Newborn skin reflection: Proof of concept for a new approach for predicting gestational age at birth. A cross-sectional study

Aim: To describe some gross motor features of children with Spastic cerebralpalsy at the NationalChildren’s Hospital in 2018Methods: A cross -sectional study combined with quantitative method was conducted on 112 patients withSpastic cerebralpalsy, using GMFCS scale.Results: Gross motor according to GMFCS: 54,5% of cases at level 5; 21,4% of cases at level 4 and 24,1%of cases at level 3. There were no distinction between thepercentage of gross motor level based on GMFCS andfeatures of age, gender, birth weight, gestational age at birth, types of birth (p>0,05). There were a statisticallysignificant relationship between gross motor according to GMFCS and time of palsy and spastic cerebraldiagnosis (p<0,05).Conlussion: Most of the patients have gross motor at level 5 according to GMFCS, the result shows arelationship between gross motor and time of palsy and spastic cerebral diagnosis.

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Fatores obstétricos associados ao nascimento de bebês prematuros moderados e tardíos

Enfermería Global ◽

10.6018/eglobal.417281 ◽

2021 ◽

Vol 20 (1) ◽

pp. 23-58

Author(s):

Leonardo Bigolin Jantsch ◽

Raphael Teixeira Canto ◽

Amanda Martins de Melo ◽

Isadora Rinaldo Scaburi ◽

Eduardo Nascimento Correa de Andrade ◽

...

Keyword(s):

Cross Sectional Study ◽

Premature Births ◽

Sectional Study ◽

Cross Sectional ◽

Late Preterm Infants ◽

Premature Babies ◽

Significant Difference ◽

Gestational Age At Birth ◽

Santa Maria ◽

Age At Birth

Objetivo: Analizar las variables obstétricas asociadas con el nacimiento de bebés prematuros moderados y tardíos en una ciudad de la región sur de Brasil. Método: Estudio transversal que analizó las variables obstétricas de 151 recién nacidos prematuros moderados y tardíos desde mayo de 2016 hasta mayo de 2017 que residen en Santa Maria/RS. Los datos fueron recolectados, por medio de un instrumento específico, diariamente, y posteriormente analizados de manera descriptiva y por comparación de frecuencia y correlación. Resultados: La gemelaridad (14,6%) fue la característica más frecuente entre los tardíos, en comparación con el grupo de moderados (p = 0,019). Los otros factores no mostraron diferencias significativas. El mayor número de partos prematuros anteriores tiene una correlación significativa con la menor edad gestacional al nacer (IC = -0.522, p = 0.008). Conclusión: Para los dos grupos de recién nacidos prematuros estudiados, los motivos no mostraron ninguna diferencia significativa, lo que sugiere homogeneidad con respecto a los motivos obstétricos para el parto prematuro. Objective: To analyze obstetric variables associated with the birth of moderate and late premature babies in a city in the southern region of Brazil.Method: Cross-sectional study that analyzed the obstetric variables of 151 moderate and late preterm infants from May 2016 to May 2017 resident in Santa Maria/RS. Data were collected by means of their own instrument daily, and subsequently analyzed descriptively and by comparison of frequency and correlation. Results: Twinning (14.6%) was the most frequent feature among late twins when compared to the moderate group (p = 0.019). The other factors showed no significant difference. The higher number of previous premature births has a significant correlation with the lower gestational age at birth (CI = -0.522, p = 0.008). Conclusion: For the two groups of premature infants studied, the reasons did not present significant difference, which suggests homogeneity regarding the obstetric reasons for early birth. Objetivo: Analisar variáveis obstétricas associadas ao nascimento de bebês prematuros moderados e tardios em um município da região sul do Brasil.Método: Estudo transversal que analisou as variáveis obstétricas de 151 neonatos prematuros moderados e tardios no período de maio de 2016 a maio de 2017 residentes em Santa Maria/RS. Os dados foram coletados, por meio de instrumento próprio, diariamente, e posteriormente analisados de forma descritiva e por comparação de frequência e correlação. Resultados: A gemelaridade (14,6%) foi a característica mais frequente entre os tardios, quando comparados ao grupo de moderados (p=0,019). Os demais fatores não apresentaram diferença significativa. O maior número de partos prematuros anteriores possui correlação significativa com a menor idade gestacional ao nascer (IC= -0,522, p=0,008). Conclusão: Para os dois grupos de prematuros estudados, os motivos não apresentaram diferença significativa, o que sugere homogeneidade quanto aos motivos obstétricos de nascimento precoce.

