Demographic and Clinical Factor of IUGR Baby in West Java General Hospital

摘要

Objective: To investigate the characteristic of the term intrauterine growth restriction (term IUGR) and analyze the correlation of demographic and clinical factor’s to term intrauterine growth restriction in West Java general hospitals. Method: This study was done retrospectively using cohort method taken on July 2014. The data were taken from Indonesian Maternal and Perinatal Registration. The data were collected since April 1 ~( st ) 2014 to September 30 ~( th ) 2014. Term patients (n = 7.320) were divided into 2 categories: normal fetal growth and intrauterine growth restriction. The data were analysed using chi square and multiple logistic regression. Result: There are 10.4% patients with intrauterine growth restriction. Incidence of term IUGR is commonly found in mothers less than 20 years old, low educational status (primary school), multiparity, and pregnancy interval > 2 years, history of stillbirth, diabetes, hypertension, hypertension in pregnancy, and antepartum haemorrhage. There are significant correlations between the maternal and perinatal risk factors to the incidence of intrauterine growth restriction (p < 0.05). Low educational status increases the risk of having term IUGR by 1.5 times, hypertension in pregnancy by 1.3 times, and antepartum haemorrhage more than 3 times (p < 0.05). Conclusion: There are correlations among educational status, hypertension in pregnancy and antepartum haemorrhage with the incidence of intrauterine growth restriction. Healthcare providers should improve their knowledge about IUGR risk factors.