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Published on: June 29, 2013
[Risk factors associated with intrauterine growth delay]
Cristhian Arriola-Ortiz1, Genaro Vega-Malagón, Adrián Hernández-Lomelí
1Hospital del Niño y la Mujer, and Universidad Autónoma de Querétaro, Facultad de Medicina, Departamento Clínico, Mexico.
Insights
Intrauterine growth delay (IGD) affects 2.5% of newborns, with risk factors including inadequate maternal weight gain and insufficient prenatal care. Early detection and intervention are crucial for reducing newborn morbidity and mortality.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Perinatal Medicine
Context:
- Intrauterine growth delay (IGD) is defined as a birth weight below the 10th percentile for gestational age.
- This study investigated IGD prevalence and risk factors in newborns with normal fetal growth curves.
- The research was conducted at General Hospital in Queretaro, Queretaro.
Purpose:
- To determine the prevalence of intrauterine growth delay (IGD).
- To identify risk factors associated with IGD in patients with normal fetal growth curves.
- To provide insights for improving prenatal care and reducing adverse neonatal outcomes.
Summary:
- A prevalence of 2.5% for intrauterine growth delay (IGD) was observed.
- Key risk factors identified include inadequate maternal weight gain (OR 4.84), fewer than five prenatal appointments (OR 6.0), hypertensive disorders (OR 5.09), and cervicovaginal infections (OR 5.09).
- Maternal age (below 20 or above 30) did not show significant differences in association with IGD.
Impact:
- Highlights the importance of adequate prenatal care and monitoring for pregnant women, especially teenagers.
- Emphasizes the need for early detection of risk factors to mitigate newborn morbidity and mortality.
- Provides evidence-based information for healthcare providers to refine IGD prevention and management strategies.
Introduction:
The term intrauterine growth delay (IGD) is used to refer a fetus with weight at birth lower than the 10th percentile for their gestational age.
Objective:
to determine the prevalence and to identify risk factors associated with intrauterine growth delay in patients with normal fetal growth curves.
Material And Methods:
This study was made at General Hospital in Queretaro, Queretaro. There were included 70 obstetric patients with newborn with intrauterine growth delay (cases) and it was compared with 70 control patients with newborn without intrauterine growth delay.
Results:
There were studied 70 cases of a total of 192 registered during the period of this study. There was a prevalence of 2.5. Of all the newborn with intrauterine growth delay, 40 (47.2%) were female and 30 (42.8%) were male, relating with age, mothers below 20 and above 30 were not show significant differences The risk factors associated were mainly inadequate pregnant women weight (OR 4.84, CI 95%=1.56 to 16.1) and less than five medical appointments for medical control during prenatal period (OR 6.0, CI 95%=2048 to 14.81) , hypertensive disease during pregnancy (OR 5.09, CI 95%=1.4 to 20.21) and cervicovaginal infections (OR 5.09. CI 95%=1.52 to 21.56).
Conclusions:
It is necessary to pay more attention to pregnant teenagers and also to general pregnant women to receive an adequate prenatal control in order to detect patients with risk of IGD and of this way to diminish morbidity and mortality in the newborn.
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