DOI: 10.36347/sjams.2014.v02i05.063

Pages: 1806-1810

Intrauterine growth restriction is an important cause of perinatal mortality & morbidity next to prematurity. The present study shows that high suspicion, early diagnosis & proper management of intrauterine growth restriction can result in the prolongation of pregnancy till fetal maturity and can lead to birth of an uncompromised fetus. The study was conducted at Bhaskar Medical College & Bhaskar General Hospital, Yenkepally, Telangana between 2011 & 2014. About 63 patients with intrauterine growth restriction were enrolled into the study. Fundal height by clinical examination & gestational ages from last menstrual period & ultrasound before 20wks were correlated. Pregnant women with diagnosed growth retarded fetuses were admitted, treated & followed upto delivery. Majority of pregnant women were primigravidae (47.6%) in the age group of 21-30yrs (63.5%). The commonest cause of intrauterine growth restriction was anaemia (25.4%). Next common cause being pregnancy induced hypertension (23.4%) & there was no specific etiology in 46% of cases. Hospitalization with absolute bed rest, amino acid therapy & antenatal fetal surveillance with Doppler, nonstress test & biophysical profile allowed pregnancy to continue till fetal maturity (34-36wks) in 96% of cases. 51% of cases had LSCS & 49% delivered vaginally. Majority of babies were healthy in the immediate neonatal period. In conclusion, pregnancies with intrauterine growth restriction are high risk cases with high prenatal mortality & morbidity in India. Timely intervention like hospitalization, bed rest, oral/parenteral amino acid therapy, intake of high protein diet & fetal surveillance with Doppler, nonstress test & biophysical profile can result in good obstetric outcome.