Intrauterine growth retardation in full-term newborn infants with birth weights greater than 2,500 g

Deborah K Steward1, Debra K Moser

  • 1College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, USA.

Insights

Intrauterine growth retardation (IUGR) affects many full-term infants, even those over 2,500g. Key factors include maternal smoking, low weight gain, and inadequate prenatal care.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Health
  • Public Health

Background:

  • Intrauterine growth retardation (IUGR) is often underestimated in full-term infants exceeding 2,500g.
  • Birth weight below the 10th percentile is an insufficient metric for identifying IUGR.
  • This study addresses the prevalence and associated factors of IUGR in a significant population subset.

Purpose of the Study:

  • To determine the prevalence of IUGR in full-term infants.
  • To identify sociodemographic factors linked to IUGR.
  • To identify maternal characteristics associated with IUGR.

Main Methods:

  • Utilized the Ohio Department of Health Vital Statistics database.
  • Employed the fetal growth ratio (FGR) to diagnose IUGR.
  • Analyzed data from 1,569 normal infants and 1,364 IUGR infants.

Main Results:

  • IUGR was more prevalent in male, African American, and Asian American infants.
  • Maternal smoking during pregnancy was significantly associated with IUGR.
  • Lower pre-pregnancy weight, reduced gestational weight gain, and inadequate prenatal care were linked to IUGR.

Conclusions:

  • IUGR is a notable issue in full-term infants weighing over 2,500g.
  • Specific sociodemographic and maternal factors increase IUGR risk.
  • Further research is needed to understand the long-term implications of IUGR in this population.