Objective: To investigate the characteristic of the term intrauterine
growth restriction (term IUGR) and analyze the correlation of demographic and clinical factor’s to term intrauterine growth restriction in West Java general hospitals. Method: This study
was done retrospectively using cohort method taken on July 2014. The data were
taken from Indonesian Maternal and Perinatal Registration. The data were collected
since April 1st 2014 to September 30th 2014. Term patients (n = 7.320) were divided into 2 categories:
normal fetal growth and intrauterine growth restriction. The data were analysed
using chi square and multiple logistic
regression. Result: There
are 10.4% patients with intrauterine growth restriction. Incidence of term IUGR is commonly found in mothers less
than 20 years old, low educational status (primary school), multiparity, and
pregnancy interval > 2 years, history of stillbirth, diabetes, hypertension,
hypertension in pregnancy, and antepartum haemorrhage. There are significant
correlations between the maternal and perinatal risk factors to the incidence
of intrauterine growth restriction (p < 0.05). Low educational status
increases the risk of having term IUGR by 1.5 times, hypertension in pregnancy
by 1.3 times, and antepartum haemorrhage more than 3 times (p < 0.05). Conclusion: There are correlations among educational status, hypertension in
pregnancy and antepartum haemorrhage with the incidence of intrauterine growth
restriction. Healthcare providers should improve their knowledge about IUGR
Cite this paper
Afiyatin, P. , Wirakusumah, F. , Susiarno, H. , Krisnadi, S. , Effendi, J. and Gandamihardja, S. (2015) Demographic and Clinical Factor of IUGR Baby in West Java General Hospital. Open Access Library Journal
, 1-7. doi: 10.4236/oalib.1101609
 Silver, L.E., Decamps, P.J., Korst, L.M., Platt, L.D. and Castro, L. (2003) Intrauterine Growth Restriction Is Accompanied by Decreased Renal Volume in the Human Fetus. American Journal of Obstetrics Gynecology, 188, 1320-1325.http://dx.doi.org/10.1067/mob.2003.270
 Dutta, D.C. (2004) Text Book of Obstetrics including Perinatology and Contraception. 5th Edition, New Central Book Agency, Philadelphia.
 Alkalay, A. (2013) Intra Uterine Growth Restriction 2013. http://www.google.com
 Cunningham, F.G., Leveno, K.J., Rouse, D.J., Bloom, S.L., Hauth, J.C. and Spong, C.Y. (2012) Williams Obstetrics. 23rd Edition, McGraw Hill, New York, 1111-1139.
 Kay, H. (2014) Fetal Intrauterine Growth Retardation (TERM IUGR) 2001.
https://iame.com/online/TERM IUGR/Term IUGR.html
 SIAK Jabar (2012) Pemerintah Provinsi Jawa Barat. http://jabarprov.go.id/index.php/pages/id/75
 Lin, C.C. and Evans, M.I. (1984) Pathophysiology and Clinical Management. McGraw-Hill Book Co., New York.
 Romero, R. (2013) Term IUGR. Dalam. In: Creasy, R.K. and Resnik, R., Eds., Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice, 7th Edition, Elsevier, Philadelphia, 558-572.
 Kemenkes, R.I. (2013) Data Rumah Sakit Online. http://sirs.buk.depkes.go.id/rsonline/report/report_by_catrs.php
 Harper, T. and Lam, G. (2002) Fetal Growth Restriction.
 MPRI (2013) Maternal Perinatal Registration Indonesia.
 Sustini, F. and Lestari, P. (2011) Dasardasar demografi. Bunga rampai obstetri dan ginekologi sosial. Bina Pustaka Sarwono Prawirohardjo, Jakarta, 96-98.
 Howarth, C., Gazis, A. and James, D. (2007) Associations of Type 1 Diabetes Mellitus, Maternal Vascular Disease and Complications of Pregnancy. Diabetic Medicine, 24, 1229-1234. http://dx.doi.org/10.1111/j.1464-5491.2007.02254.x
 RCOG (2013) The Investigation and Management of the Small-for-Gestational-Age Fetus. http://www.rcog.org.uk/womens-health/investigation-and-management-small-gestational-age-fetus-green-top-31
 Allen, V.M., Joseph, K.S., Murphy, K.E., Magee, L.A. and Ohlsson, A. (2004) The Effect of Hypertensive Disorders in Pregnancy on Small for Gestational Age and Stillbirth: A Population Based Study. MBC, 4, 17-25.