scholarly journals BIRTH WEIGHT VARIABLE IN REGRESSION ANALYSIS TO PREDICT INTERNAL LENGTH OF UMBILICAL CATHETERS IN SICK NEWBORNS

1984 ◽  
Vol 18 ◽  
pp. 322A-322A
Author(s):  
Harikrishna Shukla ◽  
Angelo Ferrara
PEDIATRICS ◽  
1992 ◽  
Vol 90 (1) ◽  
pp. 47-49
Author(s):  
Aengus S. O'Marcaigh ◽  
Lora B. Folz ◽  
Virginia V. Michels

Malformations of the umbilicus are a feature of many dysmorphic syndromes including Rieger syndrome, Robinow syndrome, and Aarskog syndrome. The characteristic umbilical malformation in Rieger syndrome consists of redundant periumbilical skin which extends along the cord for an excessive distance. Although the measurement of umbilical skin length plays an important role in the neonatal diagnosis of Rieger syndrome, normal values for this measurement in healthy neonates have not been established. Umbilical skin length was measured in 104 healthy neonates. The length to which the umbilical skin extended along the cranial aspect of cord (mean 11.53 mm, SD 3.58) was significantly longer than the umbilical skin length along the caudal aspect (mean 8.71 mm, SD 2.89) (P < .05). Multiple regression analysis revealed a significant association between age and umbilical skin length. Birth weight, length, and gestational age were not significantly associated with umbilical skin length when adjusted for the other three variables. No significant differences in umbilical skin length were observed between male and female groups. The above normal values should aid in the neonatal diagnosis of Rieger syndrome, and furthermore it is recommended that cranial umbilical skin length measurement be included in the examination of the dysmorphic child.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Agne Laucyte-Cibulskiene ◽  
Shantanu Sharma ◽  
Peter M Nilsson ◽  
Anders Christensson

Abstract Background and Aims Renal functional capacity is influenced by factors acting early in life, such as intrauterine environment, maturity, birth weight, length at birth, placental weight etc. Early life factors are responsible for the number of nephrons a person starts life with, and the consequence of a low nephron number is earlier kidney ageing and chronic kidney disease (CKD). Notably, most reports addressing early life factors in the context of adult kidney function use creatinine-based eGFR equations and/or albuminuria and lack longer follow-up (<30 years). Therefore, we aimed to identify early life factors associated with kidney function, determined by different creatinine and cystatin C equations and urinary albumin-to-creatinine ratio (UACR), more than 40 years later. Method 94 women and 494 men, born 1923-50, who participated in The Malmo Diet and Cancer (MDC) study were analyzed. Perinatal data records including birth weight (BW), birth length, head circumference, gestational age, placenta weight (PW) and mother related risk factors were collected from hospital and regional state archives. After a follow-up of 46 to 67 years study subjects underwent physical examination, blood pressure measurements and estimation of glomerular filtration rate (eGFR) using 4 different equations: Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) 2012 creatinine and cystatin C formula (CKD-EPI_creatinine, CKD-EPI_cystatin C), cystatin C eGFR equation based on Caucasian, Asian, pediatric, and adult cohorts (CAPA), the Lund-Malmö revised creatinine based eGFR equation (LM_rev). Urinary albumin-to-creatinine ratio (UACR) was measured in morning urine samples, albuminuria was defined as UACR ⩾3 mg/mmol. Birth weight z-scores (gender specific BWz and combined BWz) acquired by using the equation as reported by Marsal et al.(1996). Four growth mismatch phenotypes defined by combining low or high BW z-score (lowBWz or hiBWz respectively) with lower or higher body mass index at 20 years of age (lowBMI20 ir hiBMI20 respectively). Results Linear regression analysis of early life factors indicated that in females birth weight was positively associated with kidney function measured by both CAPA and CKD-EPI_cystatin C. In the whole population, birth weight adjusted for gestational age and sex, together with prematurity were independently associated to CKD-EPI_cystatin C, while BW/PW ratio was related to LM_rev. Logistic regression analysis showed that only gender specific BWz and combined BWz shared the same odds ratios for age and pulse pressure adjusted albuminuria in males (OR 0,75 (95%CI [0,58; 0,96]). While analyzing postnatal growth mismatch we found that females with hiBWz/lowBMI20 phenotype had significantly worse kidney function acquired by both cystatin C equations compared to those with lowBWz/lowBMI20 phenotype (p=0.044 for CAPA, p=0.040 for CKD-EPI_cystatin C). The logistic regression analysis revealed that hiBWz/hiBMI20 phenotype was related to lower risk of age and pulse pressure adjusted albuminuria (OR 0,35 (95%CI[0,12;0,93]) Conclusion Here we report that lower birth weight in females is associated with worse kidney function determined by cystatin C eGFR equations, while in males lower birth weight z-score is a risk factor for albuminuria in adulthood. Postnatal growth catch-up is not related to worse kidney function. We identified the protective phenotype (hiBWz/hiBMI20) for albuminuria in males and the unfavorable phenotype (hiBWz/lowBMI20) for kidney function in females. This suggests that lower birth weight and postnatal growth curve have a potential sex specific effect to kidney function and development of CKD in middle-aged Swedish subjects. Further studies are warranted to address early life factor prognostic accuracy in kidney function and outcomes prediction later in the lifetime.


