Relationship Between Foot Length and Gestational Age in Pakistan

Preterm births have a high risk of mortality. Therefore, knowledge of the gestational age (GA) at birth is crucial to guide the appropriate management of a newborn. Common methods for estimating GA such as the last menstrual period, ultrasonography, and post-natal Ballard scoring have some limitations. This study aimed to determine the relationship between foot length and GA to develop and validate an equation for predicting GA of Pakistani newborns. We conducted a prospective study in a large obstetric hospital in Pakistan. Data for this analysis were extracted from the hospital files of eligible women by trained study midwives. Midwives were also trained in performing the Ballard examination and taking foot length using a disposable measuring tape within an hour of the birth. The GA was calculated using an android-based GA calculator. Simple and multiple linear regression were used to construct predicting equations for GA. Both the foot length and GA were available for 1542 cases. The median GA was 34.5 (IQR 4.7) weeks and the median foot length was 7 cm (IQR 1.4). There was a positive linear relationship between foot length and GA ( r2 81.7%, P-value < .001). Stratified analysis showed an r2 of 81.7% for males and 81.6% for females. The r2 for stillbirths was 84.1% and, 82.3% for live births. The r2 for macerated stillbirths was 88.6% and 90.6% for fresh stillbirths. In resource poor settings, the use of foot length can estimate GA in both live births and stillbirths and can easily identify preterm infants.

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Relationship Between Foot Length and Gestational Age in Pakistan

10.21203/rs.3.rs-55940/v1 ◽

2020 ◽

Author(s):

Shiyam Sunder Tikmani ◽

Sana Roujani ◽

Syed Iqbal Azam ◽

Haleema Yasmin ◽

Khadija Bano ◽

...

Keyword(s):

Gestational Age ◽

Preterm Births ◽

Menstrual Period ◽

Last Menstrual Period ◽

P Value ◽

Early Management ◽

Live Births ◽

Low Resource ◽

Foot Length ◽

A Prospective Study

Abstract Background: Preterm births have a high risk of mortality. Therefore, knowledge of the gestational age (GA) at birth is crucial to guide the appropriate management of a newborn. Common methods for estimating GA such as the last menstrual period, ultrasonography, and post-natal Ballard scoring have some limitations and are often unavailable in low-resource areas. This study aimed to determine the relationship between foot length and GA in order to develop an equation for predicting GA of the neonates born in Pakistan, a region with high rates of preterm birth and newborn mortality.Methods: We conducted a prospective study in a large obstetric hospital in Pakistan. Data for this analysis were extracted from the hospital files of eligible women by trained study midwives. Midwives were also trained in performing the Ballard examination and taking foot length using a disposable measuring tape within an hour of the birth. The GA was calculated using an android-based GA calculator, which used a report of last menstrual period, ultrasound examination, and Ballard examination. Simple and multiple linear regression were used to construct predicting equations for GA.Results: Both the foot length and GA were available for 1,542 cases. The median GA was 34.5 weeks with an interquartile range (IQR 4.7) and the median foot length was 7 cm (IQR 1.4). There was a positive linear relationship between foot length and GA (r2 81.7%, p-value < 0.001). Stratified analysis showed an r2 of 81.7% for males and 81.6% for females. The r2 for stillbirths was 84.1% and, 82.3% for live births. The r2 for macerated stillbirths was 88.6% and 90.6% for fresh stillbirths.Conclusion: In resource poor settings, the use of foot length can estimate GA in both live births and stillbirths and can easily identify preterm infants. This tool could facilitate early management of preterm births in low-resource settings.

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Relationship Between Foot Length And Gestational Age In Pakistan

10.21203/rs.3.rs-38713/v1 ◽

2020 ◽

Author(s):

Shiyam Sunder Tikmani ◽

Sana Roujani ◽

Syed Iqbal Azam ◽

Haleema Yasmin ◽

Khadija Bano ◽

...