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The Prevalence of Necrotizing Enterocolitis and Associated Factors Among Enteral Fed Preterm and Low Birth Weight Neonates Admitted in Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Study

Global Pediatric Health ◽

10.1177/2333794x211019695 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2110196

Author(s):

Sitotaw Molla Mekonnen ◽

Daniel Mengistu Bekele ◽

Fikrtemariam Abebe Fenta ◽

Addisu Dabi Wake

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Necrotizing Enterocolitis ◽

Gestational Age ◽

Associated Factors ◽

Addis Ababa ◽

Cross Sectional Study ◽

Public Hospitals ◽

Sectional Study ◽

Cross Sectional

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.

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Serum Concentrations of Selected Organochlorines in Pregnant Women and Associations with Pregnancy Outcomes. A Cross-Sectional Study from Two Rural Settings in Cambodia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207652 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7652

Author(s):

Margit Steinholt ◽

Shanshan Xu ◽

Sam Ol Ha ◽

Duong Trong Phi ◽

Maria Lisa Odland ◽

...

Keyword(s):

Polychlorinated Biphenyls ◽

Pregnant Women ◽

Gestational Age ◽

Low Income ◽

Cross Sectional Study ◽

Maternal Serum ◽

Sectional Study ◽

Serum Samples ◽

Cross Sectional ◽

Rural Settings

We conducted a cross-sectional study among 194 pregnant women from two low-income settings in Cambodia. The inclusion period lasted from October 2015 through December 2017. Maternal serum samples were analyzed for persistent organic pollutants (POPs). The aim was to study potential effects on birth outcomes. We found low levels of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCP), except for heptachlors, β-hexachlorocyclohexane (HCH), heptachlor epoxide, and p,p’-DDE. There were few differences between the two study locations. However, the women from the poorest areas had significantly higher concentrations of p,p’-DDE (p < 0.001) and hexachlorobenzene (HCB) (p = 0.002). The maternal factors associated with exposure were parity, age, residential area, and educational level. Despite low maternal levels of polychlorinated biphenyls, we found significant negative associations between the PCB congeners 99 (95% CI: −2.51 to −0.07), 138 (95% CI: −1.28 to −0.32), and 153 (95% CI: −1.06 to −0.05) and gestational age. Further, there were significant negative associations between gestational age, birth length, and maternal levels of o,p’-DDE. Moreover, o,p’-DDD had positive associations with birth weight, and both p,p’-DDD and o,p’-DDE were positively associated with the baby’s ponderal index. The poorest population had higher exposure and less favorable outcomes.

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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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Placental thickness and Transcerebellar diameter for accurate estimation of gestational age in the second trimester (A cross sectional study)

The Egyptian Journal of Fertility of Sterility ◽

10.21608/egyfs.2021.170464 ◽

2021 ◽

Vol 25 (2) ◽

pp. 36-46

Author(s):

Samar Amin Ahmed Saleh, Nermeen Ahmed Mostafa Elghareeb

Keyword(s):

Gestational Age ◽

Cross Sectional Study ◽

Accurate Estimation ◽

Second Trimester ◽

Sectional Study ◽

Cross Sectional ◽

Placental Thickness

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Asthma prevalence, lung and cardiovascular function in adolescents born preterm

Scientific Reports ◽

10.1038/s41598-020-76614-0 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

Maria Arroyas ◽

Cristina Calvo ◽

Santiago Rueda ◽

Maria Esquivias ◽

Cristina Gonzalez-Menchen ◽

...

Keyword(s):

Gestational Age ◽

Intrauterine Growth Restriction ◽

Cross Sectional Study ◽

Asthma Prevalence ◽

Sectional Study ◽

Cross Sectional ◽

Global Function ◽

Current Asthma ◽

Intrauterine Growth ◽

Very Preterm

AbstractOur main objective was to study respiratory evolution and pulmonary and cardiac function in adolescents born preterm in the post-surfactant era. Observational cross-sectional study, comparing very preterm (< 32 weeks) and moderately-late preterm adolescents (≥ 32 weeks) (74 each group). We recorded respiratory symptoms, spirometry and functional echocardiogram. Very preterm adolescents required more respiratory admissions (45.9% vs. 28.4%) (p = 0.03, OR 2.1, CI95% 1.1–4.2) and had more current asthma (21.6% vs. 9.5%, p = 0.04, OR 2.3, CI95% 1.1–5.2). Preterm subjects with intrauterine growth restriction (IUGR) presented lower FEV1 (88.7 ± 13.9 vs. 95.9 ± 13.3, p = 0.027) and lower FVC (88.2 ± 13.6 vs. 95.5 ± 13.3, p = 0.025). When assessing right ventricle, very preterm showed a greater E/E’ ratio (p = 0.02) and longer myocardial performance index (MPI) (p = 0.001). Adolescents with IUGR showed less shortening fraction (p = 0.016), worse E/E′ ratio (p = 0.029) and longer MPI (p = 0.06). Regarding left ventricle, very preterm showed less E′ wave velocity (p = 0.03), greater E/E′ ratio (p = 0.005) and longer MPI (p < 0.001). Gestational age < 32 weeks is independently associated with current asthma in adolescence. Children 13–14 years old born very preterm required more respiratory admissions and had poorer diastolic and global function of both ventricles. IUGR is a risk factor for poorer lung function in preterm adolescents, regardless gestational age.

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Association between ambient air pollution exposure and infants small for gestational age in Huangshi, China: a cross-sectional study

Environmental Science and Pollution Research ◽

10.1007/s11356-019-06268-7 ◽

2019 ◽

Vol 26 (31) ◽

pp. 32029-32039 ◽

Cited By ~ 2

Author(s):

Jiayuan Hao ◽

Faxue Zhang ◽

Dieyi Chen ◽

Yanyun Liu ◽

Lina Liao ◽

...

Keyword(s):

Air Pollution ◽

Gestational Age ◽

Small For Gestational Age ◽

Ambient Air ◽

Cross Sectional Study ◽

Ambient Air Pollution ◽

Sectional Study ◽

Cross Sectional ◽

Air Pollution Exposure ◽

Pollution Exposure

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Influence of Patient-Level Factors on Mode of Delivery among Operative Vaginal Delivery Candidates in Modern Practice

American Journal of Perinatology ◽

10.1055/s-0037-1601441 ◽

2017 ◽

Vol 34 (10) ◽

pp. 0974-0981 ◽

Cited By ~ 1

Author(s):

Christina Gonzalez ◽

Amanda Allshouse ◽

Erick Henry ◽

Sean Esplin ◽

Torri Metz

Keyword(s):

Vaginal Delivery ◽

Gestational Age ◽

Maternal Age ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Second Stage ◽

Patient Level ◽

Operative Vaginal Delivery

Objective We aimed to evaluate which patient-level factors influence mode of delivery among candidates for operative vaginal delivery. Study Design Cross-sectional study of candidates for operative vaginal delivery from 18 hospitals over 8 years. Probabilities of mode of delivery were estimated using hierarchical logistic modeling adjusting for clustering within physician and hospital. Results Total 3,771 (64%) women delivered with forceps, 1,474 (25%) vacuums, and 665 (11%) cesareans. Odds of forceps versus vacuum were higher with induction (OR = 2.16, 95% CI: 1.76–2.65), nulliparity (OR = 2.06, 95% CI: 1.59–2.66), epidural (OR = 2.05, 95% CI: 1.19–3.56), maternal indication (OR = 1.53, 95% CI 1.16–2.02), older maternal age (OR 1.18, 95% CI 1.06–1.31 per 5 years), and longer second stage (OR = 1.10, 95% CI: 1.01–1.20 per hour).Odds of cesarean versus operative vaginal delivery were higher with maternal indication (OR = 9.0, 95% CI: 7.23–11.20), a perinatologist (OR = 2.51, 95% CI: 1.09–5.78), longer second stage (OR = 1.79, 95% CI: 1.65–1.93 per hour), older gestational age (OR = 1.10, 95% CI: 1.01–1.20 per week), and longer labor (OR = 1.02, 95% CI: 1.01–1.04 per hour). Conclusion Patient-level factors influence the decision to proceed with an operative vaginal delivery and the choice of instrument, thereby emphasizing the importance of maintaining availability of both forceps and vacuums.

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