Outcome of pregnant women with IUGR in MFM unit for more than 3 visited in 2014-2016

Abstract

Background:  Intrauterine growth restriction (IUGR), a condition that occurs due to various reasons, is an important cause of fetal and neonatal morbidity and mortality. The pregnant women with IUGR were appointed more than 3 times for fetal monitoring. Therefore, the clinical assessment of this program was performed to improve nurse role in the process.

Objective: This study aims to evaluate the outcome of pregnant women with IUGR in MFM unit on more than 3 visits in 2014-2016 .

Material and methods : A retrospective study was performed by reviewing data from MFM unit and Labor room registration records, electronic record of fetal’s health data in MFM unit . A total of 40 pregnant women whose babies were diagnosed as IUGR and referred to MFM unit between Jan,2014 and Dec,2016 and had more than 3 visits were included. The maternal age ,gestational age at first diagnosis, complication in maternal and fetus, delivery GA, APGAR score, birth weight, hospital stay average , dead fetus in utero  rate, perinatal mortality rate were reviewed.

The result: A total of 40 pregnant women who were diagnosed as IUGR and on more than 3 visits, 5% had DFIU and 5% had perinatal mortality. 98.43% of neonates who were diagnosed as IUGR were admitted in high risk ward ,pediatric ward or NICU the average hospital stay was 16.63 days.

Conclusion: Most baby who were suspected or diagnosed as IUGR are admitted in NICU, high risk ward or pediatric ward .Therefore ,the improvement in of counseling program for pregnant women with IUGR in MFM unit is very important for better nursing care.