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Pregnancy Characteristics of Intrauterine Growth Retardation

From the Department of Obstetrics and Gynaecology, Queen's University, Kingston. Ontario. Canada.

The incidence of intrauterine growth retardation (IUGR) in a series of 3428 sequential deliveries was 5.3%. The perinatal mortality in the IUGR infants was three times that of the total population. Forty-eight percent of the obstetric patients in the IUGR group demonstrated no evidence of an obstetric, gestational, or significant maternal medical complication. Fifty-two percent of the obstetric patients had one or more complications: 18% had obstetric complications such as toxemia or antepartum hemorrhage, 15% had a gestational complication in a previous pregnancy, 15% a gestational complication in the current pregnancy, and 8% a significant maternal medical complication. An increased risk of IUGR was most evident in the patient with severe preeclampsia, chronic hypertensive vascular disease, or chronic renal disease; to a lesser degree, it was evident in patients with a history of an IUGR infant in a previous pregnancy, twin pregnancy, antepartum hemorrhage, mild preeclampsia, postdate pregnancy, or developmental abnormalities.

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