Author(s):  
Devi Meenakshi K. ◽  
Arasar Seeralar A. T. ◽  
Srinivasan Padmanaban

Background: Very low birth weight (VLBW) babies are at increased risk of a number of complications both immediate and late. Worldwide it has been observed that these babies contribute to a significant extent to neonatal mortality and morbidity. Aim of the study was to study the risk factors contributing to mortality in VLBW babies and to evaluate the morbidity pattern in these infants.Methods: A retrospective analysis of data retrieved from the case records of VLBW babies admitted in the NICU of Kilpauk Medical College between January 2015 to December 2015. Out of the 2360 intramural babies admitted during the study period, 99 babies were less than 1500 gms. The risk factors for these babies were analyzed for their association with the outcome. Data were statistically analyzed.Results: In present study, we found that sex of the baby, gestational age, obstetric score, birth asphyxia, pulmonary haemorrhage, ROP and presence of shock were found to be associated with increased mortality. By logistic regression analysis it was observed that birth weight of the baby (p value 0.002), duration of stay (p value 0.0006), presence of shock (p<0.0001), were the risk factors significantly associated with poor outcome.Conclusions: Among the maternal and neonatal factors analyzed in the study using logistic regression analysis, birth weight, duration of hospital stay and presence of shock were significantly related to poor outcome. Of these presence of shock was the single most important factor that predicted increased mortality.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Adam Moyosore Afodun ◽  
Moyosore Salihu Ajao ◽  
Bernard Ufuoma Enaibe

The objectives of the study were to determine placental weight as well as factors associated with low placental weight and to determine its impact on some anthropometrical parameters in the newborn. A total of 300 freshly delivered placentas were examined in this longitudinal-prospective study. Sobi Specialist Hospital, Alagbado, Ilorin, and Surulere Medical Centre, Eruda, Ilorin, were used for sample collections. Informed consent was obtained from patients and institutional ethical clearance was obtained from Kwara State Ministry of Health (MOH/KS/ECI/777/82). Semistructured questionnaire was used to gather data on the patients and newborns demographic indices. Analysis of variance, Student’s t-test, regression analysis, and Pearson moment correlation statistical analysis were employed to analyze the data. The mean wet placental weight for normal pregnancies was 529 g (SD = 84.01). Placental weight to birth weight ratio of 1 : 5.83 was generated, 529 g impact on newborn head circumference (mean: male = 35.30 cm, female = 34.90 cm) having a linear correlation. Regression analysis showed negative association between female babies (2.99 kg) placental weight (r=0.369; P≤0.05), birth weight, and cord length (mean = 58.4 cm). Placental weight correlation with male newborn weight (3.14 kg) had placental birth weight ratio of 0.679 between 90th and 10th percentile P<0.05 with head circumference (r=0.473, P<0.05), lower limit placental diameter 22.80 ± 1.76 cm (SD = 4.8), BMI ≤ 19.50, and Apgar score of 7/10. It is concluded that blood holding capacity of the placenta (relative to weight) and the maternal-dietary have influence on placental weight. Differences in hormonal environment in utero and pathologic adaptation of placenta, due to racial factors, significantly contributed to the size of newborn baby.


2019 ◽  
Vol 34 (10) ◽  
pp. 1937-1947
Author(s):  
Xiaoyan Yang ◽  
Jie Zhang ◽  
Jiayi Wu ◽  
Jiaan Huang ◽  
Qiuju Chen ◽  
...  

