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Outcome of intrauterine growth restriction from 34 weeks at Vinmec Nha Trang International Hospital
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Abstract
Objectives: Evaluation of maternal and neonatal end-of-pregnancy outcomes in intrauterine growth restriction from 34 weeks.
Materials and Methods: Prospective longitudinal descriptive study of all pregnant women with intrauterine growth restriction, with gestational age over 34 weeks, pregnancy management and birth at Vinmec Nha Trang International General Hospital from May 2022 to May December 2023.
Results: There were 50 pregnant women participating in the study, with a result of 52% vaginal birth rate, 48% cesarean section, and no assisted birth cases. Gestational age at birth 38.6 ± 1.1 weeks. Induction of labor accounts for 30%. Average birth weight is 2480.3 ± 229.5 grams, weight ≤ 2500 grams accounts for 60%. Apgar after 1 minute ≤ 7 points is 20%. Apgar after 5 minutes ≤ 7 points is 2%. The rate of children sent to childcare is 8%. Some factors related to the outcome of newborns with an Apgar score less than 7 points after 1 minut are gestational age at birth, degree of intrauterine growth restriction and onset of labor: gestational age < 37 weeks, risk of stillbirth The rate of 1-minute Apgar less than 7 points is higher than the gestational age group ≥ 37 weeks (p = 0.011), estimated fetal weight < BPV 3 has a higher rate of babies born with 1-minute Apgar less than 7 points than estimated fetal weight BPV 3-10 (p = 0.026), induction of labor increases the risk of babies born with a 1-minute Apgar score of less than 7 points (p = 0.040).
Conclusion: Intrauterine growth restriction is a high-risk pregnancy. Attention should be paid to cases of premature pregnancy, fetuses with estimated fetal weight less than the 3rd percentile, and cases of termination of pregnancy by induction of labor.
Keyword: intrauterine growth restriction.
Article Details
Keywords
intrauterine growth restriction., small gestation
References
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