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Asadolahi K, Sayehmiri K. Evaluation of the prevalence rate and risk factors associated with intrauterine growth retardation among neonates in Ilam province during 2014. Journal title 2018; 1 (1)
URL: http://newresearch.medilam.ac.ir/article-1-291-en.html
URL: http://newresearch.medilam.ac.ir/article-1-291-en.html
Psychosocial Injuries Research Center, Ilam University of Medical sciences, Ilam, Iran
Abstract: (2730 Views)
Abstract
Introduction: Intrauterine growth retardation is a physiological and pathological process resulting in a slow or restricted fetal growth, and not only increases fetal mortality, but also is associated with adverse outcomes during infantile and adulthood. Therefore, the present study aimed to determine the prevalence and risk factors associated with IUGR in Ilam province in one year period.
Materials and Methods: In this study, the prevalence of intra uterine growth retardation (IUGR) was measured by a cross-sectional method among all neonates was born during 2014 in ilam province. Then, by designing a case- control study 781 newborns, including 247 cases and 534 controls were enrolled. Cases were characterized by a birth weight below than 10th percentile for the mean weight, standardized for GA and fetal sex and controls were characterized by a birth weight above the 10th percentile were selected via a simple randomization method. The required information was obtained from hospital records. Data analysis was performed using chi-square test and logistic regression model with SPSS statistical software version 16.
Results: Among 9053 neonates، the prevalence rate of neonates born with IUGR in Ilam province during the study period was 2.8%. The median of gestational age in this study was 39 weeks and female/ male ratio of neonates was 1.09. There was a significant relationship between IUGR and multiple pregnancy (OR:24.09; P:0.0001), history of prior fetal death (OR:16.49; P:0.02), mother's place of life (OR:1.86; P:0.001), autoimmune diseases (OR:7.62; P:0.03), kidney disease (OR:18.94; P:0.01), preeclampsia (OR:5.25; P:0.001), hyperemesis gravidarum (OR:15.54; P:0.01), treated hypothyroidism (OR:0.2; P:0.009) and mode of delivery (OR:0.51; P:0.001).
Conclusions: It seems that the prevalence rate of neonates born with IUGR in Ilam province was in accordance with global standards. The results showed that multiple pregnancy, history of prior fetal death, preeclampsia, hyperemesis gravidarum, autoimmune and kidney diseases and rural residence increase the chance of intrauterine growth retardation.
Introduction: Intrauterine growth retardation is a physiological and pathological process resulting in a slow or restricted fetal growth, and not only increases fetal mortality, but also is associated with adverse outcomes during infantile and adulthood. Therefore, the present study aimed to determine the prevalence and risk factors associated with IUGR in Ilam province in one year period.
Materials and Methods: In this study, the prevalence of intra uterine growth retardation (IUGR) was measured by a cross-sectional method among all neonates was born during 2014 in ilam province. Then, by designing a case- control study 781 newborns, including 247 cases and 534 controls were enrolled. Cases were characterized by a birth weight below than 10th percentile for the mean weight, standardized for GA and fetal sex and controls were characterized by a birth weight above the 10th percentile were selected via a simple randomization method. The required information was obtained from hospital records. Data analysis was performed using chi-square test and logistic regression model with SPSS statistical software version 16.
Results: Among 9053 neonates، the prevalence rate of neonates born with IUGR in Ilam province during the study period was 2.8%. The median of gestational age in this study was 39 weeks and female/ male ratio of neonates was 1.09. There was a significant relationship between IUGR and multiple pregnancy (OR:24.09; P:0.0001), history of prior fetal death (OR:16.49; P:0.02), mother's place of life (OR:1.86; P:0.001), autoimmune diseases (OR:7.62; P:0.03), kidney disease (OR:18.94; P:0.01), preeclampsia (OR:5.25; P:0.001), hyperemesis gravidarum (OR:15.54; P:0.01), treated hypothyroidism (OR:0.2; P:0.009) and mode of delivery (OR:0.51; P:0.001).
Conclusions: It seems that the prevalence rate of neonates born with IUGR in Ilam province was in accordance with global standards. The results showed that multiple pregnancy, history of prior fetal death, preeclampsia, hyperemesis gravidarum, autoimmune and kidney diseases and rural residence increase the chance of intrauterine growth retardation.
Keywords: Pregnancy Outcome, Prevalence, Intra Uterine Growth Retardation (IUGR), Risk Factor, Small for Gestational Age
: Cross sectional |
Subject:
General
Received: 2015/07/23 | Accepted: 2015/09/19 | Published: 2018/09/29
Received: 2015/07/23 | Accepted: 2015/09/19 | Published: 2018/09/29
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