engleski

Delivery of hypotrophic newborns in maternity hospital of Split

Objective. To investigate the characteristics of deliveries with fetal hypotrophy at the Department of Gynecology and Obstetrics, University Hospital Split. Methods. All mothers of hypotrophic infant pairs born after 28th week of gestation in the two-year period (2008.- 2009.) were included in this retrospective study (n=603). The control group combined two eutrophic infant births which appeared immediately after the every one from the study group (n=1206). Multiple pregnancies, stillborns and malformed ones were excluded from the investigation. Results. Fetal hypotrophy rate was larger in nulliparous subgroup then in multiparous one (χ2=5.088 ; P=0.024). Proportion of fetal hypotrophy in each gestational week was higher as the gestation was lower. Caesarean section was performed more often in the study group (χ2=37.457 ; P<0.001). Hypotrophic newborns had lower birth weight (t=43.816 ; p<0.001), length (t=27.241 ; P<0.001) and ponderal index (t=22.398 ; P<0.001). First minute Apgar score lower or equal to 7 had 7.5% of hypotrophic and 1.7% of eutrophic newborns (χ2=31.601 ; P<0.001). Preeclampsia (χ2=9.983 ; P=0.002) and olygohydramnios (χ2=4.582 ; P=0.032) were more related to fetal hypotrophy. Conclusion. Fetal hypotrophy is associated with worse perinatal outcome which especially applies to higher preeclampsia, olygohidramnios, low ponderal index, cesarean section and low Apgar score rates.

fetal hypotrophy

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