Intrauterine growth restriction: antenatal diagnosis and foetal 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