Objective
To assess the hypothesis that infants exhibiting catch‐up growth as an indicator of intrauterine growth retardation (IUGR) have a higher incidence of predelivery abnormal Doppler results.
Setting
Obstetric unit, St James's University Hospital, Leeds.
Participants
One hundred and ninety‐six women with singleton pregnancies at high risk of IUGR, delivered between October 1992 and August 1993.
Main outcome measures
Postnatal catch‐up growth during the first seven months.
Results
Forty‐six of the 196 infants demonstrated catch‐up growth and were therefore classified as growth retarded; 85% of this group had had abnormal Doppler results prior to delivery, compared with 14% of the normally grown group. However, there is considerable overlap in birthweight ratio distribution between the two groups.
Conclusion
This study confirms the existence of a population of IUGR infants of average birthweight ratio. Doppler appears to distinguish IUGR (as defined by catch‐up growth) from normal growth more successfully in infants with an average birthweight ratio than in infants with a low birthweight ratio and is a better predictor of IUGR than SGA.