First trimester maternal upper arm circumference correlated to placental size and neonatal anthropometry

BACKGROUND First maternal nutrition, represented by anthropometrics, is an important factor for fetal growth. This study aimed to determine the correlation between maternal nutritional status of first trimester pregnant women with placental size and neonatal anthropometry. METHODS A retrospective cohort study (N = 134) was conducted in Jakarta and Riau during August–September 2017. Correlation between first trimester maternal nutritional status, placental size (placental weight and volume), and neonatal anthropometry (birth weight, birth length, head circumference, and abdominal circumference) were examined using Spearman correlation test. RESULTS High maternal body mass index and upper arm circumference (UAC) are weakly correlated with high birth weight (r = 0.281, p<0.001 and r = 0.271, p<0.001), birth length (r = 0.176, p = 0.022 and r= 0.238, p = 0.002), head circumference (r = 0.251, p = 0.001 and r = 0.297, p<0.001), abdominal circumference (r = 0.227, p = 0.003 and r = 0.226, p = 0.003), placental weight (r = 0.198, p = 0.01 and r = 0.228, p<0.001), and placental volume (r = 0.194, p = 0.01 and r = 0.203, p = 0.008). In addition, high maternal height is also weakly correlated with high birth weight (r = 0.157, p = 0.043) and birth length (r = 0.158, p = 0.041). CONCLUSIONS UAC can be reliably used to assess the nutritional status of pregnant women and to predict placental and newborn sizes.

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Mid-upper arm circumference in pregnant women and its relation to birth weight

Revista de Saúde Pública ◽

10.1590/s0034-89101998000200002 ◽

1998 ◽

Vol 32 (2) ◽

pp. 112-117 ◽

Cited By ~ 17

Author(s):

Anamaría E. Ricalde ◽

Gustavo Velásquez-Meléndez ◽

Ana Cristina d'A. Tanaka ◽

Arnaldo A.F. de Siqueira

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Gestational Age ◽

Head Circumference ◽

Upper Arm ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Mother’S Age ◽

Mid Upper Arm Circumference ◽

Pregnancy Weight

OBJECTIVE: In order to determine the relationship between some maternal anthropometric indicators and birth weight, crown-heel length and newborn's head circumference, 92 pregnant women were followed through at the prenatal service of hospital in S. Paulo, Brazil. MATERIAL AND METHOD: The following variables were established for the mother: weight, height, mid-upper arm circumference, pre-pregnancy weight, gestational weight gain and Quetelet's index. For the newborn the following variables were recorded: birth weight, crown-heel length, head circumference and gestational age by Dubowitz's method. RESULTS: Significant associations were noted between gestational age and newborn variables. In addition, maternal mid-arm circumference (MUAC) and pre-pregnancy weight were found to be positively correlated to birth weight (r=0.399; r=0.378, respectively). The multivariate linear regression shows that gestational age, mother's arm circumference and pre-pregnancy weight continue to be significant predictors of birth weight. On the other hand, only gestational age and mother's age was associated with crown-heel length. Similarly MUAC was significantly associated with crown-heel length (r= 0.306; P=0.0030). CONCLUSION: Maternal mid-upper arm circumference is a potential indicator of maternal nutritional status. It could be used in association with other anthropometric measurements, instead of pre-pregnancy weight, as an alternative indicator to assess women at risk of poor pregnancy outcome.

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Maternal Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC) in Early Pregnancy as Predictors of Low Birth Weight Infants

Advanced Science Letters ◽

10.1166/asl.2018.12679 ◽

2018 ◽

Vol 24 (8) ◽

pp. 6203-6205

Author(s):

Yoga Dwi Oktavianda ◽

Syahru Ramadhan ◽

Thalia Mufida ◽

Ummul Mukminin ◽

Rima Irwinda

Keyword(s):

Body Mass Index ◽

Birth Weight ◽

Low Birth Weight ◽

Nutritional Status ◽

Pregnant Women ◽

Early Pregnancy ◽

Upper Arm ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Mid Upper Arm Circumference

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).

