Skip to main content
Log in

Developmental assessment of intrauterine growth retarded babies of varying maternal etiology

  • Original article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Head circumference was measured serially and developmental performance assessed at the age of 9 months in 41 full-term intrauterine growth retarded babies of varying maternal etiologies. 18 full term and 12 preterm babies who were appropriate for gestational age (AGA) served as controls. The IUGR babies of undernourished mothers had maximum retardation in head circumference.The IUGR babies of small sized mothers had head circumference equal to that of fullterm AGA babies. The IUGR babies of mothers with toxemia of pregnancy and idiopathic group also reached very close to that of fullterm AGA babies for head circumference demonstrating catch up growth. 19.5 per cent of IUGR (as homogenous group) babies were found to have delayed development compared to 16.7 per cent of preterm and 5.6 per cent of fullterm AGA babies. Amongst IUGR groups, babies of undernourished mothers were found to suffer most, followed by babies of mothers with toxemia of pregnancy. None of the babies in the idiopathic group and only one out of 12 in small maternal size group were found to have delayed development.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Prasad C, Devi R, Agarwal KN. Effects of dietary proteins on fetal brain protein and glutamic acid metabolism in rat.J Neurochem 1979; 32: 1309–1314.

    Article  PubMed  CAS  Google Scholar 

  2. Bhatia VP, Katiyar GP, Agarwal KN. Effect of intrauterine nutrition deprivation on neuromotor behaviour of the new born.Acta Pediatr Scand 1979; 68: 561–565.

    CAS  Google Scholar 

  3. Bhatia VP, Katiyar GP, Agarwal KNet al. Sleep cycle in babies of undernourished mothers.Arch Dis Child 1980; 55: 134–138.

    PubMed  CAS  Google Scholar 

  4. Schulte FJ, Gerlind S, Hinze G. Maternal toxemia, fetal malnutrition and motor behaviour of the newborn.Pediatrics 1971; 48: 871–882.

    PubMed  CAS  Google Scholar 

  5. Chase P, Dobiere CS, Welch NN, O’Brien D. Intrauterine undernutrition and brain development.Pediatrics 1971; 47: 491–500.

    PubMed  CAS  Google Scholar 

  6. Fitzhardinge PM. The small for date infant I: Later growth patterns.Pediatrics 1972; 47 : 671–676.

    Google Scholar 

  7. Fitzhardinge PM, Stevens EM. The small for date infant II: Neurological intellectual sequelae.Pediatrics 1972; 50 : 50–57.

    PubMed  CAS  Google Scholar 

  8. Fancourt R, Campbell S, Harvey D, Normal AP. Follow up study of small for date babies.Brit Med J 1976; 1: 1435–1437.

    Article  PubMed  CAS  Google Scholar 

  9. Low J, Galbralth R, Murr D. Intrauterine growth retardation: A preliminary report of long term morbidity.Am J Obstet Gynaecol 1978; 130 : 534–545.

    CAS  Google Scholar 

  10. Bhatia BD, Bhargava V, Chatterjee Met al. Studies on fetal growth patterns. I. Intrauterine growth percentile for singleton liveborn babies.Indian Pediatr 1981; 18: 647–653.

    PubMed  CAS  Google Scholar 

  11. Bhatia BD, Agarwal KN, Jain NP. Muscle mass of intrauterine growth retarded babies in first nine months of life.Indian Pediatr 1983; 20: 671–676.

    PubMed  CAS  Google Scholar 

  12. Bhatia BD, Agarwal KN, Jain NP, Bhargava V. Growth pattern of intrauterine growth retarded babies during first nine months of life.Acta Paediatr Scand 1984; 73: 189–196.

    PubMed  CAS  Google Scholar 

  13. Jelliffee DB. The assessment of nutritional status of the community.WHO Monogr No. 53 : 1966, pp 69.

  14. Crosby WH, Munn JI, Furth FW. Cyanmethemoglobin method for estimations of hemoglobins.US Armed Forces Med J 1954; 5: 693–696.

    CAS  Google Scholar 

  15. Oser BL. In: Hawks Physiological Chemistry. 14th edition, Tata McGraw Hill, New Delhi, 1965. pp 358.

    Google Scholar 

  16. Frankenburg WK, Goldstein AD, Camp BW. The revised denver developmental screening test: It’s accuracy as a screening instrument.J Pediatr 1971; 79 : 988–995.

    Article  PubMed  CAS  Google Scholar 

  17. Frankenburg WK, Dodds JB. The denver developmental screening test.J Pediatr 1967; 71: 181–191.

    Article  PubMed  CAS  Google Scholar 

  18. Dobbing J, Sands J. Quantitative growth and development of human brain.Arch Dis Child 1973; 48: 757–761.

    PubMed  CAS  Google Scholar 

  19. Engsner G, Habte D, Sjogren I, Borhluist. Brain growth in children with kwashiorkor.Acta Paediatr Scand 1974; 64: 686–692.

    Google Scholar 

  20. Stoch MB, Symthe PM. Does under-nutrition during infancy inhibit brain growth and subsequent intellectual development.Arch Dis Child 1963; 38: 546–552.

    Google Scholar 

  21. Deshpande TV, Hinton GG. Intrauterine growth retardation and its impact on the neurological status of the newborn.Indian J Pediatr 1981; 49: 305–310.

    Google Scholar 

  22. Edward LE, Altrony JR, Barrada MI, Hakanson EY. Pregnancy in underweight women, course outcome and growth patterns of the infants.Am J Obstet Gynecol1979; 135: 297–301.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bhatia, B.D., Agarwal, K.N. & Jain, N.P. Developmental assessment of intrauterine growth retarded babies of varying maternal etiology. Indian J Pediatr 57, 99–104 (1990). https://doi.org/10.1007/BF02722139

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02722139

Key Words

Navigation