Abstract Study question Is there any association between the number of oocytes retrieved and neonatal outcomes following IVF/ICSI treatment for patients using a freeze-all strategy? Summary answer There was no increased risk of adverse neonatal outcomes in cycles with high number of oocytes retrieved (≥ 16) compared to those with 10–15 oocytes retrieved in freeze-all cycles. What is known already Recent studies have found that there is an increased risk of preterm birth (PTB, <37 weeks gestation) and low birth weight (LBW, <2500 g) following IVF in women with a high number (>20) of oocytes retrieved in fresh embryo transfer (ET) cycles. Other studies have found that there is an association between the number of oocytes retrieved and placenta praevia. However, the association between the number of oocytes retrieved and neonatal outcomes when using a freeze-all strategy is unknown. Study design, size, duration This retrospective cohort study included 14 170 women with singleton deliveries achieved by a freeze-all strategy performed between November 2006 and December 2017 in China. Only the first delivery from one episode of ovarian stimulation was included. Participants/materials, setting, methods Only cycles using a freeze-all strategy performed during the study period and resulting in singleton live births were included. Patients were categorized into five groups according to the number of oocytes retrieved: 1–3, 4–9, 10–15, 16–20 or >20 oocytes. In univariate and multivariate logistic regression analysis of the association between ovarian response and the outcomes of PTB, early PTB, LBW and other neonatal outcomes, the 10 to 15 oocyte category was used as a reference and other four groups were analysed as dummy variables. Multiple linear regression analysis was used to evaluate possible associations of birth weight z-scores and the number of oocytes retrieved (analysed as a continuous variable) with other confounding factors. Main results and the role of chance After adjusted for confounding factors, no significant differences were observed in the risk of PTB (P = 0.837), LBW (P = 0.974), early PTB (P = 0.341), very LBW (P = 0.848), congenital malformation (P = 0.916) and other adverse neonatal outcome among patients with different number of oocytes retrieved. There was a higher risk of early PTB among women with a poor ovarian response (1–3 oocytes) compared with women with a normal response (10–15 oocytes) (1.5% vs 0.8%), crude odds ratio (OR): 2.001, 95% CI: 1.159–3.465, P = 0.013. However, the difference was not significant after adjusting for confounders, adjusted OR: 1.753, 95% CI: 0.997–3.081, P = 0.051. Limitations, reasons for caution Data on some known confounders such as smoking and medical history of gestational diabetes mellitus and preeclampsia were lacking. As with any retrospective study, unknown confounders may affect outcomes. Wider implications of the findings In the freeze-all cycles, there was no association between number of oocytes retrieved and adverse neonatal outcomes. This is a reassuring finding for both clinicians and patients who are planning to use freeze-all cycles for a variety of indications. Study funding/competing interest(S) Grants from the National Natural Science Foundation of China (NSFC) (31770989 to Y.W.) and the Shanghai Ninth People’s Hospital Foundation of China (JYLJ030 to Y.W.). None of the authors have any conflicts of interest to declare.


1977 ◽  
Vol 89 (3) ◽  
pp. 667-673 ◽  
Author(s):  
A. J. F. Russel ◽  
T. J. Maxwell ◽  
A. R. Sibbald ◽  
D. McDonald

SummaryIndividual feed intakes of housed mature Greyface (Border Leicester × Scottish Blackface) ewes were adjusted weekly to maintain plasma 3-hydroxybutyrate concentrations during the final 6 weeks of pregnancy at the following values: treatment 1 (adequately nourished; 17 ewes) less than 0·7 mmol/1; treatment 2 (moderately undernourished; 15 ewes) at about 1·1 mmol/1; treatment 3 (severely undernourished; 15 ewes) at about 1·6 mmol/1.The mean energy intakes (MJ metabolizable energy (ME)/day) required to maintain the prescribed nutritional states in single- and twin-bearing ewes were: treatment 1, 14·3 and 16·3; treatment 2, 10·6 and 11·6; treatment 3, 8·1 and 10·0 respectively.The moderate degree of undernourishment had no significant effect on the birth weight of single lambs, but reduced the birth weight of twins by 8·2%, while the more severe undernourishment reduced the birth weights of singles and twins by 21·5 and 25·8% respectively.Foetal energy requirements, estimated by regression analysis, appeared to decrease from more than 2 MJ ME/kg/24 h at 35 days prepartum to 1·54 MJ ME/kg/24 h in the week before parturition.The amounts of energy required to sustain the nutritional states of treatments 1–3 in non-pregnant ewes were calculated to be 348, 271 and 231 kJ ME/kg0.75/24 h, compared with a maintenance requirement, determined in this experiment, of 344 kJ ME/kg0.75/24h.It is concluded that in individually fed ewes a nutritional state characterized by plasma 3-hydroxybutyrate concentrations of 1·1 mmol/1 would constitute an acceptable compromise between an uneconomically high energy input and an excessive reduction in lamb birth weight.


2012 ◽  
Vol 20 (3) ◽  
pp. 462-468 ◽  
Author(s):  
Ana Paula Sayuri Sato ◽  
Elizabeth Fujimori

This study described the nutritional status of 228 pregnant women and the influence of this on birth weight. This is a retrospective study, developed in a health center in the municipality of São Paulo, with data obtained from medical records. Linear regression analysis was carried out. An association was verified between the initial and final nutritional status (p<0.001). The mean of total weight gain in the pregnant women who began the pregnancy underweight was higher compared those who started overweight/obese (p=0.005). Weight gain was insufficient for 43.4% of the pregnant women with adequate initial weight and for 36.4% of all the pregnant women studied. However, 37.1% of those who began the pregnancy overweight/obese finished with excessive weight gain, a condition that ultimately affected almost a quarter of the pregnant women. Anemia and low birth weight were uncommon, however, in the linear regression analysis, birth weight was associated with weight gain (p<0.05). The study highlights the importance of nutritional care before and during pregnancy to promote maternal-infant health.


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