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HUBUNGAN ANTARA UMUR DAN STATUS GIZI IBU BERDASARKAN UKURAN LINGKAR LENGAN ATAS DENGAN JENIS BBLR DI PUSKESMAS TAWANGREJO KOTA MADIUN

Jurnal Delima Harapan ◽

10.31935/delima.v6i1.67 ◽

2019 ◽

Vol 6 (1) ◽

pp. 7-16

Author(s):

Eny Pemilu Kusparlina

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Nutritional Status ◽

Maternal Age ◽

Health Workers ◽

Fisher Exact Test ◽

Upper Arm ◽

Cross Sectional ◽

Maternal Nutritional Status ◽

Arm Circumference

Low Birth Weight incidence is caused by several factors including maternal age <20/> 35 years and LILA <23.5 cm. The results of the preliminary study at the TawangrejoCommunity Health Center in the City of Madiun, from 2016 there were 20 Low Birth Weightwhile in January-June 2017 there were 24 Low Birth Weight. The problem of this study isthe increase in the incidence of Low Birth Weight.To analyze the relationship between age and maternal nutritional status based on thesize of the upper arm circumference with the type of Low Birth Weight.This study is an analytical cross-sectional study with a population of all infants withbirth weight less than 2500 gram in January-April 2011 taken by simple random sampling of23 infants. Data sourced from secondary data in the form of medical records. Theindependent variables of maternal age and nutritional status based on the size of the upperarm circumference and the dependent variable type Low Birth Weight were then analyzedusing the Fisher Exact test.This study showed that the majority (69.6%) of mothers giving birth in the agecategory were not safe, causing premature Low Birth Weight (38.5%) and Low Birth Weightat term (61.5%). And most (65.1%) mothers gave birth in the category of Lack of ChronicEnergy, causing premature Low Birth Weight (38.5%) and Low Birth Weight dismatured(61.5%). From the Fisher Exact test results obtained value p = 0.011 for age and p = 0.024for LILA size with a significance level of α = 0.05, because p <α then H1 is accepted.This study has a relationship between age and maternal nutritional status based on thesize of the upper arm circumference with the type of Low Birth Weight. Pregnant and givingbirth at an unsafe age and Lack of Chronic Energy tend to give birth to babies with LowBirth Weight. From the research conducted, it is expected that health workers will furtherimprove health promotion by carrying out prevention through early detection of pregnancyby early ANC examination with the 7T standard.

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The Correlation of Parents Height Characteristics and Maternal Nutritional Status During Pregnancy Based on Upper Arm Circumference (UAC) and Stunting Incidence of Toddlers Aged 24-59 Months in the Working Area of Berbek Community Health Center Nganjuk Regency

Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) ◽

10.26699/jnk.v8i1.art.p001-012 ◽

2021 ◽

Vol 8 (1) ◽

pp. 001-012

Author(s):

Wahyu Nuraisya ◽

Wahyu Erdi

Keyword(s):

Public Health ◽

Nutritional Status ◽

Health Center ◽

Normal Pregnancy ◽

Upper Arm ◽

Public Health Center ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Parental Height ◽

Almost All

Stunting in Indonesia was the fifth ranks in the world, influenced by many factors, some of which are the height of the parents and the nutritional status of the mother during pregnancy. The purpose of this research was to determine the correlation of parent height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with stunting incidence in toddlers aged 24-59 months in the working area of the Berbek Public Health Center Nganjuk Regency. The research design used correlation analytic research design with observational method with case control approach. The independent variables consisted of parental height characteristics and maternal nutritional status during pregnancy based on UAC, and the dependent variable was stunting incidence. The population was 2266 respondents of under-five children aged 24-59 months. The sampling technique used quota sampling consisted 96 respondents. The instrument used height measurement tool, the Mother's Child Health book and the Public Health Center Weigh Activity Report, 2011. This research was conducted from 22 July to 22 August 2019 in three selected villages namely Sumberurip, Sumberwindu and Semare villages. Data analysis used chi-square test α (0.05). The results showed that almost all mothers and fathers had normal height characteristics, almost all respondents had the nutritional status of the mother during normal pregnancy. Analysis of height, circumference of the mother, and nutritional status of the mother during pregnancy based on Upper Arm Circumference (UAC) was obtained ρ value = 0.036; 0,000 and 0,000 <α 0,05. It meant that there was a correlation between parental height characteristics and maternal nutritional status during pregnancy based on Upper Arm Circumference (UAC) with the incidence of stunting in children aged 24-59 months in the Berbek Public Health Center Nganjuk Regency Parental height and nutritional status of the mother during normal pregnancy, it will have the opportunity to have a child with good growth.

