Objective: To describe the clinical characteristics, pregnancy outcomes, and associated factors among fetuses diagnosed with intrauterine growth restriction at the National Hospital of Obstetrics and Gynecology from 2020 to 2023.
Objects and methods: This was a retrospective cross-sectional descriptive study conducted on 111 pregnant women diagnosed with intrauterine growth restriction who delivered at National Hospital of Obstetrics and Gynecology between January 1, 2020, and December 31, 2023. Data were collected from medical records. Neonatal mortality - related factors were evaluated using logistic regression analysis.
Results: The neonatal mortality rate was 12.6%. Two factors were statistically associated with mortality: gestational age < 32 weeks (OR = 10.1; 95% CI: 1.2-84.6), birth weight < 1000g (OR = 23.7; 95% CI: 5.8-96.4). The most common neonatal complication was respiratory distress syndrome (60.4%), followed by neonatal infections and jaundice. Additionally, 14.4% of neonates presented with multiple concurrent complications.
Conclusion: Intrauterine growth restriction is associated with high rates of neonatal mortality and complications, particularly among preterm infants with low birth weight. Early detection, close monitoring, and timely intervention are essential to improving neonatal outcomes.