Keyword(s):

Gestational Age ◽

Menstrual Period ◽

Last Menstrual Period ◽

P Value ◽

Early Management ◽

Live Births ◽

Foot Length ◽

Scatter Plots ◽

Measuring Tape ◽

Stratified Analysis

Abstract Background: Neonatal mortality in preterm live births is high. Therefore, knowledge of the gestational age (GA) at birth is crucial for the management and predicting prognosis of a newborn. Common methods for estimating GA such as the last menstrual period, ultrasonography, and post-natal Ballard scoring have some limitations. This study aimed to determine the relationship between foot length and GA and to develop a regression equation for predicting GA of the neonates born in Pakistan. Methods: Data for this analysis were extracted from the hospital files of eligible women by trained study midwives. Midwives were also trained in performing the Ballard examination and taking foot length using a disposable measuring tape within an hour of the birth. The measurement was taken from the mid-point of the heel to the end of the longest toe. The GA was calculated using an android-based GA calculator, which used a report of last menstrual period, ultrasound examination, and Ballard examination. The data were analyzed using SPSS version 19. Scatter plots were constructed to assess the linearity and co-efficient of determination and the correlation was calculated. Simple and Multiple Linear regression was used to construct predicting equations for GA.Results: Both foot length and GA were available for 1542 cases and were analyzed. The median GA was 34.5 weeks with an interquartile range (IQR 4.7) and the median foot length was 7 cm (IQR 1.4). There was a positive linear relationship between foot length and GA (r2 81.7%, p-value <0.001). Stratified analysis showed an r2 of 81.7% for males and 81.6% for females. The r2 for stillbirths was 84.1% and, 82.3% for live births. The r2 for macerated stillbirths was 88.6% and 90.6% for fresh stillbirths. Conclusion: In resource poor settings, the use of foot length can estimate GA in both live births and stillbirths and can easily identify preterm infants to initiate early management.

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Hypoxic Status Is Associated With The Intensity Of Hypoxia Inducible Factor (Hif)-1α Expression In A Premature Placenta

Saintika Medika ◽

10.22219/sm.vol17.smumm1.11685 ◽

2021 ◽

Vol 17 (1) ◽

pp. 1-11

Author(s):

Kartini Edwin

Keyword(s):

Confidence Interval ◽

Premature Birth ◽

Odds Ratio ◽

Critical Role ◽

Hypoxia Inducible Factor ◽

Biological Materials ◽

P Value ◽

Live Births ◽

Infant Morbidity ◽

The Relationship

Prematurity refers to live births before 37 weeks of gestation and associated with infant morbidity/mortality. Activation of HIF during the final pregnancy phase is believed to play a critical role in the pathogenesis of premature birth and other pregnancy disorders. This study aimed to analyze the relationship between hypoxicstatus and the intensity of HIF-1α expression in a premature placenta.Stored biological materials premature placenta (paraffin blocks) was used in this study. Thirtyone samples of placental hypoxia (H) and 28 samples of premature placental non-hypoxia (N) as controls, were selected non-random consecutively. Subsequently, immunohistochemistry was performed to analyze HIF-1α expression. TheChi-square testwas used to analyze the data and a p-value <0.05 was considered statistically significant.Moderate to strong intensity of HIF-1α expressionwas observed in 58% of hypoxic placenta samples, whereas most of non-hypoxic placental samples(86%) did not expressed or expressed weaklyHIF-1α.There was a significant correlation between the intensity of HIF-1α expression and placental hypoxia (p <0.05) and Odds Ratio (OR) value was 8.31 with a 95% confidence interval (2.32-29.77). The conclusion shows that hypoxic status is associated with intensity of hypoxia inducible factor (HIF)-1α expression in a premature placenta.

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Fetal foot length for assessment of gestational age: a cross sectional study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20212972 ◽

2021 ◽

Vol 10 (8) ◽

pp. 3153

Author(s):

Vaibhav Sharma ◽

Ruchi Saxena ◽

Priyanka Gaur

Keyword(s):

Gestational Age ◽

Abdominal Ultrasound ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Maternal Characteristics ◽

Foot Length ◽

Adverse Pregnancy ◽

The Relationship ◽

Singleton Pregnancies

Background: Fetal age actually begins at conception and an equivalent term is conceptional age. Uncertain gestational age (GA) has been associated with adverse pregnancy outcomes independent of maternal characteristics. The objective was to evaluate the accuracy of fetal foot length (FFL) in estimation of gestational age.Methods: It was a cross sectional study. Trans abdominal ultrasound on 150 pregnant women with normal singleton pregnancies between 16 to 40 weeks was done to measure FFL. The relationship between GA and FFL was analysed by simple linear regression.Results: A linear relationship was demonstrated between FFL and GA. (GA (in weeks)=7.490+0.393×FFL (in mm)) with significant correlation (r=0.985, p<0.001).Conclusions: Ultrasonographic measurement of FFL is a reliable indicator of gestational age and can be a useful alternative to estimate GA when other routine biometric parameters are not conclusive.

