrauterine growth retardation was taken as outcome variable. Chi square test. OR's with 95% CI was used as the method of statistical analysis. Results: Significant risk factors identified in univariate analysis included maternal height (<145 cm s.), maternal weight (<45 kg s.), body mass index (<18.5) and anemia in pregnancy. Multiple logistic regression analysis revealed that maternal age (>30 years), primiparity, maternal height (<145cms.) maternal weight (<45 kg s.), anemia in pregnancy (Hb <11gm %) is the significant risk factors of intrauterine growth retardation.
Maternal Anthropometry and Intrauterine Growth Retardation (IUGR) - A Hospital Based Study
Journal of Bangladesh College of Physicians and Surgeons, 2010
This was a prospective observational study conducted on374 pregnant women who remained in the study beginningfrom first trimester until gave birth to singleton newbornbabies selected from five maternity hospitals located atdifferent regions in the country over a period of thirtymonths from July 2002 to December 2004. Objectives ofthe study were: (1) To find out the incidence of IUGR in thehospital based study, (2) To observe the impact of prepregnancyweight and pregnancy weight gain on IUGR,(3) To select appropriate cut off points of pre-pregnancyweight and pregnancy weight gain to identify women at riskfor delivering IUGR babies and (4) To observe theassociation between socio-demographic factors andmaternal anthropometry.Twenty one percent women delivered IUGR babies. Motherswho gained <4 kg in second trimester and <5kg in thirdtrimester gave birth to significantly higher incidence ofIUGR babies (29.1% and 35.3% respectively) in comparisonto mothers gained e” 4 kg and e” 5 kg...
Medicina
Background and Objectives: In this study, we aimed to describe the clinical and ultrasound (US) features and the outcome in a group of patients suspected of or diagnosed with early onset intrauterine growth restriction (IUGR) requiring iatrogenic delivery before 32 weeks, having no structural or genetic fetal anomalies, managed in our unit. A secondary aim was to report the incidence of the condition in the population cared for in our hospital, data on immediate postnatal follow-up in these cases and to highlight the differences required in prenatal and postnatal care. Materials and Methods: We used as single criteria for defining the suspicion of early IUGR the sonographic estimation of fetal weight < p10 using the Hadlock 4 technique at any scan performed before 32 weeks’ gestation (WG). We used a cohort of patients having a normal evolution in pregnancy and uneventful vaginal births as controls. Data on pregnancy ultrasound, characteristics and neonatal outcomes were collected...
Maternal Predictors of Intrauterine Growth Retardation
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2018
To identify maternal factors associated with intrauterine growth restriction (IUGR). A case-control study. Neonatal Unit of The Aga Khan Hospital for Women (AKHW), Karimabad, from January 2014 to December 2015. Cases were IUGR live born babies (n=90), while control were appropriate-for-gestational age (AGA) babies (n=180). Information recorded in pre-designed proforma included gestational age and birth weight of baby, demographics of mothers, pregnancy related medical and obstetric complications. Data were analysed through SPSS-19. Multivariable logistic regression was used to determine the maternal factors associated with the intrauterine growth restriction. Maternal factors associated with IUGR after adjusting for confounders in the multivariable model included younger age (OR=0.9, CI=0.8-0.9), poor gestational weight gain (OR=3.0, CI=1.6-6.1) and history of previous abortion (OR=3.06, CI=1.1-8.0). Significant interaction was found between pregnancy-induced hypertension (PIH) and ...
Clinico sonographic correlation of intrauterine growth restriction
International Journal of Clinical Obstetrics and Gynaecology, 2020
Aim and objectives: To study was a clinic sonographic correlation of the following factors associated with Intrauterine Growth Restriction Material and Methods: This was a prospective study of 150 cases of intrauterine foetal growth restriction studied in a tertiary care institute over a period of 1 year (April 2015 to March 2016). Patients suspected to have IUGR were admitted in antenatal ward for varying period of time ranging from minimum 1 week to more than 3 weeks. Maternal monitoring and foetal monitoring was done. In maternal monitoring-pulse, BP, urine albumin were recorded, Serial increase in Fundal height, abdominal girth, maternal weight was recorded. In foetal monitoring-Strict Daily Foetal Kick Count (DFKC) was maintained. Results: In our study, 52 cases (34.67%) had mild IUGR with birth weight between 1.5-2.5kg, 93 (62%) had moderate IUGR with birth weight between 1-1.5 kg, and 5 cases (3.33%) cases had severe IUGR with birth weight less than 1 kg. Doppler studies (99.33% sensitive) and ultrasound (100% sensitive) studies are highly sensitive in detecting intrauterine fetal growth restriction as compared to clinical examination (81.33%). In our study, 70 cases (46.66%) had vaginal delivery and 80 (53.34%) cases had to undergo LSCS-81.25% were Emergency and 18.75% were Elective cases. The most common indication for Emergency LSCS was oligohydramnios and abnormal Doppler with Fetal Distress. Incidence of neonatal mortality in our study was 10.67%, 15 Neonatal deaths and 1 Fresh stillbirth. Conclusion: Early detection of maternal high risk factors by detailed history, meticulous clinical examination and appropriate use of imaging modalities like ultrasound and Colour Doppler and appropriate antenatal care is essential in reducing burden of Low Birth Weight babies in India.
