scholarly journals Correlations among parental and neonatal anthropometric parameters, feeding practices and infant obesity

2014 ◽  
Vol 87 (3) ◽  
pp. 166-170
Author(s):  
Daniel Sabau ◽  
Maria Stamatin ◽  
Silvia Stoicescu ◽  
Valeria Filip ◽  
Manuela Cucerea ◽  
...  

Background and aims: Infant and adult obesity is becoming a real public health concern in Romania, similar to other countries of the European Union. Maternal obesity and excessive weight gain during pregnancy are proven risk factors for the obesity of the child. The protective role of the breastfeeding against obesity has also been demonstrated. The most important issue is whether the choice of a milk formula with the right protein composition could or not protect the newborn from becoming a future obese infant and child. Our study aims to describe the characteristics of a group of macrosomic newborns,in relation to the mothers’ weight gain during pregnancy, mode of delivery, birth weight, complications at birth, time of first feeding and type of feeding during maternity stay. Patients and methods: we conducted a retrospective study on 179 newborns with birth weights > 4000 grams, born over a period of three months (March-May) in 6 large maternity hospitals in Romania. Results: the newborns had a mean gestational age of 39.5 weeks and a mean birth weight of 4195 grams. Male newborns were prevalent (74%). More than half were born by Cesarian section and had Apgar scores with a median of 9. Macrosomes are prone to complications at birth and in our study those were mainly hypoglycemia and birth trauma. Time at first feeding was 95 minutes (mean), with a high percentage of formula/mixed feeding (68%). Conclusion: Macrosomia itself attracts the risk of birth by cesarean section (54% of study group), birth trauma and a low rate of exclusive breast milk feeding (32% of study group) at discharge.

Author(s):  
Khushboo Singh ◽  
Alka Goel ◽  
Anupriya Narain

Background: In normal pregnancy, variable amount of weight gain is a constant phenomenon. The study aims to find an association between gestational weight gain and fetomaternal outcome. GWG (using institute of medicines guidelines meant for US population) and pregnancy outcomes among Asian Indians across different BMI categories (according to WHO Asia Pacific BMI cut points) were studied.Methods: 300 women were split into the three groups based on their gestational weight gain. Namely, below recommended GWG, recommended GWG and above recommended GWG group. Comparison of various fetomaternal outcomes was done between these groups.Results: In women, who had higher than recommended GWG, 30.5% developed GDM, 23.2% had gestational hypertensive disorder, 36.6% developed hypothyroidism, 12.2% had pre-term birth and 15.9% had low birth weight. In recommended GWG category, these were 5.4%, 4.5%, 30.6%, 7.2% and 17.1% respectively; and in below recommended category, these were 14%, 1.9%, 22.4%,12.1% and 24.3% respectively.Conclusions: GWG generally follows the BMI pattern at the time of entering into pregnancy, higher the BMI more the GWG. More GWG was associated with GDM, Gestational hypertensive disorders and poor APGAR at birth. Below recommended GWG was associated with higher occurrence of GDM. No statistical correlation, between GWG and mode of delivery, NICU stay, preterm birth and birth weight was observed. Larger study is required to establish the applicability of IOM Guidelines for GWG on Indian women.


2016 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Eka Nurhayati

<p>Prepregnancy BMI (Body Mass Index) is used as a guide to the nutritional status of the mother before pregnancy and also determine the optimal weight gain in pregnancy. Meanwhile, weight gain during pregnancy is a decisive indicator of the nutritional status of the mother. This retrospective study design aimed to determine the relationship of pre-pregnant BMI and maternal weight gain during pregnancy with birth weight babies. The sample was 71 mothers with children aged 0-6 months were selected by purposive sampling. The results showed 67.6% most respondents in this study had pre-pregnant BMI normal and 62% of respondents experienced weight gain during pregnancy, according to the recommendations. There is a significant relationship between pre-pregnant BMI birth weight (p=0.006), as well as weight gain during pregnancy had no significant relationship with birth weight, with p=0.024.</p>


2021 ◽  
Vol 10 (31) ◽  
pp. 2481-2484
Author(s):  
Swetha Gulabi Gaddam ◽  
Vijithra Thangamani

