Perinatal complications and long-term neurodevelopmental outcome of infants with intrauterine growth restriction

The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones. The outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between...

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Published in:American journal of obstetrics and gynecology Vol. 208; no. 2; pp. 130.e1 - 130.e6
Main Authors: von Beckerath, Anne-Karen, Kollmann, Martina, Rotky-Fast, Christa, Karpf, Eva, Lang, Uwe, Klaritsch, Philipp
Format: Journal Article
Language:English
Published: United States Mosby, Inc 01.02.2013
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ISSN:0002-9378, 1097-6868, 1097-6868
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Abstract The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones. The outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between 2003 and 2009 was retrospectively analyzed. Group assignment was based on birthweight, Doppler ultrasound, and placental morphology. The primary outcome was neurodevelopmental delay at 2 years corrected age. The secondary outcomes were perinatal complications. We included 219 IUGR and 299 SGA infants for perinatal and 146 and 215 for long-term analysis. Fetuses with IUGR were delivered earlier (35 vs 38 weeks) and had higher rates of mortality (8% vs 1%; odds ratio [OR], 8.3) as well as perinatal complications (24.4% vs 1.0%; OR, 31.6). The long-term outcome was affected by increased risk for neurodevelopmental impairment (24.7% vs 5.6%; OR, 5.5) and growth delay (21.2% vs 7.4%; OR, 3.4). IUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.
AbstractList The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones. The outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between 2003 and 2009 was retrospectively analyzed. Group assignment was based on birthweight, Doppler ultrasound, and placental morphology. The primary outcome was neurodevelopmental delay at 2 years corrected age. The secondary outcomes were perinatal complications. We included 219 IUGR and 299 SGA infants for perinatal and 146 and 215 for long-term analysis. Fetuses with IUGR were delivered earlier (35 vs 38 weeks) and had higher rates of mortality (8% vs 1%; odds ratio [OR], 8.3) as well as perinatal complications (24.4% vs 1.0%; OR, 31.6). The long-term outcome was affected by increased risk for neurodevelopmental impairment (24.7% vs 5.6%; OR, 5.5) and growth delay (21.2% vs 7.4%; OR, 3.4). IUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.
Objective The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones. Study Design The outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between 2003 and 2009 was retrospectively analyzed. Group assignment was based on birthweight, Doppler ultrasound, and placental morphology. The primary outcome was neurodevelopmental delay at 2 years corrected age. The secondary outcomes were perinatal complications. Results We included 219 IUGR and 299 SGA infants for perinatal and 146 and 215 for long-term analysis. Fetuses with IUGR were delivered earlier (35 vs 38 weeks) and had higher rates of mortality (8% vs 1%; odds ratio [OR], 8.3) as well as perinatal complications (24.4% vs 1.0%; OR, 31.6). The long-term outcome was affected by increased risk for neurodevelopmental impairment (24.7% vs 5.6%; OR, 5.5) and growth delay (21.2% vs 7.4%; OR, 3.4). Conclusion IUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.
The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones.OBJECTIVEThe objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with constitutionally small for gestational age (SGA) ones.The outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between 2003 and 2009 was retrospectively analyzed. Group assignment was based on birthweight, Doppler ultrasound, and placental morphology. The primary outcome was neurodevelopmental delay at 2 years corrected age. The secondary outcomes were perinatal complications.STUDY DESIGNThe outcome of infants with IUGR and SGA born at the Medical University Graz (Austria) between 2003 and 2009 was retrospectively analyzed. Group assignment was based on birthweight, Doppler ultrasound, and placental morphology. The primary outcome was neurodevelopmental delay at 2 years corrected age. The secondary outcomes were perinatal complications.We included 219 IUGR and 299 SGA infants for perinatal and 146 and 215 for long-term analysis. Fetuses with IUGR were delivered earlier (35 vs 38 weeks) and had higher rates of mortality (8% vs 1%; odds ratio [OR], 8.3) as well as perinatal complications (24.4% vs 1.0%; OR, 31.6). The long-term outcome was affected by increased risk for neurodevelopmental impairment (24.7% vs 5.6%; OR, 5.5) and growth delay (21.2% vs 7.4%; OR, 3.4).RESULTSWe included 219 IUGR and 299 SGA infants for perinatal and 146 and 215 for long-term analysis. Fetuses with IUGR were delivered earlier (35 vs 38 weeks) and had higher rates of mortality (8% vs 1%; odds ratio [OR], 8.3) as well as perinatal complications (24.4% vs 1.0%; OR, 31.6). The long-term outcome was affected by increased risk for neurodevelopmental impairment (24.7% vs 5.6%; OR, 5.5) and growth delay (21.2% vs 7.4%; OR, 3.4).IUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.CONCLUSIONIUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.
Author von Beckerath, Anne-Karen
Rotky-Fast, Christa
Karpf, Eva
Klaritsch, Philipp
Lang, Uwe
Kollmann, Martina
Author_xml – sequence: 1
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  surname: von Beckerath
  fullname: von Beckerath, Anne-Karen
  organization: Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
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  givenname: Martina
  surname: Kollmann
  fullname: Kollmann, Martina
  organization: Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
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  givenname: Christa
  surname: Rotky-Fast
  fullname: Rotky-Fast, Christa
  organization: Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
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  givenname: Eva
  surname: Karpf
  fullname: Karpf, Eva
  organization: Institute of Pathology, Medical University of Graz, Graz, Austria
– sequence: 5
  givenname: Uwe
  surname: Lang
  fullname: Lang, Uwe
  organization: Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
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  givenname: Philipp
  surname: Klaritsch
  fullname: Klaritsch, Philipp
  email: philipp.klaritsch@medunigraz.at
  organization: Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria
BackLink https://www.ncbi.nlm.nih.gov/pubmed/23159694$$D View this record in MEDLINE/PubMed
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Keywords intrauterine growth restriction
neurodevelopmental impairment
small for gestational age
Doppler ultrasound
Language English
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Snippet The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with...
Objective The objective of the study was to evaluate perinatal and long-term complications of fetuses with intrauterine growth restriction (IUGR) compared with...
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StartPage 130.e1
SubjectTerms Adolescent
Adult
Austria - epidemiology
Cesarean Section - statistics & numerical data
Child, Preschool
Cohort Studies
Developmental Disabilities - epidemiology
Developmental Disabilities - etiology
Doppler ultrasound
Female
Fetal Growth Retardation - epidemiology
Follow-Up Studies
Humans
Infant, Newborn
Infant, Small for Gestational Age - growth & development
intrauterine growth restriction
Magnetic Resonance Imaging - methods
Nervous System Diseases - epidemiology
Nervous System Diseases - etiology
neurodevelopmental impairment
Obstetrics and Gynecology
Peripartum Period
Pregnancy
Pregnancy Outcome - epidemiology
Retrospective Studies
Risk Assessment
small for gestational age
Ultrasonography, Doppler
Young Adult
Title Perinatal complications and long-term neurodevelopmental outcome of infants with intrauterine growth restriction
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https://dx.doi.org/10.1016/j.ajog.2012.11.014
https://www.ncbi.nlm.nih.gov/pubmed/23159694
https://www.proquest.com/docview/1282518017
Volume 208
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