scholarly journals The effects of food habits on pregnancy outcome

2018 ◽  
Vol 7 (2) ◽  
pp. 622
Author(s):  
Devdatt Laxman Pitale
Keyword(s):  
Birth Weight ◽  
Pregnancy Outcome ◽  
Food Habits ◽  
Antenatal Clinic ◽  
Calorie Intake ◽  
P Value ◽  
Age Group ◽  
Low Socioeconomic ◽  
Maternal Undernutrition ◽  
Nicu Admission

Background: Nutrition during pregnancy plays an important role for an optimum outcome of pregnancy. Maternal undernutrition can lead to poor intrauterine growth and low weight of the baby at birth. Moreover, the leading causes for maternal deaths like hemorrhage and infection are related directly or indirectly to nutrition. The aim of this study was to study the effects of food habits on pregnancy outcome.Methods: 350 women from the antenatal clinic, who satisfied the criteria were admitted to the study.Results: The majority of pregnant women belonged to the age group of 21-25 years (47%) followed by the 26-30 years age group (40%) and 83% belonged to the low socioeconomic class. Majority of the babies (66%) had the birth weight in the range of 2.5-2.9 kg. There was a significant association (p value <0.05) between the socioeconomic status of the mother, parity and her calorie intake. The present study found a statistically significant association between the maternal nutritional status, the birth weight of the baby and the need for NICU admission (p value <0.05).Conclusions: Maternal food habits have significant effects on the pregnancy outcome.

scholarly journals Food habits and Pregnancy outcomes

2021 ◽  
Author(s):  
Devdatt Pitale
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Food Habits ◽  
P Value ◽  
Age Group ◽  
Maternal Nutritional Status ◽  
Nicu Admission

Abstract Introduction: Nutrition during pregnancy plays an important role for an optimum outcome of pregnancy. Women may be malnourished even before they become pregnant and this may further adversely affect the pregnancy. Maternal undernutrition can lead to poor intrauterine growth and low weight of the baby at birth. Moreover, the leading causes for maternal deaths like hemorrhage and infection are related directly or indirectly to nutrition. Aim of the Study: To study the impact of existing food habits on pregnancy outcome in a south Indian population. Materials and Methods: This prospective study was conducted at a tertiary health care and research institute in India. From the antenatal clinic, 350 women who satisfied the following inclusion and exclusion criteria were admitted to the study. Results: The majority of pregnant women belonged to the age group of 21-25 yrs (47%) followed by the 26-30 yrs age group (40%).The number of teenage pregnancies was 30 (8%) whereas 5% of pregnant women belong the age group of 31-35 yrs.83% of the study population belonged to the low socioeconomic class. Majority of the babies (66%) had the birth weight in the range of 2.5-2.9 kgs. 29 % of babies had birth weight in the range of 3-3.5 kgs. There was a significant association (p value < 0.05) between the socioeconomic status of the mother, parity and her calorie intake. The present study found a statistically significant association between the maternal nutritional status, the birth weight of the baby and the need for NICU admission (p value < 0.05). Conclusion: Maternal food habits have an impact on the pregnancy outcome. Maternal food habits are influenced by many factors like socioeconomic status, parity, social food taboos and pregnancy itself. The pregnancy outcomes like birth weight, need for NICU admission and postnatal complications are influenced by maternal nutritional status.

scholarly journals A prospective study on HbA1c levels in patients without GDM and its correlation with pregnancy outcome

2021 ◽  
Vol 8 (2) ◽  
pp. 177-181
Author(s):  
Ushadevi Gopalan ◽  
Rinda Naidu Kanukolanu ◽  
Balaji Rajagopalan
Keyword(s):  
Birth Weight ◽  
Pregnancy Outcome ◽  
Normal Delivery ◽  
Normal Birth ◽  
Term Delivery ◽  
Foetal Outcome ◽  
Adverse Pregnancy ◽  
Nicu Admission ◽  
A Prospective Study ◽  
Hba1c Levels

