Risk Factors for Term or Near-Term Fetal Growth Restriction in the Absence of Maternal Complications

Khalid A. Yunis; Hind Beydoun; Hala Tamim; Yolla Nassif; Mustafa Khogali; for the National Collaborative Perinatal Neonatal Network

doi:10.1055/s-2004-828606

American Journal of Perinatology, Table of Contents

Am J Perinatol 2004; 21(4): 227-234
DOI: 10.1055/s-2004-828606

Risk Factors for Term or Near-Term Fetal Growth Restriction in the Absence of Maternal Complications

Khalid A. Yunis¹ , Hind Beydoun¹ , Hala Tamim² , Yolla Nassif³ , Mustafa Khogali⁴ , for the National Collaborative Perinatal Neonatal Network

¹Department of Pediatrics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
²Department of Epidemiology and Biostatistics, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
³Department of Pediatrics, St. Georges Hospital, Beirut, Lebanon
⁴Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon

Abstract

The objective of this study was to examine risk factors for term or near-term fetal growth restriction (FGR) in the absence of pregnancy complications. We completed a survey of uncomplicated single live births delivered in Greater Beirut, Lebanon. FGR cases were defined as below the 10th percentile of expected weight at gestational age. Multivariate logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CIs). Main predictors of FGR were female gender (OR, 1.94; 95% CI, 1.46 to 2.59), nulliparity (Or, 1.66; 95% CI, 1.25 ton 2.20), low prepregnancy weight (OR, 2.52; 95% CI, 1.58 to 4.01), short stature (OR, 2.59; 95% CI, 1.57 to 4.28), and low pregnancy weight gain (OR, 1.75; 95% CI, 1.21 to 2.55). Anthropometric characteristics of mothers are important modifiable determinants of fetal size in our developing urban population of uncomplicated births.

KEYWORDS

Fetal growth restriction - pregnancy - epidemiology

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References

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Khalid A YunisM.D.

Department of Pediatrics, American University of Beirut

New York Office, 850 3rd Avenue, 18th Floor

New York, NY 10022