ASSESSMENT OF RISK FACTORS AND FETAL OUTCOME IN PREGNANT WOMEN WITH INTRA UTERINE GROWTH RETARDATION
*Dr. Rashmi Singla
Introduction: Intra uterine growth retardation refers to poor growth of a fetus while in mother’s womb during pregnancy. Intrauterine growth restriction can result in a baby being small for gestational age which is more commonly defined as weight below the 10th percentile for gestational age. Objectives: To assess risk factors for development of IUGR, the mode of delivery and indications for caesarian delivery and the fetal outcome in pregnant women with IUGR. Material and methods –An observational retrospective study on pregnant women with IUGR was done in a tertiary care hospital of Govt. Doon Medical College, Uttrakhand .The fetal outcome was studied in the gestation period till term and the risk factors associated with IUGR were also analysed. Results: Total 50 pregnant women with IUGR of 18-45 years of age were enrolled in our study. The risk factors assessed were hypertensive gravida with superimposed preeclampsia, elderly primigravida, preeclampsia, low lying placenta and diabetes mellitus. The mode of delivery in 80% of cases required operative intervention. The reasons for were pregnancy complications like decreased fetal movements, fetal distress, bleeding P/V, leaking P/V and previous history of Cesarian and oligohydramnios. All the babies born were LBW babies, rest outcome were preterm babies, neonatal asphyxia, hypoglycemia and intrauterine death. Conclusion: The causes of IUGR and subsequent fetal morbidity and mortality are preventable by correct management guidelines.
Keywords: Intrauterine growth retardation, risk factors, low birth weight.
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