Pregnancy is a diabetogenic state which places the mother as well as the foetus at high risk for certain complications even though the woman is neither GDM nor overt diabetic. This study aims at estimation of HbA1c value after 24 weeks of pregnancy and its correlation with the pregnancy outcome.The study was done among 60 healthy pregnant women who are between 18-35 years. HbA1c was estimated and they were followed up for assessing pregnancy outcome. Birth weight &#62;90 percentile, primary C-section, neonatal hypoglycaemia, any NICU admissions and neonate’s condition at discharge were assessed. The mean of haemoglobin, OGTT (fasting, 1-hour and 2-hours) and HbA1c were 11.25mg/dL, 81.73mg/dL, 120.75mg/dL, 104.13mg/dL and 5.24% respectively. The trimester specific HbA1c levels in the second and third trimesters in the present study were found to be 5.11% and 5.27% respectively. Among the study subjects 51 (85%) women had term delivery whereas 9 (15%) women had preterm delivery. 42 women (70%) had normal delivery, 1(1.7%) patient had operative vaginal and the remaining 17(28.3%) patients had emergency caesarean section. It was observed that 5(8.3%) subjects had LBW and 55(91.7%) had normal birth weight neonates. Two neonates among the study subjects had NICU admission for other reasons. The results obtained by this study showed low or no significant relationship between HbA1c levels estimation during pregnancy and pregnancy as well as foetal outcome, also adverse pregnancy outcomes have multifactorial influences rather than maternal glycaemic status alone.

scholarly journals Pregnancy outcome in isolated oligohydramnios diagnosed in third trimester

2021 ◽  
Vol 10 (5) ◽  
pp. 1914
Author(s):  
Pratibha Singh ◽  
Vibha Rani Pipal ◽  
Dharmendra Kumar Pipal ◽  
Navdeep Kaur Ghuman ◽  
Garima Yadav ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Amniotic Fluid ◽  
Pregnancy Outcome ◽  
Preterm Delivery ◽  
Neonatal Outcome ◽  
Low Risk ◽  
Control Group ◽  
P Value ◽  
Third Trimester

Background: The aim of this study was to compare the outcomes of pregnancies complicated by isolated oligohydramnios with the low risk pregnancies with normal amniotic fluid volume.Methods: The present study is a retrospective cohort study of singleton pregnancies diagnosed with Isolated oligohydramnios (AFI≤5) in their third trimester (N=35). Pregnancy outcome was compared with a matched control group of low risk pregnancies with amniotic fluid volume >5 (N=30).Results: The overall incidence of Isolated oligohydramnios was 0.7-0.8%. In oligohydramnios group, significant association were found in null-parity (60% vs 23.33%, p-value<0.005), Fetal growth retardation (25.71% vs 0% p-value<0.02), preterm delivery (22.85% vs 3.33%, p-value 0.025), rate of Induction of labor (40% vs 10%) and cesarean rate for non-reassuring fetal heart rate (20% vs 3.33%, p-value<0.001). Likewise, the incidence of low birth weight was (54.28% vs 13.33%, p-value<0.001) and NICU admissions was (20% vs 0%, p-value<0.01), but there was no difference in Apgar score finding. NICU stay was of short duration and all babies discharged in stable condition, there were no stillbirth or early neonatal death in both groups.Conclusions: Isolated oligohydramnios has an adverse influence on pregnancy and neonatal outcome in the form of FGR, preterm delivery, increased rate of Induction and cesarean section. Despite the high incidence of low birth weight and NICU admissions, the overall early neonatal outcome was similar to the other low risk pregnancies.

MYOMA PLACENTA RELATIONSHIP & PREGNANCY OUTCOME

2021 ◽  
pp. 3-4
Author(s):  
Savita Chandra
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnancy Outcome ◽  
P Value ◽  
Obstetric Outcome ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Antepartum Haemorrhage

During the two years study period, 8557 deliveries took place, of which 114 were pregnancies with myoma giving the incidence as 1.33%. 12 of the 114 pregnancies ended in abortion, i.e.10.5%. The myoma placenta relationship and the obstetric outcome was analyzed in the remaining 102 pregnancies which continued beyond 22 weeks. Of these, 41.2% had complications. Premature rupture of membranes was the commonest complication seen in 22.5%. No case of preeclampsia or antepartum haemorrhage occurred in the 'no contact' category. Amongst the cases where the placenta was either in contact or superimposed on the broid, 85.5% -87.5% developed one or more complication. The myoma placenta relationship was found to be statistically signicant, p value <0.001. 39.3% were caesarean deliveries. Overall 37.25% were low birth weight neonates. There were two stillbirths, both in the superimposed category.

