Birth-Weight, Pregnancy Term, Pre-Natal and Natal Complications Related to Child’s Dental Anomalies

2015 ◽  
Vol 39 (4) ◽  
pp. 371-376 ◽  
Author(s):  
T Prokocimer ◽  
E Amir ◽  
S Blumer ◽  
B Peretz

Objectives: This cross-sectional study was aimed at determining whether certain pre-natal and natal conditions can predict specific dental anomalies. The conditions observed were: low birth-weight, preterm birth, pre-natal & natal complications. The dental anomalies observed were: enamel defects, total number of decayed, missing and filled teeth (total DMFT), disturbances in the tooth shape and disturbances in the number of teeth. Study design: Out of more than 2000 medical files of children aged 2–17 years old which were reviewed, 300 files met the selection criteria. Information recorded from the files included: age, gender, health status (the ASA physical status classification system by the American Society of Anesthesiologists), birth week, birth weight, total DMFT, hypomineralization, abnormal tooth shape, abnormal number of teeth and hypoplasia. Results: Twenty one children out of 300 (7%) were born after a high-risk pregnancy, 25 children (8.3%) were born after high-risk birth, 20 children (6.7%) were born preterm - before week 37, and 29 children (9.7%) were born with a low birth weight (LBW) - 2500 grams or less. A relationship between a preterm birth and LBW to hypomineralization was found. And a relationship between a preterm birth and high-risk pregnancy to abnormal number of teeth was found. No relationship was found between birth (normal/high-risk) and the other parameters inspected. Conclusion: Preterm birth and LBW may predict hypomineralization in both primary and permanent dentitions. Furthermore, the study demonstrated that preterm birth and high-risk pregnancy may predict abnormal number of teeth in both dentitions.

2020 ◽  
Vol 16 (4) ◽  
pp. 318-326
Author(s):  
Naina Kumar ◽  
Ashu Yadav

Background: High-risk pregnancies are associated with adverse perinatal and maternal outcomes. Aim: To know the overall perinatal outcome in high-risk pregnancies. Methods: Present observational study was conducted in the Obstetrics and Gynecology department of a rural tertiary center of Northern India over eight months (February-October 2018) on 3,085 antenatal women at gestation ≥ 28 weeks with 1,309 high-risk cases and 1,776 normal pregnancy cases after Institutional ethical committee approval and informed written consent from the participants. The demographic features including age, gravidity, parity, gestation, high-risk factors, the onset of labor, mode of delivery of all the selected antenatal women at gestation ≥ 28 weeks were recorded on a preformed datasheet by trained staff. All the participants were observed till delivery and the perinatal outcome was recorded. Statistical analysis was done using software SPSS 22.0 version and a p-value <0.05 was considered statistically significant. Results: Of total 1,309 high-risk pregnancies, 365(27.9%) were preterm, 936(71.5%) term and eight (0.6%) post-term cases. Of 1,309 neonates delivered, 66(5.04%) were intra-uterine dead fetuses, 1,243 live fetuses, of which nine (0.7%) had intrapartum still-birth, 278(22.4%) required neonatal intensive care unit admission, 70(5.6%) intubated, 238(19.1%) needed oxygen support, 343(27.6%) developed complications, while 11(0.9%) had early neonatal deaths. The average birth weight of neonates delivered to high-risk mothers was 2.47±0.571 Kg with 271(20.7%) neonates having low birth weight (<2.5 Kg). Of all high-risk factor Hypertensive disorders of pregnancy, Antepartum hemorrhage, Anemia, Gestational diabetes mellitus, Intra-uterine growth restriction, oligohydramnios was significantly associated with adverse perinatal outcomes (p<0.05). High-risk pregnancy was associated with preterm births, low birth weight, NICU admission, intubation, complications, neonatal deaths, still-births as compared to normal pregnancy. Most common neonatal complication was the low birth weight (20.7%) followed by Respiratory distress syndrome (17.6%), prematurity (13.1%). Conclusion: High-risk pregnancy was associated with an adverse overall perinatal outcome with increased risk of perinatal morbidities and mortalities.


