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- Title
Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany.
- Authors
Ernst, Sinja Alexandra; Brand, Tilman; Reeske, Anna; Spallek, Jacob; Petersen, Knud; Zeeb, Hajo
- Abstract
Objective. To identify care-related and maternal risk factors for the antenatal nondetection of IUGR. Methods. In this hospital-based case-control study we compared antenatally undetected IUGR neonates (cases) to detected IUGR neonates (controls). Data were collected using newborn documentation sheets and standardized personal interviews with the mothers. We calculated antenatal detection rates and used uni- and multivariable logistic regression models to assess the association of antenatal nondetection of IUGR and maternal and care-related factors. Results. A total of 161 neonates from three hospitals were included in the study. Suboptimal fetal growth was identified antenatally in n=77 pregnancies while in n=84 it was not detected antenatally (antenatal detection rate: 47.8%). Severity of IUGR, maternal complications, and a Doppler examination during the course of pregnancy were associated with IUGR detection. We did not find statistically significant differences regarding parental socioeconomic status and maternal migration background. Conclusions. In our study, about half of all pregnancies affected by suboptimal growth remained undetected. Future in-depth studies with larger study populations should further examine factors that could increase antenatal detection rates for IUGR.
- Subjects
GERMANY; FETAL growth retardation -- Risk factors; HOSPITALS; CONFIDENCE intervals; FETAL growth retardation; INTERVIEWING; MEDICAL cooperation; PRENATAL diagnosis; PROBABILITY theory; QUESTIONNAIRES; RESEARCH; RESEARCH funding; T-test (Statistics); WEIGHT gain; DISABILITIES; MULTIPLE regression analysis; SOCIOECONOMIC factors; CASE-control method; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; PREGNANCY
- Publication
BioMed Research International, 2017, Vol 2017, p1
- ISSN
2314-6133
- Publication type
Article
- DOI
10.1155/2017/1746146