Journal of South Asian Federation of Obstetrics and Gynaecology, 2021
Aim and objective: Prediction of fetal growth restriction (FGR) by serial ultrasound measurement of head circumference (HC) and abdominal circumference (AC) of the fetus applied routinely to all mothers irrespective of risk status for FGR and small for gestational age. Materials and methods: A prospective study was done of 508 pregnant women who underwent two successive growth scans 4 weeks apart at Sri Jayewardenepura General Hospital, Sri Lanka. FGR was identified by graphically plotting serial fetal AC and HC. Postnatally, growth restriction was diagnosed based on ponderal index (PI). Sensitivity, specificity, positive predictive value, and likelihood ratio of predicting FGR by successive serial ultrasound measurements of fetal AC and HC were calculated. Results: Based on fetal AC and HC, FGR was present in 223 of 508 fetuses (43.89%). Based on PI, 224 of 508 (44.1%) neonates were growthrestricted. Sensitivity, specificity, positive predictive value, positive likelihood ratio, and negative likelihood ratio of predicting FGR by serial fetal AC and HC were 82.59, 86.62, 82.59%, 6.2, and 0.2, respectively. Conclusion: Serial ultrasound measurements of fetal AC and HC plotted on a fetal growth centile chart routinely carried out in all mothers irrespective of risk status for FGR increases the detection of FGR.
International Journal of Gynecology & Obstetrics, 2000
Objective: This study was performed to evaluate the significance of sonographic fetal biometry in predicting low birth weight. Method: Five hundred and sixty‐eight single‐term pregnancies were analyzed. They were stratified into seven subgroups by birth weight deviation (BWD). Among the 568 pregnancies, 115 were revealed to be small‐for‐gestational‐age (SGA) (birth weight less than mean −1.5 S.D.). When IUGR was suspected by routine sonographic fetal biometry, ‘IUGR work‐up’ was carried out. The diagnostic performance of our screening method for the detection of SGA pregnancies in the general population was calculated. Result: The sensitivity, specificity, positive predictive value, negative predictive value and odds ratio of our screening method for the detection of SGA pregnancies in the general population were 73.0, 96.6, 83.2, 98.0% and 131.0, respectively. Conclusion: These data suggest that sonographic biometry is useful for the prenatal detection of high‐risk cases of fetal g...
American journal of obstetrics and gynecology, 2018
Ultrasound biometry is an important clinical tool for the identification, monitoring, and management of fetal growth restriction and development of macrosomia. This is even truer in populations in which perinatal morbidity and mortality rates are high, which is a reason that much effort is put onto making the technique available everywhere, including low-income societies. Until recently, however, commonly used reference ranges were based on single populations largely from industrialized countries. Thus, the World Health Organization prioritized the establishment of fetal growth charts for international use. New fetal growth charts for common fetal measurements and estimated fetal weight were based on a longitudinal study of 1387 low-risk pregnant women from 10 countries (Argentina, Brazil, Democratic Republic of Congo, Denmark, Egypt, France, Germany, India, Norway, and Thailand) that provided 8203 sets of ultrasound measurements. The participants were characterized by median age 28...
The Israel Medical Association journal : IMAJ, 2017
Two types of growth curves are commonly used to diagnose fetal growth disorders: neonatal birth weight (BW) and sonographic estimated fetal weight (EFW). The debate as to which growth curve to use is universal. To establish sonographic EFW growth curves for the Israeli population and to assess whether the use of the BW growth curves currently adapted in Israel leads to under-diagnosis of intrauterine growth disorders. Biometric data collected during a 6 year period was analyzed to establish sonographic EFW growth curves between 15-42 weeks of gestation for the Israeli population. Growth curves were compared to previously published sonographic EFW growth curves. A comparison with the Israeli BW growth curves was performed to assess the possibility of under-diagnosis of intrauterine growth disorders. Out of 42,778 sonographic EFW studies, 31,559 met the inclusion criteria. The sonographic EFW growth curves from the current study resembled the EFW curves previously published. The compa...
TheScientificWorldJournal, 2014
The antenatal condition of small for gestational age (SGA) is significantly associated with perinatal morbidity and mortality and it is known that there are significant differences in birth weight and fetal size among different populations. The aim of our study was to assess the impact on outcomes of the diagnosis of SGA according to Bangladeshi and European antenatal growth charts in Sri Lankan population. The estimated fetal weight before delivery was retrospectively reviewed according to Bangladeshi and European growth references. Three groups were identified: Group 1-SGA according to Bangladeshi growth chart; Group 2-SGA according to European growth chart but not having SGA according to Bangladeshi growth chart; Group 3-No SGA according to both charts. There was a difference in prevalence of SGA between Bangladeshi and European growth charts: 12.7% and 51.7%, respectively. There were statistically significant higher rates in emergency cesarean section, fetal distress in labour, ...