Determinants of Term Intrauterine Growth Retardation: the Saudi Experience

Youssef A. Al-Eissa; Hassan S. Ba'Aqeel; Khalid N. Haque; Abdullah M. AboBakr; Turki M. Al-Kharfy; Tariq Y. Khashoggi; Muneera A. Al-Husain

doi:10.1055/s-2007-994474

American Journal of Perinatology, Table of Contents

Am J Perinatol 1995; 12(4): 278-281
DOI: 10.1055/s-2007-994474

ORIGINAL ARTICLE

Determinants of Term Intrauterine Growth Retardation: the Saudi Experience

Youssef A. Al-Eissa, Hassan S. Ba'Aqeel, Khalid N. Haque, Abdullah M. AboBakr, Turki M. Al-Kharfy, Tariq Y. Khashoggi, Muneera A. Al-Husain

Departments of Pediatrics and Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, and the Department of Obstetrics and Gynecology, Faculty of Medicine and Allied Sciences, King Abdulaziz University, Jeddah, Saudi Arabia

Abstract

ABSTRACT

In a clinical study from an unselected Saudi obstetric population, the incidence of and risk factors for intrauterine growth retardation among live births were investigated. From a total study group of 4578 consecutive live births, 76 (1.7%) infants were found to be growth retarded. These infants were then compared with a randomly selected control group of 76 term newborns with appropriate birthweight for their gestational ages. Delivery at term of a growth-retarded infant was significantly associated with maternal age under 20 years, maternal body mass index less than 23, first degree consanguinity, poor housing, primiparity, and inadequate prenatal care in univariate analysis. When considered jointly in multivariate logistic regression analysis, the significant determinants were reduced to primiparity, first degree consanguinity, and poor housing. These risk factors correctly predicted 63% and 71% of the intrauterine growth-retarded infants or normal birthweight infants, respectively.

Keywords

Intrauterine growth retardation - prenatal diagnosis - risk factors

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