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Utilization of MCH handbooks and attitudes of pregnant women regarding pregnancy and childbirth complications

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v27i22019.71-75 ◽

2019 ◽

Vol 27 (2) ◽

pp. 71

Author(s):

Dian Irawati ◽

Agustin Dwi Syalfina

Keyword(s):

Pregnant Women ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Live Births ◽

Pregnancy And Childbirth ◽

Independent Variable ◽

The Right ◽

Chi Square Analysis ◽

The Relationship

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.

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CORRELATION BETWEEN HAND LENGTH AND FOOT LENGTH IN HEALTH CARE PROFESSIONALS OF F H MEDICAL COLLEGE

10.36106/ijsr/7606859 ◽

2021 ◽

pp. 35-36

Author(s):

Chetna Thakur ◽

Bhawani Shankar Modi ◽

Tejendra Singh

Keyword(s):

Health Care Professionals ◽

P Value ◽

Human Beings ◽

Professional Students ◽

Medical College ◽

Foot Length ◽

The Individual ◽

The Right ◽

Hand Length ◽

The Relationship

Introduction: Human beings are considered to be bilaterally symmetrical. However, there is no symmetry in the length of the feet irrespective of sex or handedness. The hand length could predict bodyweight and body surface area independent of the sex of the individual. But there was no so much data available in the literature showing the relationship between hand length and foot length. Aim and objective: The present study was conducted to derive the correlation between hand length and foot length and the results demonstrate that there was highly signicant correlation between them. Material and Methods:Across sectional study was carried out on 200 healthy and normal adult professional students of either sex (100 Male and 100 Female), age between 18-25 years. Result:the hand length and foot length were compared between the right and left sides, the data showed that the signicant difference between males and females on both sides was highly signicant for all the parameters measured with p value < 0.01 Conclusion:The results of current study indicate that if the hand length is known, foot length can be predicted and if the foot length is known, hand length can be predicted and vice versa.

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FAKTOR DETERMINAN PADA KETUBAN PECAH DINI

JURNAL MEDIA KESEHATAN ◽

10.33088/jmk.v11i1.357 ◽

2018 ◽

Vol 11 (1) ◽

pp. 053-061

Author(s):

Fitriyani Fitriyani

Keyword(s):

Gestational Age ◽

Maternal Age ◽

Preterm Births ◽

Dominant Factor ◽

P Value ◽

Premature Rupture Of Membranes ◽

Premature Rupture ◽

Chi Square ◽

Fetal Abnormalities ◽

Chi Square Test

Every year the incidence of premature rupture of membranes ranges from 5-10% of all preterm preterm births and membranes occurring in 1% of all pregnancies.70% of cases of premature rupture of membranes occur in early pregnancy, prematurerupture of membranes is the cause of preterm birth as much as 30% (Manuaba, 2010). Atthe Derah Kepahiang General Hospital, the incidence of premature rupture of membranesis 219 cases in 2016.This research is analytical descriptive research with case controldesign. The sample in this study amounted to 138 people divided into two groups of 69cases and 69 controls. Statistical test using chi square test and binary logisticregression.Results of the study of 69 people with premature rupture of membranes atmaternal age <20 and> 35 years (46.4%), primiparity and grandemultipara parity(62.3%), fetal abnormalities (33.3%), gestational age aterm ( 63.8%) and those with ahistory of premature rupture (18.8%) in Kepahiang Hospital by 2016. Maternal age (pvalue0.013 OR = 2.646), parity (p-value 0.0,0 OR OR = 3.111) (p-value 0,0017 OR =2,950), gestational age (p-value 0,386) and history of premature rupture (p-value 0,167)at Kepahiang Hospital 2016. The most dominant factor causing premature rupture ofmembranes in RSUD Kepahiang year 2016 is parity (Exp (B) 2,806).It is expected thatthe hospital can use the research as input to suppress the incidence of premature ruptureof membranes, by counseling to explain the risk factors of premature rupture ofmembranes, especially maternal age, parity and fetal abnormalities.

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Correlation of neonatal gestational age with foot length and right nipple to umbilicus distance

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20202141 ◽

2020 ◽

Vol 7 (6) ◽

pp. 1319

Author(s):

Ajay K. Keshwani ◽

Swati S. Suroshe

Keyword(s):