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Determinant of Maternal and Hair Zinc Level on Stunting and Developmental Disorders in Under Five Aged Children: A Path Analysis

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.34 ◽

2020 ◽

Author(s):

Nunik Ike Yunia Sari ◽

◽

Estin Gita Maringga ◽

Keyword(s):

Birth Weight ◽

Developmental Disorders ◽

Zinc Level ◽

Birth Length ◽

Hair Zinc ◽

Upper Arm ◽

Under Five ◽

Arm Circumference ◽

Zinc Levels ◽

Mid Upper Arm Circumference

ABSTRACT Background: Stunting can cause various developmental problems in children under five. Stunting can reduce a person productivity at a young age and increase the risks of developing non-communicable diseases when older. This study aimed to determine of maternal and hair zinc level on stunting and developmental disorders in under five aged children. Subjects and Method: This was a case study conducted at Gurah Public Health Center, Kediri Regency, East java, August 4-29, 2020. approach with a fixed disease sampling technique. A sample size of 100 subjects was selected by simple random sampling. The dependent variable was stunting and developmental disorders. The independent variables were pregnant women Mid-Upper Arm Circumference, exclusive breastfeeding, LBW, birth length, hair zinc level. The data were collected by questionnaire, measuring height and weight and checking hair zinc levels in the laboratory. The data were analyzed by path analysis. Results: Child development was influenced by Mid-Upper Arm Circumference (b= 0.12; SE= 0.36; p< 0.001), birth weight (b= 0.29; SE= 0.15; p= 0.042); birth length (b= 0.37; SE= 0.15; p= 0.011), breastfeeding (b= 0.08; SE= 0.04; p= 0.033), stunting (b= 0.39; SE= 0.10; p <0.001), hair zinc levels (b= 0.58; SE= 0.67; p <0.001). Hair zinc levels were affected by birth weight (b= 0.92; SE= 0.04; p <0.001). Stunting was affected by breastfeeding (b= 0.12; SE= 0.04; p <0.001); birth length (b= 0.73; SE= 0.06; p <0.001), zinc levels (b= 0.16; SE= 0.06; p= 0.006) Conclusion: Child development was influenced by Mid-Upper Arm Circumference, birth weight, birth length, breastfeeding, stunting, hair zinc levels. Hair zinc levels were affected by birth weight. Stunting was affected by breastfeeding, birth length, zinc levels. Keywords: maternal determinant factor, hair zinc level, predictor of stunting, developmental disorder Correspondence: Nunik Ike Yunia Sari. School of Health Sciences Karya Husada Kediri. Email: [email protected]. Mobile: +6282257969278. DOI: https://doi.org/10.26911/the7thicph.03.34

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Early registration for antenatal care was associated with improved birth outcomes in a low-income community in Harare

10.21203/rs.3.rs-21962/v1 ◽

2020 ◽

Author(s):

Tonderayi Mathew Matsungo ◽

Shingai Mudzuri ◽

Prosper Chopera

Keyword(s):

Birth Weight ◽

Antenatal Care ◽

Pregnant Women ◽

Birth Outcomes ◽

Head Circumference ◽

Apgar Score ◽

First Trimester ◽

Birth Length ◽

Delivery Mode ◽

Early Registration

Abstract Background : The World Health Organization (WHO) recommends early registration, regular and consistent attendance of antenatal care (ANC) sessions for all pregnant women. Specifically, if ANC services promote evidence-based practices this improves pregnancy outcomes and reduce maternal mortality. Yet there are worrying gaps in knowledge of antenatal care services in Zimbabwe. Objectives: To determine the relationship between early registration and frequency of ANC visits on birth weight, birth length, head circumference, Apgar score, birth complications, delivery mode, preterm birth and duration of labour among women aged 15-49 from Hatcliffe Polyclinic, Harare. Methods: This was a health facility based analytical cross-sectional study. An interviewer administered questionnaire was used to collect data. Data was entered and analysed using SPSS version 20. Descriptive statistics, and associations between dependent and independent variables were determined using Pearson’s Chi-square and Fisher’s exact test. Ethical approval was granted from the Medical Research Council of Zimbabwe (MRCZ/B/1438). Results: A total of 75 mother child pairs were interviewed. Most (77.3%) had more than four ANC visits. Only 36% registered early (during first trimester). Most of the children had normal birth weight ≥2500g (80.3%), birth length ≥47cm, (76%), head circumference ≥33cm (80%), and Apgar score ≥7 (96%). A positive association was observed between number of ANC visits and birth weight [Odds ratio (OR) 7.6; 95% Confidence Interval (CI) 1.6, 36.4 (p=0.013)], birth length [OR 6.1; 95%CI 1.8, 20.1 (p=0.010)], and head circumference [OR 4.3; 95% CI 1.3, 14.8 (p=0.013)]. Positive associations were also observed between timing of registration and birth weight [OR 1.2; 95% 1.05, 1.36 (p=0.045)], birth length [OR 0.16; 95% CI 0.03, 0.76 (p=0.012)]. Conclusions: In this study increased frequency and early registration for ANC visits had a positive relationship with birth weight, birth length and head circumference. These findings show the need for improving the uptake of ANC services, early registration for ANC in the first trimester and adoption of community wide strategies to ensure that pregnant women attend all recommended visits for improved birth outcomes in this and related settings.

