Haseeb Aslam, Usman Ali , Zeenat Hameed
OBJECTIVES: The aim of the study is to determine the perinatal outcome, mode of delivery and frequency of emergency cesarean sections in pregnancies complicated with fetal growth retardation (FGR). RESEARCH DESIGN: Cross-sectional study. PLACE AND DURATION: In the Department of Obstetrics and Gynecology Unit-II of Services Hospital Lahore for one-year duration from March 2019 to March 2020. METHODOLOGY: During the study period, all pregnant women with clinical suspicion of FGR were included in the study. The diagnosis was made on the basis of an interview, clinical examination, and sonographic evidence. Pre-delivery fetal welfare checks were performed using a fetal movement diagram, a stress-free test and a biophysical profile. RESULTS: There were 4,212 deliveries during the study period, and 150 pregnancies were complicated by fetal growth retardation (FGR). The demographic characteristics of 150 pregnancies with FGR complication have been recorded. The mean age of the mothers was 26.48 ± 4.06. 91 (61%) of the women were nulliparous and 59 (39%) were multiparous. The gestational age at delivery was less than 36 weeks in 23 (15.3%) women, while 127 (84.7%) were older than 36 weeks. 72 (48%) patients had a caesarean section, and 78 (52%) - vaginally. The weight of newborns exceeded 1.5 kg in 147 cases, and less than 1.5 kg in 3 cases. A total of 6/150 (4%) perinatal deaths were observed in FGR. Common neonatal illnesses included hyperbilirubinemia, respiratory distress syndrome, infections, and ileitis. CONCLUSION: Our study showed that the majority of the newborns in the growth period had a body weight greater than 1.5 kg, with an apgar score> 5. The most common neonatal diseases were RDS and hyper bilirubinemia. KEYWORDS: FGR, gestational age, birth weight, delivery method.