scholarly journals CORRELATION BETWEEN BMI AND PREGNANCY OUTCOME AMONG POSTNATAL MOTHERS WITH PREGNANCY INDUCED HYPERTENSION IN SELECTED HOSPITALS BANGALORE

2015 ◽  
Vol 05 (01) ◽  
pp. 062-067
Author(s):  
Prathima P. ◽  
S Anuchitra
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnancy Outcome ◽  
Normal Weight ◽  
Reproductive Age ◽  
P Value ◽  
Pregnancy Induced Hypertension ◽  
Low Birth Weight Babies ◽  
Induced Hypertension ◽  
Postnatal Mothers

Abstract Title : Correlation between BMI and pregnancy Outcome among postnatal mothers with pregnancy Induced hypertension in selected hospital Bangalore. Objectives: To identify and correlate BMI and pregnancy Outcome among postnatal mothers with pregnancy Induced hypertension. Method: A non experimental correlation design was utilized among 80 postnatal mothers who were diagnosed as Pregnancy induced hypertension during their antenatal period selected as samples by using purposive sampling technique. Demographic data were collected by interview method, their BMI was calculated, pregnancy outcomes were identified from records by using an outcome checklist. Results : Underweight mothers had low birth weight babies and received NICU care. Among normal weight mothers 17.5 % delivered by LSCS, 15% babies were low birth weight babies 12.5 were preterm babies among them 10% received NICU care. In the overweight group 18.75% undergone LSCS, 18.75% were LBW and 1.25% VLBW, 8.75% babies were preterm, 12.5% newborn received NICU care. Among Obese mothers 8.75% delivered by LSCS, 6.25% of LBW babies, 5% were preterm and all of them received NICU care. There is a positive correlation between BMI and diagnosis and type of delivery. Significant at .01 and .05 Level (p value .008 and .019 respectively). Negative correlation between birth weight and diagnosis and gestational age. r = -.499 significant at .01 level (p value .000) Conclusion: Obesity and under weight is a leading, preventable cause of mortality worldwide. Preeclampsia increases maternal and perinatal morbidity and mortality rates. All women who are in reproductive age group and under risk to develop pregnancy induced hypertension need to be educated about to maintenance of normal weight before pregnancy. Nurses have more responsibility on creating awareness among women how to maintain normal weight to avoid development of complications to the mother and newborn.

scholarly journals Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome

2020 ◽  
Vol 36 (7) ◽  
Author(s):  
Wajeeha Syed ◽  
Nazia Liaqat ◽  
Qudsia Qazi ◽  
Sumaira Yasmin
Keyword(s):  
Birth Weight ◽  
Umbilical Cord ◽  
Apgar Score ◽  
Neonatal Outcome ◽  
Fetal Distress ◽  
P Value ◽  
Strong Positive Correlation ◽  
Strongly Correlated ◽  
Age Group ◽  
Umbilical Cord Ph

Objectives: To determine relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome Methods: This descriptive cross-sectional study was conducted in the department of Gynaecology, Lady Reading Hospital Peshawar, Pakistan, from January 2019 to July 2019. This study included 27 full-term pregnant women who had abnormal CTG during the active or latent phase of labour. Data were analyzed by IBM SPSS Statistics for Windows, Version 23.0. Results: Out of 27, most patients 13 (48.14%) were in the age group 20-25 years,11 (40.74%) to 26-30 years and 3 (11.11%) belonged to 31-35 years of age group. CTG abnormalities were severe bradycardia, late deccelerations and persistent variable deccelerations with loss of baseline variability. Of all delivered babies, 21 (77%) babies had birth weight<3.5 kg and 6 (22%) had >3.5 kg birth weight. 20 (74.07%) had acidosis (pH <7.2) at the time of birth, of which one had severe hypoxemia and acidosis with pH 6.85. APGAR score at 0 minutes showed a strong positive correlation (r=0.818, p= <0.001) with cord pH, while APGAR at five minutes was also strongly correlated (r= 773, p=<0.001). Of all babies 18(66.66%) with PH less than 7.2 were admitted in NICU while only 2 babies with PH more than 7.2 were admitted. (p value= 0.005). Conclusion: Low umbilical cord pH values of babies born by cesarean section (for fetal distress) are strongly correlated with low APGAR score at birth and higher rates of NICU admission. doi: https://doi.org/10.12669/pjms.36.7.2536 How to cite this:Syed W, Liaqat N, Qazi Q, Yasmeen S. Relationship between immediate postpartum umbilical cord pH, fetal distress and neonatal outcome. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.2536 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Spatiotemporal association of low birth weight with Cs-137 deposition after Fukushima at the prefecture level in Japan: an ecological study

