Perinatal Outcome in Growth Restricted Fetuses in A Tertiary Care Hospital of North India
Perinatal Outcome in Growth Restricted Fetuses in A Tertiary Care Hospital of North India
Keywords:
fetal doppler, fetal growth restriction, intrauterine growth restriction, low birth weight, Perinatal outcome, small for gestationAbstract
Background: Fetal growth restriction refers to a fetus that has failed to achieve its genetically determined growth potential and is associated with an increased perinatal mortality and morbidity. Objectives: To observe the outcome of the fetal growth restricted fetuses diagnosed at or more than 26 weeks of gestation in a tertiary care hospital of North India. Settings and design: prospective observational study. Methods: The study was conducted on 96 antenatal women diagnosed with foetal growth restriction at/after 26 weeks of gestation who were managed conservatively depending on the ultrasonographic doppler findings and maternal disease over a period of one year. Pregnancy outcome was observed and statistically analysed. Results: 91% women were booked and 60% were between 34 weeks to 40 completed weeks of gestation depicting a late onset foetal growth restriction. Preeclampsia was the most common indication of admission (44.79%). Abnormal doppler findings were observed in 85.4% women; the maximally affected (83.3%) foetal vessel was the umbilical artery. 82.29% women delivered by cesarean section. Adverse perinatal outcome was observed in 55.2% neonates. Maximum perinatal mortality rate (46.15%) was observed in 26- 30 weeks of gestation. Conclusions: Fetal growth restriction (FGR) is associated with an increased perinatal mortality and morbidity. Accurate and timely detection of FGR, good antenatal and neonatal care can improve the perinatal outcome of growth restricted fetuses to some extent. [Shweta G NJIRM 2017; 8(3):17-21]
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