2017 ◽  
Vol 35 (3) ◽  
pp. 318-324 ◽  
Author(s):  
Mohan Shashikant Kamath ◽  
Belavendra Antonisamy ◽  
Mariano Mascarenhas ◽  
Sesh Kamal Sunkara

2018 ◽  
pp. 59-65
Author(s):  
I.V. Shamina ◽  
◽  
Yu.I. Tirskaya ◽  
O.V. Lazareva ◽  
I.O. Ledovskikh ◽  
...  

2010 ◽  
Vol 1 (3) ◽  
pp. 79-84 ◽  
Author(s):  
Ediri Tsekiri O’Brien ◽  
Siobhan Quenby ◽  
Tina Lavender

Author(s):  
Ashok Rupraoji Jadhao ◽  
Mahendra D. Gawade ◽  
Suresh N. Ughade

Background: All pregnant women, by virtue of their pregnancy status, face some level of maternal risk. Some pregnancies are complicated by problems associated with mother’s health. Most maternal morbidities could be prevented if mother had access to appropriate and timely healthcare during pregnancy. Study was intended to find out prevalence of high risk pregnancy and pregnancy outcome among them in rural area of Nagpur district, Central India.Methods: Community based observational descriptive study was conducted on consecutive sample of 214 pregnant women, who had 20 weeks and above gestational period.Results: Prevalence of high risk pregnancy observed was 33.64% (95% CI 27.31%-39.97%). Caesarean section (OR=7.63, 95% CI=4.04-14.40, P=0.0001) and birth weight less than 2500gm (OR= 3.47, 95% CI=1.47-8.20, P=0.003) were significantly associated with high risk pregnancy. Mode of delivery caesarean section had strong relationship with previous history of caesarean section (OR=37.53, 95% CI=8.64-163.05, P=0.0001) and mothers height less than or equal to 140cm (OR=8.87, 95% CI=1.02-77.32, P = 0.0183). Pregnancy outcome low birth weight was significantly associated with oligohyramnios (OR = 8.45, 95 % CI=1.61-44.48, P=0.003) and history of caesarean section (OR=2.67, 95 % CI=1.01-7.07, P = 0.041).Conclusions: Prevalence of high risk pregnancy was almost one-third in pregnant women in rural area of central India. Mode of delivery caesarean section and birth weight less than 2500gm was significantly associated with high risk pregnancy. History of caesarean section and height less than or equal to 140 cm influence the outcome of pregnancy i.e. caesarean section. Birth weight, LBW (Low Birth Weight) was associated with history of caesarean section and oligohyramnios.


2020 ◽  
pp. 19-23
Author(s):  
Manasa R ◽  
Priyanka Priyanka

Background and Objectives: To evaluate the role of Doppler ultrasonography in predicting the perinatal outcome in high-risk pregnancy and to establish its role in management of high-risk pregnancy. Materials and Methods: The present study is a prospective study of Doppler ultrasound evaluation of uterine artery, umbilical artery and middle cerebral artery in 100 high-risk pregnant women, performed between 28 and 34 weeks of gestation. Doppler index Pulsatility index (PI) for each above mentioned artery and cerebro-placental ratio (CPR) will be calculated. Doppler Pulsatility index for the corresponding gestational age were compared with the reference values. The results of the Doppler ultrasound and AFI will be used for analysis of mode of delivery and perinatal outcome in the form of birth weight, APGAR score, NICU admission, perinatal mortality. Results: Among newborns 46(46%) were admitted to NICU, 64(64%) of neonates had birth weight less than 2.5kg, there were 17 perinatal deaths. Of the 17 perinatal deaths, 2 cases had reverse end diastolic Flow (REDF) and 12 had absent end diastolic Flow (AEDF). Uterine artery PI was most sensitive(72.3%) than Umbilical artery PI(sensitivity 59.6%) and MCA PI(sensitivity 68.1%). Diagnostic accuracy of Cerebroplacental ratio (accuracy71%) was better than Umbilical artery PI (accuracy 65%) and MCA PI(accuracy 70%) in predicting adverse outcomes. Conclusion: Triple vessel colour Doppler sonography is very useful in high-risk pregnancy diagnosis and in predicting perinatal outcome.


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