2020 ◽  
Author(s):  
Hagen Scherb ◽  
Japan Hayashi Osaka Keiji Hayashi Children's Clinic
Keyword(s):  
Logistic Regression ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Dose Rate ◽  
Pregnancy Outcome ◽  
P Value ◽  
Dependent Manner ◽  
Additional Dose ◽  
Spatiotemporal Trends ◽  
Level Shifts

Abstract Background: Perinatal mortality increased in contaminated prefectures after the Fukushima Daichi Nuclear Power Plant (FDNPP) accidents in Japan in 2011. Elevated numbers of surgeries for cryptorchidism and congenital heart malformations were observed throughout Japan from 2012 onward. The thyroid cancer detection rate (2011 to 2016) was associated with the dose-rate at the municipality level in the Fukushima prefecture. Since the birth weight is a simple and objective indicator for gestational development and pregnancy outcome, the question arises whether the annual birth weight distribution was distorted in a dose-rate-dependent manner across Japan after Fukushima. Data and Methods: The Japanese Ministry of Health, Labour, and Welfare provides prefecture-specific annual counts for 26.158 million live births from 1995 to 2018, of which 2.366 million births (9.04%) with weights < 2500g. Prefecture-specific spatiotemporal trends of the low birth weight proportions were analyzed. Logistic regression allowing for level-shifts from 2012 onward was employed to test whether those level-shifts were proportional to the prefecture-specific dose-rates derived from Cs-137 deposition in the 47 Japanese prefectures. Results: The overall trend of the low birth weight proportion (LBWp) in Japan discloses a jump in 2012 with a jump odds ratio (OR) 1.020, 95%-confidence interval (1.003,1.037), p-value 0.0225. A logistic regression of LBWp on the additional dose-rate after Fukushima adjusted for prefecture-specific spatiotemporal base-line trends yields an OR per µSv/h of 1.098 (1.058, 1.139), p-value < 0.0001. Further adjusting the logistic regression for the annual population size and physician density of the prefectures, as well as for the counts of the dead, the missing, and the evacuees due to earthquake and tsunami (as surrogate measures for medical infrastructure and stress) yields an OR per µSv/h of 1.109 (1.032, 1.191), p-value 0.0046. Conclusion: This study shows increased low birth weight prevalence related to Cs-137 deposition and the corresponding additional dose-rate in Japan from 2012 onward. Previous evidence suggesting compromised gestational development and pregnancy outcome under elevated environmental ionizing radiation exposure is corroborated.

scholarly journals Maternal and Fetal Outcomes of Adolescent Pregnancies at Patan Hospital

2016 ◽  
Vol 11 (1) ◽  
pp. 11-13
Author(s):  
Laxmi RC ◽  
Reetu Baral ◽  
R Shrestha ◽  
P Gurung ◽  
S Lama
Keyword(s):  
Birth Weight ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Fetal Distress ◽  
P Value ◽  
Delivery Mode ◽  
Age Group ◽  
Premature Rupture ◽  
Maternal Complications ◽  
Adult Age

Aims: This study aims to review obstetric and neonatal outcome and risk factors in adolescent pregnant women and to compare perinatal outcomes with the adult group.Methods: This is a retrospective comparative study in between primiparous pregnant teenager women aged 15-19 years and   20-24 years from April 2012 to April 2013 in Patan Hospital Lalitpur, Nepal. The data was retrieved from the hospital records. Frequency of prenatal care, perinatal outcome (newborn’s weight and gestational age at delivery), mode of delivery and maternal complications if any were recorded.  Results: Neonates with normal birth weight (>2.5-4 kg) was seen in 70% (n=248) of the adolescent age group and 85% (n=1797) of adult age group. Neonates with low birth weight (<2.5 kg) was significantly higher in the adolescent age group with 29% (n=102) than the adult age group with only 13% (n=287). The occurrence of premature rupture of membrane and preterm premature rupture of membrane also show statistically significant association (Chi-square test p-value 0.000) on mother’s age having 18% and 2% respectively in adolescent pregnancy.Conclusions: There was significant association of neonatal complications like still birth, fetal distress, and meconium aspiration with the adolescent pregnancy. There was no significant association between neonatal death and age of mother. 