BACKGROUND Antepartum haemorrhage of unknown origin (APHUO) being a diagnosis of exclusion, is a rare condition which poses dilemma in the management of pregnancy in terms of timing and mode of delivery. The purpose of this study was to evaluate antenatal factors associated with APHUO, clinical presentation and analyse its impact on pregnancy and its outcome. METHODS This is a retrospective study conducted over a period of two years in a tertiary care hospital. Pregnancy outcomes were compared between 41 cases who had APHUO versus 39 controls who never had history of bleeding in their antepartum period. Bleeding pattern, incidence of preterm labour, intra partum and postpartum complications, mode of delivery, birth weight, APGAR (appearance, pulse, grimace, activity, and respiration) score of the baby and neo-natal intensive care unit (NICU) admission were analysed. RESULTS Patients with APHUO had subclinical abruption and increased risk of preterm delivery. Intrapartum and postpartum complications were similar among both the groups. The average birth weight was much lesser in the study group, but the cause was attributed to prematurity. These findings were consistent with the previous studies. CONCLUSIONS APHUO is associated with subclinical abruption and increased risk of preterm labour. Hence the patient should be counselled for delivery at a tertiary care center with adequate neonatal care. Greater incidence of NICU admission and low birth weight were attributed to prematurity among the study group. Induction of labour at term in this group is of questionable value unless there is an associated obstetric indication. KEY WORDS APHUO, Preterm Labour, Sub Clinical Abruption, Low Birth Weight


2016 ◽  
Vol 29 (4) ◽  
pp. 445-455 ◽  
Author(s):  
Luana Patricia MARMITT ◽  
Carla Vitola GONÇALVES ◽  
Juraci Almeida CESAR

ABSTRACT Objective To measure and identify the factors associated with healthy weight gain during pregnancy in the municipality of Rio Grande, Rio Grande do Sul, Brazil. Methods This was a population-based, cross-sectional study that included all parturient women from the municipality who gave birth at its maternity hospitals in 2013. Information was collected by interview with the mothers in the first 48 hours following parturition and from the prenatal care cards. Healthy weight gain was evaluated according to the Institute of Medicine guidelines. Data analysis used Poisson regression with robust variance using previous hierarchical model. Results Among the 1,784 pregnant participants, 89% attended at least six prenatal care visits, and 32% had healthy weight gain during pregnancy. Higher education level and fewer children resulted in a higher prevalence ratio for healthy weight gain (p=0.003 and p=0.029, respectively). Underweight women at conception had a higher proportion of healthy weight gain (p<0.001). Despite extensive coverage, prenatal care did not affect healthy weight gain during pregnancy (p=0.104). Conclusion The low proportion of women with healthy gestational weight gain suggests a need of better prenatal care services. Women who are overweight, have lower education levels, and had had multiple pregnancies at conception need special attention.


2018 ◽  
Vol 9 (1) ◽  
pp. 22-28
Author(s):  
Shiffin Rijvi ◽  
Sharmin Abbasi ◽  
Anuradha Karmakar ◽  
Sehereen Farhad Siddiqua ◽  
Farhana Dewan

Background: Maternal weight gain is influenced by several trends in perinatal health that are of great public health concern. Maternal weight gain during the 2nd and 3rd trimesters is an important determinant of fetal growthObjective: To determine the relationship between maternal weight gain and birth weight of baby at term.Methodology : A cross sectional observational study was carried among 50 pregnant women at term were admitted in the Department of Obstetrics and Gynaecology, Shaheed Suhrawardy Medical College and Hospital and Anwer Khan Modern Medical College hospital during the period of January 2014 to July 2014. Data were collected pre-designed data collection sheet.Results: This study found maximum (36%) were age group 21-25 years followed by 28% were 20 years, 24% were 26-30 years, 8% were 31-35 years and only 4% were 36-40 years. The average age was 25 years. Among these 50 pregnant women, 2 cases (4%) had BMI <18.5, 15 cases (30%) had a BMI 18.5- 24.9, 19 cases (38%) had a BMI 25-29.9 and 14 cases (28%) had a BMI ≥30. The mean birth weight was 2.77±0.33. kg. Mean weight gain was 10.72±3.72 Kg. Weight increased there was a corresponding increase in the mean birth weight and this relationship was statistically significant (<0.05).Conclusion: This study shows maternal weight gain significantly increased birth weight of the baby at term. Maternal weight should continue to be given importance in monitoring the health of pregnancies and bioelectrical impedance analysis and arm measurements should be further investigated as another simple way to track appropriate body composition changes across gestation, especially in resource-limited settings. Although challenging, public health efforts should continue working to improve the nutritional status of women of reproductive age before they conceive as an apparent way to improve birth outcomes.Anwer Khan Modern Medical College Journal Vol. 9, No. 1: Jan 2018, P 22-28


