Protocol for monitoring of newborns with intrauterine growth restriction (IUGR)

lntrauterine growth restriction (hereinafter: IUGR) is a fetal suffering which is clinically manifested in low antropometric parameters and typical problems after birth. The study group consisted of the newborns with IUGR born in Gynaecological and Obstetric Clinic in Tuzla in 2001. The control group consisted of the newborns with IUGR born in 1990 and 1994. This means that the study induded three different socio-economic periods. The objective was to determine the incidence, morbidity and present the protocol for monitoring children with IUGR. The incidence of IUGR is 4,80 %, which is by far lower than the two previous periods. The authors emphasize that the share of preterm newborns in the study group was reduced by one half compared to the two previous periods. The most frequent problems of newborns with IUGR are perinatal asphyxia (47%), thermal instability (38,70%), while metabolic and respiratory disorders are present in almost the same percentage (37,78%). The authors came to the conclusion that the existence of a protocol for monitoring of newborns with IUGR is the best method of early discovery of health problems and their timely treatment.