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Am J Perinatol 2004; 21(4): 227-234
DOI: 10.1055/s-2004-828606
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Risk Factors for Term or Near-Term Fetal Growth Restriction in the Absence of Maternal Complications

Khalid A. Yunis1 , Hind Beydoun1 , Hala Tamim2 , Yolla Nassif3 , Mustafa Khogali4 , for the National Collaborative Perinatal Neonatal Network
  • 1Department of Pediatrics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
  • 2Department of Epidemiology and Biostatistics, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  • 3Department of Pediatrics, St. Georges Hospital, Beirut, Lebanon
  • 4Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
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Publication History

Publication Date:
28 May 2004 (online)

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The objective of this study was to examine risk factors for term or near-term fetal growth restriction (FGR) in the absence of pregnancy complications. We completed a survey of uncomplicated single live births delivered in Greater Beirut, Lebanon. FGR cases were defined as below the 10th percentile of expected weight at gestational age. Multivariate logistic regression was used to estimate odds ratios (OR) and 95% confidence intervals (CIs). Main predictors of FGR were female gender (OR, 1.94; 95% CI, 1.46 to 2.59), nulliparity (Or, 1.66; 95% CI, 1.25 ton 2.20), low prepregnancy weight (OR, 2.52; 95% CI, 1.58 to 4.01), short stature (OR, 2.59; 95% CI, 1.57 to 4.28), and low pregnancy weight gain (OR, 1.75; 95% CI, 1.21 to 2.55). Anthropometric characteristics of mothers are important modifiable determinants of fetal size in our developing urban population of uncomplicated births.

KEYWORDS

Fetal growth restriction - pregnancy - epidemiology

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Khalid A YunisM.D. 

Department of Pediatrics, American University of Beirut

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New York, NY 10022