Birth Weight ◽

Gestational Age ◽

Tertiary Care ◽

Large For Gestational Age ◽

P Value ◽

Care Hospital ◽

Cross Sectional ◽

Systematic Analysis ◽

Neonatal Deaths ◽

Foot Length

Background: India contributes to one fifth of global live births and more than a quarter of neonatal deaths. A systematic analysis of global, regional and national causes of child mortality in 2013 identified preterm birth complications and infections to be the two major causes of neonatal deaths in India. So, there is need of a simple, easy to use and reliable screening tool for assessment of gestational age at peripheral level for early referral of a neonate to a tertiary care hospital, thereby reducing neonatal mortality.Methods: A hospital based observational cross-sectional study included 350 live new-borns within 48 hours of birth, from September 2018 to February 2019. Gestational age assessed by new ballard score, birth weight, foot length and right nipple to umbilicus distance were noted. Babies categorised as per the gestational age profile as small, appropriate and large for gestational age using fenton charts. Data analysis done, correlation coefficient, and p value calculated to obtain results.Results: Out of 350 babies, males (185) outnumbered females (165); 154 were LBW, 89 VLBW and 76 were ELBW. AGA neonates were 193, and 157 belonged to SGA. There were no post-term and large for gestational age newborns. Both foot length and right nipple to umbilicus distance correlated well with gestational age in all age groups (p<0.001).Conclusions: Foot length as well as right nipple to umbilicus distance can be used as a reliable tool for assessment of gestational age and birth weight of newborns by any health care professional to identify and refer high risk neonate.

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Study of correlation between gestational age and new-born foot length and chest circumference

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20183523 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1875 ◽

Cited By ~ 1

Author(s):

Aayush Gupta ◽

Gunjan Kela Mehrotra ◽

Swati Mulye

Keyword(s):

Birth Weight ◽

Mortality Rate ◽

Neonatal Mortality ◽

Child Mortality ◽

Gestational Age ◽

Chest Circumference ◽

P Value ◽

Positive Correlation ◽

New Born ◽

Foot Length

Background: Globally, in 2015, 1 million children died on first day of their life. The neonatal mortality rate is declining less rapidly than the mortality rate for children between 1month and 5 years of age. Thus, contribution of the neonatal mortality to the under-five deaths is increasing. Usually as average income of a country increases, it leads to decline in child mortality yet some countries in the fast lane for global economic growth such as India have been in the slower lane for child mortality reduction.Methods: This study was conducted at Sri Aurobindo Medical College and PG Institute, Indore from October 2015 to March 2017 for period of 18 months. Total of 800 live new-borns were included in this study by simple random technique. The statistical analysis of data was done using SPSS for Windows (Version 20.0) software. The correlation of gestational age with new-born foot length and new-born chest circumference was analysed by applying correlation and regression analysis.Results: Foot length is significantly correlated with both gestational age and birth weight with p value of < 0.05 and highly positive correlation coefficient. Chest circumference is significantly correlated with both gestational age and birth weight with p value of < 0.05 and highly positive correlation coefficient.Conclusions: This study tried to identify anthropometric parameter (foot length and chest circumference) which allows for rapid evaluation of the infant for gestational age and provide at risk infants with timely care.

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The Relationship Of Pregnant Women's Knowledge And Attitude To The Implementation Of Delivery Planning And Complication Prevention (P4k) Program

KESANS : International Journal of Health and Science ◽

10.54543/kesans.v1i1.4 ◽

2021 ◽

Vol 1 (1) ◽

pp. 13-21

Author(s):

Ratih Ruhayati

Keyword(s):

Mortality Rate ◽

Infant Mortality ◽

Maternal Mortality ◽

Pregnant Women ◽

Significant Relationship ◽

Infant Mortality Rate ◽

P Value ◽

Maternal Mortality Rate ◽

Live Births ◽

The Relationship

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to assess the health status of the community. Based on the Indonesian Demographic and Health Survey 2017 IDHS, the maternal mortality rate in Indonesia is still high at 302 per 100,000 live births, while the infant mortality rate is 24 per 1000 live births. The decline in MMR and IMR cannot be separated from the role of community empowerment, one of which is carried out through the implementation of the Childbirth Planning and Complications Prevention Program (P4K). Most mothers, husbands, and families have less active role in the implementation of P4K, even though there is an effect of implementing P4K on neonatal mortality. This happens because the mother's knowledge about P4K is still lacking, so her attitude is still not positive. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women towards the implementation of the Childbirth Planning and Complications Prevention (P4K) Program. The research design used "analytic descriptive" cross-sectional, with a total population of 126 pregnant women, while the sample was taken using purposive sampling technique, with a total sample of 96 respondents. The results of statistical analysis with the Chi-Square test showed that for the knowledge variable, the results of the P value = 0.005 concluded that there was a significant relationship between the level of knowledge and the implementation of P4K, while for the attitude variable the P value = 0.001 concluded that there was a significant relationship between attitudes with the implementation of P4K.

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