Consequences Of Fetal Growth Restriction Due To  Maternal High-Risk Factors On Neonatal Outcome With 1 Year Follow Up  In A Tertiary Care Hospital

Rizwan  Ahmar; Manish  Kumar; Amit  Kumar; Sadia  Parween; Sunil  Kishore; Anand Kumar  Gupta

doi:10.51168/sjhrafrica.v6i6.1758

Authors

Rizwan Ahmar Additional Professor, Department of Pediatric, IGIMS, Patna, India
Manish Kumar Associate Professor, Department of Pediatric, IGIMS, Patna, India
Amit Kumar Associate Professor, Department of Pediatric, IGIMS, Patna, India
Sadia Parween Associate Professor, Department Of Obstetrics and Gynaecology, IGIMS, Patna, India
Sunil Kishore Associate Professor, Department of Pediatric, IGIMS, Patna, India
Anand Kumar Gupta Additional Professor, Department of Pediatric, IGIMS, Patna, India

DOI:

https://doi.org/10.51168/sjhrafrica.v6i6.1758

Keywords:

Fetal growth restriction, maternal risk factors, neonatal outcomes, developmental delay

Abstract

Background: Fetal growth restriction (FGR) is a significant perinatal concern associated with increased neonatal morbidity and long-term pediatric complications. Maternal high-risk factors such as hypertension, diabetes, malnutrition, and infections are known contributors to FGR.

Objectives:

To evaluate the consequences of FGR in neonates born to mothers with high-risk conditions in a tertiary care setting.
To evaluate the pediatric outcome after 1 year follow up.

Methods: A prospective observational study was conducted at IGIMS, Patna, over 1.5 years involving 92 FGR neonates. Maternal risk factors and neonatal outcomes were recorded, with follow-up assessments up to 12 months to evaluate growth and development.

Results: Hypertensive disorders (52.2%) and diabetes mellitus (19.6%) were the most common maternal risk factors. Common neonatal complications included hypoglycemia (37.0%), respiratory distress (31.5%), and NICU admissions (55.4%). At 12 months, 29.3% had delayed milestones, and 33.7% showed persistent growth impairment. Significant correlations were found between maternal conditions and adverse pediatric outcomes.

Conclusion: Maternal high-risk conditions significantly affect both immediate and long-term outcomes in FGR neonates. Early antenatal intervention and structured pediatric follow-up are essential to improve prognosis.

Author Biographies

Rizwan Ahmar, Additional Professor, Department of Pediatric, IGIMS, Patna, India

Manish Kumar, Associate Professor, Department of Pediatric, IGIMS, Patna, India

Amit Kumar, Associate Professor, Department of Pediatric, IGIMS, Patna, India

Anand Kumar Gupta, Additional Professor, Department of Pediatric, IGIMS, Patna, India

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