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Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

BMC Nutrition ◽

10.1186/s40795-021-00478-4 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Devaki Gokhale ◽

Shobha Rao

Keyword(s):

Birth Weight ◽

Nutritional Status ◽

Early Pregnancy ◽

First Trimester ◽

Birth Size ◽

Maternal Weight ◽

Anthropometric Indicators ◽

Lower Tertile ◽

Maternal Nutritional Status ◽

Indian Mothers

Abstract Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromised maternal nutritional status in early pregnancy affects the birth size of rural Indian mothers. Methods It was a prospective observational study on singleton pregnant women (n = 204) from 14 villages in Mulshi Taluka of Pune District, Maharashtra, India. Maternal weight (Wt), height (Ht), body fat percent (BF%), head circumference (HC), and sitting height (SHT) were measured at early pregnancy (< 13 weeks of gestation) and infants’ weight and length were measured within 24 h of birth. Groups means were tested using a ‘t’ test while the trend in means was tested using ANOVA. Results Mothers were young (21.46 ± 2.09 yrs), thin (46.46 ± 6.1 kg), short (153.39 ± 5.79 cm), and poorly nourished (19.74 ± 2.41 kg/m2). Mean birth weight was low (2655 ± 507 g) and prevalence of LBW and stunting at birth was highest among mothers in the lower tertile of each of the anthropometric indicators. In particular, stunting was significantly higher for mothers in lower tertile compared to higher tertile of Wt (44.6 Vs 64.6%) and was also true for HC (43.7 Vs 60.6%). Risk for LBW and stunting at birth was almost similar and was significant (p < 0.01) for mothers in the lower tertile of Wt, Ht, BMI, SHT, HC, and BF% as compared to those in the higher tertile of these measurements. Conclusion All the anthropometric indicators of current undernutrition at first trimester as well as that in utero reflected by smaller HC, impose risk for LBW and stunting at birth especially among young rural mothers.

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Association of Maternal Vegetarian Diets with Neonatal Anthropometry in the NICHD Fetal Growth Study (OR35-08-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.or35-08-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Samrawit Yisahak ◽

Stefanie Hinkle ◽

Sunni Mumford ◽

Mengying Li ◽

Victoria Andriessen ◽

...

Keyword(s):

