INTRAUTERINE GROWTH RETARDED INFANTS - CORRELATION OF GESTATIONAL AGE WITH MATERNAL FACTORS, MODE OF DELIVERY, AND PERINATAL SURVIVAL

Google Scholar
  • 1 January 1976
    • journal article
    • research article
    • Vol. 48  (2) , 182-186
Abstract
Fifty-eight infants of 3332 deliveries (1.7%) were intrauterine growth retarded (IGR) at birth. For purposes of analysis, the infants were divided into 2 groups according to gestational age at delivery: Group I infants were delivered between 38 and 43 wk gestation, and Group II infants were delivered between 28 and 37 wk. The infants at greatest risk are those who manifest chronic intrauterine fetal distress associated with prematurity. Asphyxia was evident in 9 of 19 infants (47%) in Group II as compared to 9 of 36 infants (25%) in Group I. The premature IGR infants delivered by low foreceps and cesarean section had higher 1- and 5-min Apgar scores than those delivered spontaneously. There was a 5-fold increase of intrauterine demise and a 2-fold increase of neonatal deaths in Group II IGR infants as compared to the non-IGR premature infants. In the management of IGR, a combined obstetric-pediatric approach is important. A higher index of suspicion, appropriate evaluation, earlier diagnosis, and expedient delivery are essential if the prognosis for an IGR infant is to be improved.

This publication has 1 reference indexed in Scilit: