Maternal Anthropometry and Intrauterine Growth Retardation (IUGR) - A Hospital Based Study

Authors

  • Bishnupada Dhar Program Manager(CA&SS), Directorate General of Family Planning, Dhaka
  • Kazi Jahangir Hossain Asstt. Professor , Department of Health Education,, NIPSOM, Mohakhali, Dhaka
  • Subrata K Bhadra Senior Research Associate, NIPORT, Azimpur, Dhaka
  • Aleya Mowlah Institute of Nutrition and Food Science, University of Dhaka
  • Golam Mowlah Institute of Nutrition and Food Science, University of Dhaka

DOI:

https://doi.org/10.3329/jbcps.v28i2.5366

Keywords:

Low birth weight, intrauterine growth retardation, Anthropometry

Abstract

This was a prospective observational study conducted on
374 pregnant women who remained in the study beginning
from first trimester until gave birth to singleton newborn
babies selected from five maternity hospitals located at
different regions in the country over a period of thirty
months from July 2002 to December 2004. Objectives of
the study were: (1) To find out the incidence of IUGR in the
hospital based study, (2) To observe the impact of prepregnancy
weight and pregnancy weight gain on IUGR,
(3) To select appropriate cut off points of pre-pregnancy
weight and pregnancy weight gain to identify women at risk
for delivering IUGR babies and (4) To observe the
association between socio-demographic factors and
maternal anthropometry.
Twenty one percent women delivered IUGR babies. Mothers
who gained <4 kg in second trimester and <5kg in third
trimester gave birth to significantly higher incidence of
IUGR babies (29.1% and 35.3% respectively) in comparison
to mothers gained e” 4 kg and e” 5 kg who gave birth to
14.4% and 9.3% IUGR babies (p<.001) . Maternal weight
for height in the lower range of normalcy at early pregnancy
was associated with an increased risk of IUGR when
compare to normal or over weight for height group of
mothers (30.6% vs. 9.5%; p=<.001). The study revealed
that combination of <90 percent of standard weight for
height and net weight gain per week <125gm have strong
negative influence on foetal growth (39.5% IUGR babies).
On the contrary, combination of e” 110 percent of weight
for height and weekly weight gain of e” 150 gm have
significant positive impact on foetal growth (6.7% IUGR) .
For total weight gain, best cut off point for identifying risk
women of delivering IUGR babies was recommended 8.5
kg and that for prepregnancy or first trimester weight was
47.5 kg.

Key words: Low birth weight; intrauterine growth
retardation; Anthropometry

DOI: 10.3329/jbcps.v28i2.5366

J Bangladesh Coll Phys Surg 2010; 28: 73-80

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How to Cite

Dhar, B., Hossain, K. J., Bhadra, S. K., Mowlah, A., & Mowlah, G. (2010). Maternal Anthropometry and Intrauterine Growth Retardation (IUGR) - A Hospital Based Study. Journal of Bangladesh College of Physicians and Surgeons, 28(2), 73–80. https://doi.org/10.3329/jbcps.v28i2.5366

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Original Articles