Birth Weight ◽

Fetal Growth ◽

Proportional Hazards ◽

First Trimester ◽

Cox Proportional Hazards ◽

Birth Length ◽

Abdominal Circumference ◽

Vegetarian Diets ◽

The Impact ◽

Time To Delivery

Abstract Objectives Vegetarian diets appear to reduce risk of chronic disease in the general population, but the possible effect on fetal growth is understudied. Our aim was to examine associations of gestational vegetarianism (self-defined and operationalized) with neonatal anthropometry. Methods We studied 1964 women who had a singleton livebirth in a diverse multi-site cohort of U.S. pregnant women (2009-2013). To assess peri-conception and first trimester diet, women completed a 145-item self-administered Food Frequency Questionnaire at enrollment (8-13 weeks’ gestation). Self-defined vegetarians said “yes” to the question “For all of the past 3 months, did you follow a vegetarian diet?”. Operationalized vegetarianism was defined based on servings of first trimester meat, poultry, and fish (MPF) intake (vegetarian = MPF < 1 month; pesco-vegetarian = MP < 1 month and fish ≥ 1 month; semi-vegetarian = MPF ≥ 1 month and < 1 week). Birthweight was abstracted from medical records and neonatal anthropometrics (upper-arm length, upper-thigh length, head circumference, abdominal circumference, skinfold thickness) were measured post-delivery using a standard protocol. Linear regression was used to model neonatal outcomes. To assess the association of vegetarianism with gestational age, we also used cox proportional hazards models to estimate time to delivery. Results There were 99 (6.03%) self-defined, 32 (1.91%) operationalized, 7 (0.42%) pesco- and 321 (19.12%) semi-vegetarians. Neonates of vegetarians had significantly lower birth weight and birth length than nonvegetarians in adjusted models (Figure). Associations with all other measures of neonatal anthropometrics were null. Time to delivery HR (95% CI) was 1.08 (0.88, 1.34), 0.94 (0.65, 1.24), 0.68 (0.32, 1.45), and 0.96 (0.84, 1.10) for self-defined, operationalized, pesco- and semi-vegetarians respectively. Conclusions Both self-defined and operationalized vegetarianism was significantly associated with decreased birth weight and birth length. Further work is needed to better understand the impact of this maternal diet on the neonate. Funding Sources Intramural Research Program of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Supporting Tables, Images and/or Graphs

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Birth weight influence and maternal nutritional status in student’s body composition

Research Society and Development ◽

10.33448/rsd-v9i6.3403 ◽

2020 ◽

Vol 9 (6) ◽

pp. e100963403

Author(s):

Francisca Vanessa Rocha Borges ◽

Mônica Carvalho Gomes ◽

Eliakim Aureliano da Silva ◽

Leidinar Cardoso Nascimento ◽

Rivaldo da Costa Macedo ◽

...

Keyword(s):

Body Composition ◽

Birth Weight ◽

Waist Circumference ◽

Nutritional Status ◽

Inverse Correlation ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

The City ◽

Transversal Study ◽

Current Weight

Objective: This paper aims to evaluate birth weight and maternal nutritional status in children’s body composition aging from 7 to 9 years old. Methods: Transversal study composed of collecting interviewee’s socio economic and anthropometrical variables in which 41 children and their mothers were evaluated in the city of Picos in Piaui state. The following mother’s anthropometrical parameters were investigated: weight, height, and waist circumference. In addition, the following student’s anthropometrical variables were collected: born and current weight, height, waist circumference (WC), arm circumference (AC), subscapular skinfold (SS), and triceps skinfold (TS). Results: Birth weight relates positively and significantly with some anthropometrical variables of children, such as: waist circumference (WC; p=0.02), arm circumference (AC; p=0.03), subscapular skinfold (SS; p=0.02), and percentage of body fat (%BF; p=0.05). A statistically positive correlation between children’s current weight and mother’s current weight (p=0,04) was observed. Besides, a lower, but more significant inverse correlation between mother’s height and variables referring to children’s body composition was found. Conclusion: The following paper suggests that born weight correlates with children’s current bodily composition and that, no matter what the born weight is, mother’s weight is relevant to the children’s current weight, demonstrating the importance of continuous screening of nutritional status between mother and children.

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HUBUNGAN STATUS GIZI IBU HAMIL ATERM DENGAN BERAT BADAN LAHIR BAYI

Jurnal Akademika Baiturrahim Jambi ◽

10.36565/jab.v8i2.162 ◽

2019 ◽

Vol 8 (2) ◽

pp. 152

Author(s):

Baiq Ricca Afrida

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Nutritional Status ◽

Sampling Technique ◽

Cross Sectional ◽

Maternal Nutritional Status ◽

Arm Circumference ◽

Cross Sectional Design ◽

The Relationship ◽

Maternity Clinic

The nutritional status of the mother before and during pregnancy is one of the important factors that influence the growth and development of the intrauterine fetus. Chronic lack of energy will cause the birth of babies with low birth weight. Risk factors for low birth weight events are influenced by maternal conditions accompanied by malnutrition and other maternal factors. This study aims to determine the relationship between the nutritional status of pregnant women at term with the baby's birth weight. This study was an observational study with a cross sectional design. The sample in this study was mothers in maternity clinic who fulfilled the inclusion criteria. The sampling technique was consecutive sampling. The number of samples in this study were 50 people. Data analysis was performed by correlation statistical test. The results showed a significant relationship between maternal nutritional status (size of the upper arm circumference (p = 0,000) and birth weight of the baby. The conclusion were maternal nutritional status is very influential on birth weight of babies born

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