International Journal of Medicine and Health Development (Jan 2000)
Risk factors For intra-uterine growth restriction in Enugu, Eastern Nigeria
Abstract
Objective: To identify the risk factors for intrauterine growth restriction in Nigerians. Methods: A prospective study of eighteen putative risk factors in 1149 consecutive singleton normal live births at the University of Nigeria Teaching Hospital, Enugu Eastern Nigeria, over a 13 month period. Results: On univariate analysis, the following variables were statistically significant risk factors for IUGR - primigravidity, unsatisfactory feeding during pregnancy, lack of antenatal care, low socioeconomic status (as shown by husband's monthly income <$100, absence of a family car, low educational status, residential accomodation ≤ 2 rooms) and anaemia in pregnancy in order of importance. On multivariate analysis, the following were statistically significant factors unsatisfactory feeding during pregnancy, lack of antenatal care and primigravidity in order of importance. Conclusion: The prevalence of IUGR in Nigerians can be reduced by attention to these risk factors.