scholarly journals Level of serum uric acid in patients with preeclampsia compared to controls and its relation to feto-maternal outcome

2019 ◽  
Vol 8 (6) ◽  
pp. 2471
Author(s):  
Ramraj Meena ◽  
Purnima Pachori ◽  
Sandhya Chaudhary ◽  
Chandrakanta .
Keyword(s):  
Uric Acid ◽  
Birth Weight ◽  
Serum Uric Acid ◽  
Gestational Age ◽  
Control Group ◽  
P Value ◽  
Study Group ◽  
Age Group ◽  
Normal Birth Weight ◽  
Normal Birth

Background: Uric acid is the final product of the purine metabolism in humans. The two final reactions in its production which catalyze the conversion of hypoxanthine to xanthine and the latter to uric acid are catalyzed by the enzyme xanthine oxidoreductase. The role of uric acid in the progression of prediabetes to diabetes has been known. Serum uric acid has been shown to be associated with cardiovascular disease, hypertension, and chronic kidney disease. The present study was done to see the level of uric acid in preeclampsia and  healthy pregnant controls, to relate serum uric acid results to the severity of hypertension and its relation to fetomaternal outcome in patients attending OPD at RMC Ajmer.Methods: 100 cases of preeclampsia of age group between 20-40 year and gestational age ≥28 weeks and 100 normal healthy women with similar gestational age and age group were included in the study and maternal serum uric acid was estimated in both groups.Results: Mean serum uric acid levels in preeclampsia was 7.65±081 mg/dl and 3.21±072 mg/dl in control group. Perinatal complication was more in case group, 74 % were preterm compared to 11% in control group. Mean birth weight in study group was 2.07 kg, of which 24% babies were VLBW 52% were LBW, and 24% babies had normal birth weight, in control group mean birth weight was 2.82 kg. The difference was found to be statistically significant (p value 0.001). In the study group, the MSUA concentration is found higher in LBW and VLBW babies compared to normal birth weight babies.Conclusions: There is a positive correlation between SUA & severity of preeclampsia, and a significant adverse fetal outcome is observed with raised MSUA in preeclamptic patients.

scholarly journals Effect of gestational weight gain on pregnancy outcome of Indian mothers

2020 ◽  
Vol 9 (4) ◽  
pp. 1681
Author(s):  
Keyur Patel ◽  
Megha Chaudhary ◽  
Maitri Shah
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Pregnancy Outcome ◽  
Gestational Weight Gain ◽  
P Value ◽  
Gestational Weight ◽  
Group 2 ◽  
Group 1

Background: Gestational weight gain (GWG) and pre-pregnancy body mass index (BMI) play important roles in determining the pregnancy outcome. The weight gain recommendations by the IOM are based on Western WHO BMI cut-offs, making it difficult to generalize their findings to Asian Indians. We aimed to compare GWG among healthy pregnant women across different BMI with the IOM guidelines-2009. We also aimed to evaluate associated feto-maternal outcomes with GWG among the pregnant women enrolled in the study.Methods: A retrospective cohort study conducted at department of obstetrics and gynecology, from April 2019 to November 2019. Postnatal mothers whose weight was registered at first trimester of pregnancy and at term and delivered in SSG hospital were included. According to IOM Women were divided into: Group 1 less than recommended weight gain and Group 2 recommended weight gain.Results: Significant difference was seen in the baby weight between the two groups (p value <0.05). 92.75% of babies had low birth weight in Group 1 as compared to 42.21% in Group 2. On performing univariate logistic regression, significant association was seen between GWG and low birth weight (p <0.05), no association was seen between GWG and caesarean (p value >0.05), and no association was seen between GWG and preterm deliveries (p >0.05).Conclusions: Majority of patients in the both groups had term delivery. Women gaining less than recommended weight gain during pregnancy had new born with significantly lower birth weight. There was no association of mode of deliveries and GWG.

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