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Some medico-socio-demographic factors and intra-uterine growth retardation
1Department of Obstetrics and Gynaecology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha.
In the present prospective pilot study an attempt has been made to find out the correlation between some maternopaternal factors (demographic, socio-economic and medical) that suggest a high risk for intra-uterine growth retardation. The mean height and booking weight of women in study group were significantly less than the height and weight of women in control group (p < 0.001 for both). The mean paternal height and weight were also significantly less in the study group as against controls (p < 0.05 for and p < 0.01 respectively). In the study group 54.54% of women consumed less than 1500 calories/day as compared to 32.72% in the controls (statistically significant difference, (p < 0.01). The mean haemoglobin was significantly lower in the study cases (8.1 g/dl) as compared to controls (9.6 g/dl) (p < 0.001). The mean platelet count in study cases (1.64 +/- 0.34 lac/cmm) was significantly lower than that in the controls (2.08 +/- 0.25 lac/cmm) (p < 0.001). The rate of instrumental vaginal delivery, emergency caesarean section for foetal distress, incidence of intrapartum foetal distress, and number of babies with low Apgar scores at 1 and 5 minutes were significantly more in the study group (p < .05 and p < 0.001 respectively for operative delivery and Apgar scores).
In the present prospective pilot study an attempt has been made to find out the correlation between some maternopaternal factors (demographic, socio-economic and medical) that suggest a high risk for intra-uterine growth retardation. The mean height and booking weight of women in study group were significantly less than the height and weight of women in control group (p < 0.001 for both). The mean paternal height and weight were also significantly less in the study group as against controls (p < 0.05 for and p < 0.01 respectively). In the study group 54.54% of women consumed less than 1500 calories/day as compared to 32.72% in the controls (statistically significant difference, (p < 0.01). The mean haemoglobin was significantly lower in the study cases (8.1 g/dl) as compared to controls (9.6 g/dl) (p < 0.001). The mean platelet count in study cases (1.64 +/- 0.34 lac/cmm) was significantly lower than that in the controls (2.08 +/- 0.25 lac/cmm) (p < 0.001). The rate of instrumental vaginal delivery, emergency caesarean section for foetal distress, incidence of intrapartum foetal distress, and number of babies with low Apgar scores at 1 and 5 minutes were significantly more in the study group (p < .05 and p < 0.001 respectively for operative delivery and Apgar scores).