2017 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Rafia Bano

Objectives: The present cross sectional study was done to investigate the maternal anthropometry and weight gain in relation to pregnancy outcomes of mothers in Hail city of Saudi Arabia. Methods: The study was carried out in two maternity hospitals of Hail, Saudi Arabia. Sample size of 522 mothers who delivered single live baby without any congenital abnormality were selected to be included in the present study. Mother’s and infant’s anthropometric measurements were taken with standard  techniques. Hemoglobin, blood sugar and blood pressure were recorded using   electronic devices. Information regarding the demographic characteristics, health status of mothers, antenatal checkups and health related habits were accessed through structured questionnaire. Data was entered and analyzed through the Statistical Package for Social Sciences (SPSS) 17.0 Software. Odds Ratios, Means, Pearson’s correlation, Analysis of Variance were done to find out the risk factors associated with poor pregnancy outcome. Results: The mean birth weight of the infants was 3.16 kg ranging from 1.7 kg to 5.4 kg. Male babies tend to be heavier, whereas 100% of the very low birth weight deliveries were only females. Other factors like maternal Body mass Index before pregnancy, Weight gain in pregnancy, Maternal anemia, presence of chronic illnesses like diabetes, Hypertension and hypo/hyperthyroidism had    effected the birth weight of newborn infants. Conclusion: The present study provides some useful data to promote healthy pregnancy outcomes. Maternal factors like  nutritional status, poor pregnancy weight gain and unhealthy obstetric history are found to be the major risk factors.


Author(s):  
Shreyasi Karmakar ◽  
Sabyasachi Bid ◽  
Tapan Kumar Maiti

Background: The study was aimed to determine the mode of delivery, maternal outcome and perinatal outcome in prolonged pregnancy.Methods: It was a prospective observational study. Uncomplicated nulliparous singleton pregnancies who have completed 37 weeks of gestation were included in the study. Inclusion and exclusion criteria were strictly followed. Total 200 cases were divided into study group and control group. Those who have crossed their Estimated date of delivery (EDD) were compared with term pregnancies (not crossed their EDD).Results: The study group and control group consist of 114 and 86 women respectively. The incidence of caesarean section (64.04%), induction of labour (50.88%) is significantly higher in the study group. It also shows that the occurrence of caesarean section (63.79%) is more in post-dated pregnant women who underwent induction of labour. The most common indication for caesarean section was fetal distress in both groups. The commonest maternal complication was prolonged labour and perinatal complication was fetal distress in both groups. The incidence of low birth weight was significantly less in post-dated pregnancy.Conclusions: Our study suggests that the incidence of induction of labour and caesarean section is significantly higher in post-dated pregnancy. Although the mean birth weight baby is more in them, a definite policy should be recommended for optimum timing of intervention to avoid maternal and perinatal complications.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1138 ◽  
Author(s):  
Latsamy Oulay ◽  
Wongsa Laohasiriwong ◽  
Teerasak Phajan ◽  
Supat Assana ◽  
Kritkantorn Suwannaphant

