Intrauterine growth restriction: antenatal diagnosis and fetal outcome

Abstract

The following study was conducted in the Department of Obstetrics and Gynecology Jinnah hospital Lahore to identify women with risk factors for IUGR (Intrauterine growth restriction: Antenatal diagnosis and foetal outcome.)on clinical assessment and ultrasound and to co -relate antenatal diagnosis with fetal outcome. Fifty (50) patients were picked on basis of risk factor. Fourteen (28%) had SFH less than expected for gestation. Eleven (22%) had hypertension, Nine (18%) had previous history of SGA babies. Other risk factors were diabetes mellitus, pre-pregnancy weight less than 50 kg and smoking. On ultrasound 18 (39.63%) of patients were diagnosed as IUGR while 28 (60.48%) were diagnosed as non IUGR. Among IUGR babies 66.24% had asymmetrical while 33.76% had symmetrical IUGR. 39.53% babies were suspected of IUGR on SFH, and 28% of IUGR babies were suspected on ultrasound, as outcome measure 25% of babies had birth weight less than 10th percentile after delivery. It was concluded that for antenatal diagn osis of IUGR sonographic assessment is more precise than clinical assessment.