INTRAUTERINE GROWTH RESTRICTION IN PREGNANCY-INDUCED HYPERTENSION: INCIDENCE AND ASSOCIATED FACTORS IN A TERTIARY CARE SETTING OF KHYBER PAKHTUNKHWA, PAKISTAN

Incidence and associated factors of IUGR in pregnancy-induced hypertension women.

Authors

  • Uzma Bibi King Abdullah Teaching Hospital Mansehra, Health Department KPK Author
  • Mehreen Jadoon King Abdullah Teaching Hospital Mansehra, Health Department KPK Author
  • Seema Rafiq King Abdullah Teaching Hospital Mansehra, Health Department KPK Author
  • Zarkash Asmatullah King Abdullah Teaching Hospital Mansehra, Health Department KPK Author

DOI:

https://doi.org/10.2311/dy816s31

Keywords:

Pregnancy-induced hypertension, Intrauterine growth restriction, gestational age, parity, weight

Abstract

Introduction: Pregnancy-induced hypertension (PIH) is one of the leading risk factors, commencing greater fetal and maternal morbidity and mortality worldwide. Among other complications, intrauterine growth restriction (IUGR) is a significant outcome of PIH. In the Pakistani context, the incidence of IUGR in PIH women and comparison with human factors is rarely determined. This study aimed to find the frequencies of IUGR among PIH women presenting to a tertiary care setup and determine the possible effect of age, gestation age, parity, and weight on IUGR. Methods: This cross-sectional study was conducted from 1st March 2023 to 30th August 2023 at the Obstetrics and Gynecology Department of the Ayub Teaching Hospital in Abbottabad. The research comprised 159 pregnant women who had hypertension problems. The researcher underlined that all women underwent ultrasound biometry to determine intrauterine growth limitation per the RCOG criteria. Results: Among the total 159 PIH women with a mean age of 27.691±2.63 years, the incidence of IUGR is 10.7%. IUGR was more prevalent in the 31-40 age group, i.e., 13%, having gestational age more than 30 weeks 16%, 0-2 parity 9.8%, and weight more than 70kg 45.7%. Conclusion: In the Pakistani context, the incidence of IUGR among women with PIH is low compared to neighboring developing countries and requires individualized perinatal care, particularly among older aged, overweight, nulliparous, and beyond 30 weeks of gestation on a priority basis.

 

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Author Biographies

  • Uzma Bibi, King Abdullah Teaching Hospital Mansehra, Health Department KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology and Obstetrics

  • Mehreen Jadoon, King Abdullah Teaching Hospital Mansehra, Health Department KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology and Obstetrics

  • Seema Rafiq, King Abdullah Teaching Hospital Mansehra, Health Department KPK

    MBBS, FCPC, Medical Officer, Department of Gynecology and Obstetrics

  • Zarkash Asmatullah, King Abdullah Teaching Hospital Mansehra, Health Department KPK

    MBBS, FCPS, Medical Officer, Department of Gynecology and Obstetrics

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Published

04/27/2025

How to Cite

INTRAUTERINE GROWTH RESTRICTION IN PREGNANCY-INDUCED HYPERTENSION: INCIDENCE AND ASSOCIATED FACTORS IN A TERTIARY CARE SETTING OF KHYBER PAKHTUNKHWA, PAKISTAN: Incidence and associated factors of IUGR in pregnancy-induced hypertension women. (2025). MedPulse Spectrum, 1(1). https://doi.org/10.2311/dy816s31