A Case Control Study to Elucidate Maternal Determinants of Intra Uterine Growth Retardation in A Tertiary Care Hospital of Sagar City Of Madhya Pradesh

Authors

  • Shikha Pandey Bundelkhand Medical College, Sagar, Madhya Pradesh
  • Ramesh Pandey Bundelkhand Medical College, Sagar, Madhya Pradesh

Keywords:

Intra Uterine Growth Retardation, Neonate, haemoglobin, pregnency

Abstract

Objectives: To study the maternal determinants of intrauterine growth retardation among cases admitted for delivery in Bundelkhand Medical College, Sagar.

Methods: A Case-control study was conducted in the year January 2010 to December 2010 in Bundelkhand Medical College (BMC) Sagar M.P. The participants included mothers who underwent normal delivery in BMC Sagar. Mother's age, parity, maternal height, maternal weight, body mass index, hemoglobin level during pregnancy, birth weight of the baby were considered as study variables. Intrauterine growth retardation was taken as outcome variable. Chi square test. OR's with 95% CI was used as the method of statistical analysis.

Results: Significant risk factors identified in univariate analysis included maternal height (<145 cm s.), maternal weight (<45 kg s.), body mass index (<18.5) and anemia in pregnancy. Multiple logistic regression analysis revealed that maternal age (>30 years), primiparity, maternal height (<145cms.) maternal weight (<45 kg s.), anemia in pregnancy (Hb <11gm %) is the significant risk factors of intrauterine growth retardation.

References

Kramer M.S. Determinants of low birth weight: Methodological assessment and metaanalysis. Bull WHO 1987; 65:663-737.

Villar J, Belizan J. The relative contribution of prematurity and fetal growth retardation to low birth weight in developing countries. Am J Obstet Gynecol 1982; 143:793-98.

Gupta PC, sreevidya S. smokeless tobacco use, birth weight and gestational age; population based prospective cohort study of 1217 women in Mumbai India, BMJ 2004 ;328:1538-45.

WHO (1995) Bridging the gaps. The World Health Report 1995. Report of the Director General.

Ferraz EM, Gray RH, Cunha TM. Determinants of preterm delivery and intrauterine growth retardation in north-east Brazil. Int J Epidomiol; 19:101-08.

Mavlankar DV, Gray Ronald H, Trivedi CR. Risk factors for preterm and term low birth weight in Ahmedabad, India. Int J Epidemiol 1992; 21:263-72.

Brenner WE, Edelman DA, Hendricks CH. A standard of fetal growth for the United States of America. Am J Obstet Gynecol 1976; 126:555-64.

Fikree FF, Berenes HW. Risk factors for term intrauterine growth retardation Community based study in Karachi. Bull WHO 1994; 72(4)581-87.

Pelletier D et al. Maternal anthropometry predictors of IUGR and prematurity in Malawi Maternal and Child Nutrition study. Bull WHO OMS Supplement 1995; 73:81.

Downloads

Published

2012-09-30

How to Cite

1.
Pandey S, Pandey R. A Case Control Study to Elucidate Maternal Determinants of Intra Uterine Growth Retardation in A Tertiary Care Hospital of Sagar City Of Madhya Pradesh. Natl J Community Med [Internet]. 2012 Sep. 30 [cited 2024 Nov. 23];3(03):372-4. Available from: https://njcmindia.com/index.php/file/article/view/1723

Issue

Section

Original Research Articles