Pediatrician, Shifa Al Jazeera Medical Centre
MBBS; MD Pediatrics
2nd International Scientific E-Conference 2015
Best Paper Award Bronze
Ms. Diana Thamby Ebenezer
Theme of Conference: Research, Technology and Innovation: The Bedrock for Global Development
Article Topic: Clinical Pattern and Outcome of Intrauterine Growth Retardation (IUGR) Babies admitted in the Sick Neonatal Nursery (SNN) of a Tertiary Care Centre in South Tamilnadu, India
Intra-Uterine Growth Retardation (IUGR) is failure to attain optimal
intrauterine growth. Next to preterm birth, IUGR is the second leading cause of
perinatal mortality. As many as 53% of preterm stillbirths and 26% of term
stillbirths are growth restricted. Given
the immediate and long-term implications of IUGR and its high prevalence in
India, a focus on IUGR is both rational and strategic.
1) To study the Clinical pattern and outcome of IUGR babies and their Outcome
during hospital stay. 2) To find out the Factors associated with Morbidity and
Mortality of IUGR babies.
This Cross sectional Descriptive Study was carried out in the Department of
Pediatrics, Sick Neonatal Nursery(SNN) ward, Department of Pediatrics,
Tirunelveli Medical College Hospital. 120 babies were selected by systematic
random sampling. The socio- demographic and antenatal characteristics were
collected by interviewing the mother using a structured proforma. The outcome
measures like morbidity pattern and condition at discharge were quantified.
Results: Of 120 IUGR babies 22 (18.3%) are
Preterm babies and 98 (81.7%) are Term babies. Hypoglycemia (63.3%) and Perinatal Asphyxia (45.0%), Sepsis
(33.3%), Hypocalcaemia (30.0%), Hypothermia (28.3%) and Thrombocytopenia (25.0%)
are the common complications. 22
(18.3%) have died at hospital and 98 (81.7%) have been discharged. Perinatal asphyxia and Meconium Aspiration are
significantly associated with abnormal neurological examination at Discharge.
Lower gestational age, Normal delivery and Lower weight of the baby are the
statistically significant risk factors associated with mortality.
Conclusion: Hypoglycemia and Perinatal Asphyxia are the commonest complications of IUGR. Perinatal asphyxia, Meconium Aspiration, Gestational age, Delivery category and Weight of the baby are significant risk factors associated with morbidity and mortality.