Background: Low Birth Weight (LBW) is a worldwide public health problem, which subsequently may affect the health status of the child. Lao PDR has high incidence of LBW.  Antenatal care (ANC) is provided to improve maternal and child health outcomes. The aim of this study was to identify the effect ANC on LBW prevention in Lao PDR. Methods: This case control study was conducted in tertiary hospitals of Lao PDR. The ratio of case: control was 1:3, of which there were 52 cases and 156 controls that passed the inclusion criteria included in the study. In our analysis information on pregnancy and ANC including height of mother, maternal weight gain during pregnancy, maternal gestational age at delivery, type of delivery, supplementary vitamins, and other covariates including age, marital status, educational attainment, occupation, family income, health insurance, family size and living condition were described and determine their association with LBW using multiple logistic regression analysis. Results: There were only 32.69 % of complete ANC among cases and 57.69% in control.  Incomplete ANC (<4 times) were significant increased the odds of having LBW (adj. OR=2.97; 95%CI: 1.48 to 5.93; p-value =0.002). Other covariates which also influenced LBW were having maternal weight gain during pregnancy less than 10 kg. (adj.OR=2.28; 95%CI: 1.16 to 4.49; p-value = 0.017), maternal gestation age at delivery less than 40 weeks (adj. OR=3.33; 95%CI: 1.52 to 7.32; p-value =0.003).  Conclusion: Complete ANC could help both mother and child in term of weight gain and full term delivery which may effect on LBW reduction.


2012 ◽  
Vol 7 (3) ◽  
pp. 111 ◽  
Author(s):  
Khaula Karima ◽  
Endang Laksmining Achadi

Berat badan lahir 2.500 gram yang hingga kini merupakan standar ukuran risiko morbiditas dan mortalitas bayi merupakan faktor risiko penting yang berdampak hingga usia dewasa. Saat ini, bayi dengan berat badan lahir di bawah 3.000 gram dihubungkan dengan risiko penyakit degeneratif pada usia dewasa. Penelitian ini bertujuan mengetahui hubungan berat badan lahir dengan status gizi ibu meliputi berat badan prahamil, pertambahan berat badan selama kehamilan, dan kadar hemoglobin ibu pada trimester ketiga kehamilan. Penelitian kuantitatif dengan desain cross sectional ini menggunakan sumber data sekunder rekam medis Rumah Sakit Ibu dan Anak Budi Kemuliaan Jakarta. Analisis dilakukan secara bivariat dan multivariat menggunakan metode uji chi square dan korelasi regresi. Hasil studi menunjukkan hubungan yang bermakna antara berat badan prahamil dan pertambahan berat badan ibu selama kehamilan dengan berat badan lahir. Setelah dikontrol berbagai variabel lain, analisis regresi logistik ganda menemukan berat badan ibu prahamil, pertambahan berat badan selama kehamilan, usia ibu, dan urutan kelahiran merupakan faktor yang memengaruhi berat badan lahir. Berat badan prahamil ibu merupakan faktor yang paling berpengaruh terhadap berat badan lahir (odds ratio, OR = 6,64). Oleh sebab itu, ibu dengan status gizi prahamil kurang yang sedang merencanakan kehamilan perlu lebih diperhatikan.Kata kunci: Berat badan lahir, kehamilan, mortalitas bayi, status gizi ibuAbstractThe weight of 2.500 gram is still being used as the cut off point to predict the risk of baby’s morbidity and mortality. Recently birth weight of less than 3.000 gram is being rigorously assess as a risk factor for noncommunicable disease in adulthood. Therefore it is important to assess factors that are affecting the fetal growth and development. The objectives of this study is to determine the relationship between infant’s birth weight and mother’s nutritional status, i.e. pre-pregnancy weight, weight gain during pregnancy, and maternal haemoglobin level in the 3rd trimester as well as several other factors. The study design is cross sectional using secondary data from medical record of Budi Kemuliaan Hospital Jakarta. The result of chi square and correlation regression test shows there is significant relationship between prepregnancy weight and weight gain during pregnancy and birth weight. The multiple logistic regression test reveals that pre-pregnancy weight, weight gain during pregnancy, maternal age, and birth order are factors that are effecting birth weight significantly, with prepregnancy weight as the dominant factor (odds ratio, OR = 6,643). Therefore, it is imperative to give more attention to undernourished women who are planning their pregnancy. Key words: Birth weight, pregnancy, infant mortality, mother nutritional status


Sign in / Sign up

Export Citation Format

Share Document