Risk Factors of Small for Gestational Age


Objectives: A case-control study conducted in Al-Yarmouk & Al-Kadhmya Teaching Hospitals for the period from the 1st of March 2000 to the 28th of February 2001, to identify the risk factors for small for gestational age neonate in our hospitals.Method: The study was done in the delivery rooms & the intensive care units, detailed history; including mother health before & during pregnancy.100 small for gestational age neonate &100 normal were evaluated within the 1st hour of delivery. Risk factors include antenatal care, parity, birth order, exposure to radiation, drugs or smoking, placental infarction, previous history of abortion, stillbirth, or premature delivery, age of the mother & weight, history of toxemia, hypertension, & renal diseases.Result: Among the 100 small for gestational age neonates, we found 52% male &48% female; there is significant relation between small for gestational age & asymmetrical growth, with twin pregnancy, 62% in primigravida, was more in those with inadequate antenatal care 52%, with decrease placental size 40%. 33%had exposure to drugs & smoking. Small for gestational age was more with chronic illnesses, more with cesarean section, mothers who had low weight before pregnancy were at high risk to have small for gestational age neonate.Conclusion: SFD is associated with significant risk factors, which should be considered by both Obstetrician & Pediatrician to decrease the incidence of the problem.Keywords: Risk factors, small for gestational age.