COMPARISON OF BODY HEIGHT AND VERTEBRAL COLUMN LENGTH IN THE TERM PREGNANT WOMEN

1990 ◽  
Vol 70 (Supplement) ◽  
pp. S55
Author(s):  
B. J. Chen ◽  
W. F. Kwan ◽  
L. Virtusio
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying-Jun She ◽  
Wen-Xing Liu ◽  
Ling-Yu Wang ◽  
Xin-Xu Ou ◽  
Hui-Hong Liang ◽  
...  

Abstract Background The spread of spinal anesthesia was influenced by many factors, and the effect of body height on spinal anesthesia is still arguable. This study aimed to explore the impact of height on the spread of spinal anesthesia and the stress response in parturients. Methods A total of ninety-seven parturients were allocated into two groups according to their height: the shorter group (body height was shorter than 158 cm) and taller group (body height was taller than 165 cm). Spinal anesthesia was performed with the same amount of 12 mg plain ropivacaine in mothers of different heights. The primary outcome of the study was the success or failure of the spinal anesthesia. The secondary outcomes of the study were stress response, time to T6 sensory level, the incidence of hypotension, the satisfaction of abdominal muscle relaxation and patient VAS scores. Results The rate of successful spinal anesthesia in the shorter group was significantly higher than that in the taller group (p = 0.02). The increase of maternal cortisol level in the shorter group was lower than that in the taller group at skin closure (p = 0.001). The incidence of hypotension (p = 0.013), time to T6 sensory block (p = 0.005), the quality of abdominal muscle relaxation (p <  0.001), and VAS values in stretching abdominal muscles and uterine exteriorization (p <  0.001) in the shorter group were significantly different from those in the taller group. Multivariate analysis showed that vertebral column length (p <  0.001), abdominal girth (p = 0.022), amniotic fluid index (p = 0.022) were significantly associated with successful spinal anesthesia. Conclusions It’s difficult to use a single factor to predict the spread of spinal anesthesia. Patient’s vertebral column length, amniotic fluid index and abdominal girth were the high determinant factors for predicting the spread of spinal anesthesia. Trials registration ChiCTR-ROC-17012030 (Chictr.org.cn), registered on 18/07/2017.


2020 ◽  
Vol 1 (1) ◽  
pp. 7-12
Author(s):  
Maya S. ◽  
Sreeranjini A. R. ◽  
Leena C. ◽  
Sunilkumar N.S. ◽  
Irshad A.

In mammals, the spinal cord forms a long, roughly cylindrical structure with cervical and lumbar enlargements. It is anchored in the vertebral canal, enclosed by meninges. The cord is protected by the epidural fat and terminates as the conus medullaris, which varied in level at different stages of gestation. The weight and length of the cord have a significant correlation in between them and with age, body weight, CRL, and vertebral column length and other body parameters. All cord segments did not correspond to the corresponding vertebrae. Initially, the spinal cord extended the entire length of the vertebral canal. Later it loose its correspondence with vertebral segments as gestation proceeds.


1988 ◽  
Vol 39 (4) ◽  
pp. 729 ◽  
Author(s):  
BJ McDonald ◽  
PK O'Rourke ◽  
JA Connell ◽  
WA Hoey

The prenatal development of the conceptus in the Australian feral goat (Capra hircus) was studied in 47 does containing 89 fetuses of known gestational age. Quantification of the growth of the fetus allowed the development of a number of predictors of fetal age. The effect of age of fetus was highly significant for the variables body weight, crown-rump straight and curved length, vertebral column length, thorax circumference, forelimb length and hindlimb length (P < 0.01). A quadratic response curve using loge of fetal age accounts for most of the variation in the log, of each fetal measurement (R2 = 0.991 to 0.995). The prenatal growth of these fetal parameters was partitioned using the regressions. There was little difference between the relative growth of crown-rump straight and curved length, vertebral column length and the thorax circumference over the trimesters of gestation. Growth of the limbs tended to be greater in the third trimester when compared with the former parameters. As might be expected from work in other species, 79% of the growth in fetal body weight occurred in the last trimester, and this exceeded the relative growth of all other characters during this period. There was marked (P < 0.01) increase in the weight of the empty uterus up to day 95, after which no change occurred.


Author(s):  
Ina Kusrini ◽  
Donny Kristanto Mulyantoro ◽  
Dwi Hapsari Tjandrarini ◽  
Hadi Ashar

BACKGROUND: Anemia is the most common type of malnutrition in pregnant women, and when combined with another nutritional problem, it would increase the risk of adverse pregnancy outcomes. AIM: This study aims to analyze the risk of double undernutrition in pregnant women with anemia. MATERIALS AND METHODS: We used secondary data from the 2018 National Basic Health Survey as well as biomedical anemia samples. Anthropometric measurements were maternal body height, middle–upper circumference (MUAC) for chronic energy malnutrition (CEM); anemia was predicted using hemoglobin levels. The number of samples is 484, considering the minimum sample size for each undernutrition proportion. RESULTS: Anemia in pregnant women is not a single malnutrition issue. Almost one–third of pregnant women with anemia also had another form of undenutrition. In this study, the prevalence of anemia among pregnant women (%) is 35.7; stunted is 35.9, and CEM is 16.7. The malnutrition was identified as double nutritional problems coexistence to anemia, such as prevalence stunted–anemia (%) 12.5; anemia–CEM 9.2; and anemia–stunted–CEM 4.4. Overall, CEM is associated with anemia with p < 0.05 and AOR 2.25 (CI; 1.38–3.66), adjusted to height and type of residence, education, and occupation. Urban areas have a similar risk to rural areas with AOR for CEM to anemia, 2.29 (CI; 1.12–4.69); rural areas 2.23 (CI; 1.14–4.33), respectively. Moreover, women with double of undernutrition stunted–CEM in rural areas have a risk of anemia with AOR 2.75 (1.14–6.65). CONCLUSION: The risk of anemia in pregnant women with chronic energy malnutrition has increased more than twice in rural and urban areas.


2017 ◽  
pp. 94-97
Author(s):  
O.V. Melnik ◽  

The objective: an assessment of a course of pregnancy, labors and perinatal outcomes of a delivery at multiple monochorial pregnancy at the birth of children with normal body weight. Patients and methods. Clinical research of a course of pregnancy, labors and perinatal outcomes at 45 patients at whom multiple, monochorial pregnancy came spontaneously was conducted and came to the end with the birth the normotrofycal of children. For comparison similar indicators at 45 with a byhorial two at birth were used. The complex of the conducted researches included clinical, ehografical, dopplerometrical, morphological and statistical methods. Results. The course of pregnancy at monochorial two at birth is characterized by the high frequency of development of a growth inhibition of fetus/fetuses (51.1%), preeclampsia (33.3%), abortion threats (64.1%) and premature births (66.7%) even for lack of specific complications of monochorial type of placentation that justifies high rates of an operational delivery (46.7%). Body height of fetuses at monochorial type of placentation is characterized authentically by lower fetometrical indicators in comparison with one-fetal pregnancy, since the second half of pregnancy. The growth inhibition of fetus/fetuses at monochorial two at birth is formed by 28-32 week of gestation, and at 20.6% of pregnant women the growth inhibition of both fetuses, at 30.4% – one develops. Conclusion. The received results needs to be considered when developing algorithm of diagnostic and treatment and prophylactic actions at multiple pregnancy. Key words: multiple pregnancy, labors, perinatal outcomes.


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