IUGR Pregnancies - Feto-Maternal Outcome

Abstract

Intra-uterine fetal growth restriction (IUGR) is an important and common cause of neonatal morbidity and mortality. It is a multifactorial phenomenon including many maternal and fetal factors. This study is a retrospective observational study carried out in tertiary care centre which mainly receives referral cases and patients from poor socio economic background .Our study included the patients who were antenatally diagnosed as having IUGR fetus on basis of ultrasound findings and later delivered a baby weighing less than 2.5 kg. The study assessed the maternal and fetal outcome of IUGR pregnancies. The incidence of Intra-uterine growth restriction in our study was 4%. The pregnancy induced hypertension (PIH) was the most common factor associated with IUGR. The 60% of the IUGR neonates required admission to neonatal ICU. The majority of those admitted to neonatal ICU were born to mothers without adequate antenatal care. We concluded that apart from PIH, anemia, poor weight gain during pregnancy and the poor antenatal period care were major risk factors for IUGR.