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Published on: January 7, 2018
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.
Abstract:
Intrauterine growth retardation (IUGR) is an overlooked problem in full-term infants with birth weights greater than 2,500 g. Birth weight less than the 10th percentile underestimates the presence of IUGR. The purpose of this study was to determine the prevalence of IUGR in full-term infants and to identify sociodemographic and maternal characteristics associated with IUGR. The Ohio Department of Health Vital Statistics database was used to obtain data related to sociodemographic and maternal characteristics. The fetal growth ratio (FGR) was used to determine the presence of IUGR. The sample consisted of 1,569 infants with normal ratios and 1,364 infants classified as IUGR. Infants with IUGR were more often male and African American or Asian American. Maternal characteristics associated with IUGR included history of smoking during pregnancy, lower pre-pregnancy weight, lower weight gain during pregnancy, and inadequate prenatal care. IUGR is present in a significant number of full-term infants with birth weights greater than 2,500 g. The long-term effects of IUGR in these infants remain to be determined.
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