OBJECTIVES: The purpose of this study is determine the perinatal outcome, mode of delivery
and rate of emergency caesarean section in pregnancies complicated by fetal growth restriction
STUDY DESIGN: Cross sectional study.
SETTING: Department of Obstetrics and Gynecology, Ziauddin Medical University Hospital, Karachi, from 1st December 2006 to 30th November 2007.
METHODOLOGY: During period of the study, all pregnant women with clinical suspicion of FGR
were included in this study. Diagnosis was made by history, clinical examination and by sonographic evidence. Ante partum surveillance of fetal wellbeing was done by using the kick count
chart, non-stress test and biophysical profile.
RESULTS: During period of the study 4212 deliveries were conducted, and 150 pregnancies
were complicated by fetal growth restriction (FGR). Demographic characteristics of 150 pregnancies’ complicated by FGR was recorded. The mean maternal age was 26.48 ± 4.06. The 91
(61%) women were nulliparous and 59 (39%) were multiparous. Gestational age at the time of
delivery was less than 36 weeks in 23 (15.3%) women whereas 127 (84.7%) had more than 36
weeks. 72 (48%) patients were delivered with cesarean section while 78 (52%) were delivered
vaginally. Neonatal weight was more than 1.5 kg in 147 cases while less than 1.5kg was seen in
03 cases. Total 6 / 150 (4%) perinatal mortalities were observed in FGR, Common neonatal morbidities identified were hyperbilirubinemia, respiratory distress syndrome, infections and necrotizing enterocolitis.
CONCLUSION: Our study showed that majority of fetal growth babies had weight more than 1.5
kg, with apgar score > 5.Most common neonatal morbidity seen was RDS and hyperbilirubinemia.
FGR, Gestational Age, Birth Weight, Mode of delivery
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