Background: Fetal growth restriction (FGR) is a prevalent and intricate clinical issue that has a significant morbidity risk. Apart from congenital abnormalities and viral factors, FGR has been found to be a significant factor in perinatal death. This study aims to link the diagnosis of fetal growth limitation made by ultrasonography and clinical means. Methods: This prospective study was carried out from May 2022 to January 2023 at the Department of Obstetrics and Gynecology at DMCH, Laheriasarai, Bihar. The study comprised a total of 288 patients. Results: 33.7% of the participants were found to have FGR. The age group of 20–25 years old accounted for 60.81% of cases. 89 percent of women lived in rural areas. Women made up 67.30% of the upper-lower class. Clinical approaches were shown to have a sensitivity of 70.7% and a specificity of 74.2%, respectively. Doppler and ultrasonography were found to have sensitivity values of 80.5% and 90.2%, respectively, and specificity values of 87.7% and 95.1%. 82 cases (65.1%) out of 126 clinically suspected IUGR cases had IUGR verified at birth. Twenty-three (20.63%) were lost to follow-up. Conclusion: Because of its high specificity, the Doppler study is the most effective modality currently available for identifying FGR; however, clinical assessment, a financially advantageous screening technique, is also a suitable way to diagnose FGR.

Background: Fetal growth restriction (FGR) is a prevalent and intricate clinical issue that has a significant morbidity risk. Apart from congenital abnormalities and viral factors, FGR has been found to be a significant factor in perinatal death. This study aims to link the diagnosis of fetal growth limitation made by ultrasonography and clinical means. Methods: This prospective study was carried out from May 2022 to January 2023 at the Department of Obstetrics and Gynecology at DMCH, Laheriasarai, Bihar. The study comprised a total of 288 patients. Results: 33.7% of the participants were found to have FGR. The age group of 20–25 years old accounted for 60.81% of cases. 89 percent of women lived in rural areas. Women made up 67.30% of the upper-lower class. Clinical approaches were shown to have a sensitivity of 70.7% and a specificity of 74.2%, respectively. Doppler and ultrasonography were found to have sensitivity values of 80.5% and 90.2%, respectively, and specificity values of 87.7% and 95.1%. 82 cases (65.1%) out of 126 clinically suspected IUGR cases had IUGR verified at birth. Twenty-three (20.63%) were lost to follow-up. Conclusion: Because of its high specificity, the Doppler study is the most effective modality currently available for identifying FGR; however, clinical assessment, a financially advantageous screening technique, is also a suitable way to diagnose FGR.