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Published on: June 29, 2013
Parental Factors Associated with Intrauterine Growth Restriction
Insights
Maternal hypertension is a significant risk factor for intrauterine growth restriction (IUGR) in Romanian newborns. Lower parental age was observed in IUGR cases, but hypertension was the key predictor.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Public Health
Background:
- Linear growth failure in infants can stem from various factors, including parental influences.
- Intrauterine growth restriction (IUGR) is a critical concern in neonatal health, necessitating the identification of associated risk factors.
Purpose of the Study:
- To investigate parental risk factors associated with intrauterine growth restriction (IUGR) in a Romanian infant population.
- To evaluate the impact of maternal and paternal characteristics on IUGR development in a tertiary care setting.
Main Methods:
- A retrospective matched case-control study was conducted.
- Data were collected from 4,790 infants admitted to a neonatal ward in North-Western Romania between January 2012 and June 2014.
- Infants with IUGR were compared to a control group based on parental and infant characteristics.
Main Results:
- Mothers of infants with IUGR were significantly younger (p=0.041) and had higher rates of hypertension (p<0.05).
- Fathers of infants with IUGR were also significantly younger (p=0.0278).
- Hypertension in mothers was identified as a significant risk factor for IUGR (OR=2.4, 95% CI [1.3-4.5]).
Conclusions:
- Maternal hypertension is a significant risk factor for IUGR.
- While younger parental age was noted, it was not a significant independent predictor.
- The study highlights the importance of managing maternal hypertension to prevent IUGR.
Introduction:
Linear growth failure is caused by multiple factors including parental factors.
Objective:
The aim of this study was to evaluate parental risk factors for intrauterine growth restriction (IUGR) on a population of Romanian newborn infants in a tertiary level maternity facility for a period of 2.5 years.
Methods:
A retrospective matched case-control study was conducted in the Emergency County Hospital of Cluj-Napoca, a university hospital in North-Western Romania. The sample was selected from 4,790 infants admitted to the Neonatal Ward at 1st Gynecology Clinic between January 2012 and June 2014.
Results:
The age of mothers was significantly lower in the IUGR group compared to controls (p = 0.041). A significantly higher percentage of mothers had hypertension in the IUGR group compared to those in the control group (p<0.05). No other significant differences were identified with regard to the investigated characteristics of mothers between IUGR infants compared to controls (p > 0.13). The age of fathers of infants with IUGR proved significantly lower compared to controls (p = 0.0278).The analysis of infants'comorbidities revealed no significant difference between groups for respiratory distress, hyperbilirubinemia, hypocalcaemia, and heart failure (p > 0.27). Intracranial hemorrhage, necrotizing enterocolitis and hypoglycemia were significantly higher in the IUGR group compared to controls. The logistic regression identified hypertension as a significant risk factor for IUGR (OR = 2.4, 95% Cl [1.3-4.5]).
Conclusion:
Although the age of the mothers and fathers proved significantly lower in the IUGR group compared to controls, only hypertension in the mothers proved significant risk factors for IUGR.
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