scholarly journals Impact of maternal stress on outcome of new born

2018 ◽  
Vol 5 (3) ◽  
pp. 928
Author(s):  
Ramya H. S. ◽  
Rajendra Prasad T. C. ◽  
Murgesh Awati
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Stress ◽  
P Value ◽  
Maternal Risk ◽  
Stress Levels ◽  
As Stress ◽  
The Impact ◽  
Pregnant Mothers

Background: Maternal stress which may include emotional, social, health and economy may have impact on newborn. Risks factors predisposing to maternal stress are preventable by taking appropriate measures at right time and hence may have a better outcome of newborn. Maternal risk factors such as stress and depression have been associated with preterm birth and low birth weight. Relatively few studies have been made on impact prenatal maternal stress on neonatal outcome till date. The aim of our study is to asses the impact of maternal stress on fetal outcome.Methods: This study is an observational clinical study, undertaken in Kempegowda Institute of Medical Sciences hospital, Bangalore, Karnataka, between April 2017 to September 2017. Perceived stress scale(PSS) was used to assess the stress levels of mothers.Results: The association of moderate stress with low birth weight and preterm gestational age was statistically significant (p value <0.001). The amount of stress in relation to maternal age was highest in 20 to30 years (81.5%) of age group. Primigravida were found to have a statistically significant association with maternal stress (p value-0.022). Higher stress levels were observed in lower middle socioeconomic status which was statistically significant (p value-0.050).Conclusions: More than 50% of the pregnant women in our setting were exposed to stress. In stressed pregnant mothers, low birth weight and preterm deliveries were the outcome. Lower socioeconomic status was associated significantly with stress. All pregnant mothers should be counselled to consume nutritious diet to deliver a normal healthy baby.

scholarly journals A study of low birth weight prevalence and risk factors among newborns in a public-hospital at Kilis, Turkey

2020 ◽  
Vol 20 (2) ◽  
pp. 709-714
Author(s):  
Hasan Hüseyin Çam ◽  
Muazzez Harunoğulları ◽  
Yadigar Polat
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Age ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Cross Sectional ◽  
Important Indicator ◽  
Maternal Risk ◽  
Syrian Refugee

Background: Low birth weight (LBW) is an important indicator of reproductive health and general health status of population. Objectives: The present study was aimed to estimate the prevalence of low birth weight (LBW), and to investigate the associations between some risk factors and LBW in Syrian refugee and Turkish population in Kilis, Turkey. Methods: The population of this study constituted of a total of 4379 infants born in Kilis State Hospital in 2016 using a retrospective cross-sectional study design. The data were collected from birth records. The data were analyzed using SPSS version 16.0. Binary logistic regression analysis was performed to identify predictors of low birth weight. Factors with a p-value < 0.05 were deemed to be statistically significant. Results: The prevalence of LBW was 6.7% in all groups. Significant relationships were found between young maternal age, Syrian refugee mother, female infants, cesarean delivery and LBW. Conclusion: The prevalence of low birth weight in the study area was comparatively lower than that of countrywide figure. Maternal related variables like, maternal age, mother's nationality, and mode of birth (vaginal, cesarean) take after up as well as new-born related variables like gender of the neonate were significantly related with low birth weight. Keywords: Low birth weight; maternal; risk factors,; prevalence.

scholarly journals Maternal Factors Associated With Low Birth Weight Babies

2020 ◽  
Vol 10 (4) ◽  
pp. 287-290
Author(s):  
Shazia Aftab ◽  
Paras Golo ◽  
Alma Iqbal
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Diet ◽  
Positive Influence ◽  
P Value ◽  
College Hospital ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Younger Age ◽  
Low Birth Weight Babies

Objective: To determine the obstetric, antenatal, natal and socio-economic factors affecting low birth weight (LBW) babies. Study design and setting: The cross-sectional study was conducted from February2019 till May2019 at Jinnah Medical College hospital Karachi. Methodology: The targeted population was 100 mothers who recently delivered their babies and were present in the hospital during postpartum period. Variables included obstetric history, maternal risk factors, socioeconomic status and education of parents. Weight of the neonates was noted by the doctors within 24 hours of birth. Data was analysed on SPSS version 21. Results: Variables having significant and positive influence on LBW were; age, activity and occupation of mother, age at first pregnancy, no. of pregnancies, maternal anemia. The 48% of low birth weight babies were present in mothers belonging to younger age group (18-20 years). The incidence of low birth weight increases with increased number of pregnancies, women with greater than 3 pregnancies had 18% of 1.6-2kg of weight of babies, 12% of 2.1-2.5kg of weight, 10% of 1.1- 1.5kg of weight. Mother’s with poor diet had 36% of 2.1-2.5kg of weight. Women with high activity during pregnancy having 53% of 1.6-2kg of weight babies. Regarding occupation 40% of housewife’s risks of 1.6-2kg weight of baby with p-value of <0.05 as activity during pregnancy was high. Conclusion: Factors like younger age women, multi-parity, increased physical activity maternal diet, anemia due to nutritional deficiencywere contributed to low birth weight babies

scholarly journals Risk Factors and Outcome of Neonatal Thrombocytopenia

2020 ◽  
Vol 24 (3) ◽  
pp. 229-234
Author(s):  
Hira Arif ◽  
Nadeem Ikram ◽  
Shangraf Riaz ◽  
Asma Nafisa
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Birth Asphyxia ◽  
P Value ◽  
Maternal Risk ◽  
Significant Difference ◽  
Neonatal Thrombocytopenia ◽  
A Prospective Study

Introduction: About 30% of neonates develop thrombocytopenia during hospital admission. Inevitable and irreversible complications can be prevented by determining the risk factors of neonatal thrombocytopenia. The present study was undertaken to determine the risk factors and outcome of neonatal thrombocytopenia in neonates admitted to Neonatal Intensive Care Unit Benazir Bhutto Hospital Rawalpindi. Materials and Methods: A prospective study was conducted to evaluate the risk factors for neonatal thrombocytopenia (NT) in 160 neonates. Neonatal and maternal risk factors were recorded and neonates were categorized into three groups based on the severity of thrombocytopenia. Results: A higher percentage of the neonates 89 (55.6%) were male. The majority (61.9%) had moderate neonatal thrombocytopenia while 21.9% had severe neonatal thrombocytopenia. A highly significant difference was observed for the distribution of gestational age, platelet count, birth weight, and age at admission (for all p-value ≥0.0001) among different groups. Multivariate logistic regression revealed a significant independent association of prematurity, birth asphyxia, and low birth weight with neonatal thrombocytopenia. Conclusion: Prematurity, low birth weight, and birth asphyxia were the significant causes of Neonatal thrombocytopenia. The mortality rate increased significantly with the severity of thrombocytopenia.

scholarly journals A CROSS SECTIONAL STUDY: ASSESSMENT OF MATERNAL RISK FACTORS FOUND IN LOW BIRTH WEIGHT NEONATES

2020 ◽  
pp. 11-13
Author(s):  
Nikulkumar Thakkar ◽  
Shalini Panday ◽  
Nomeeta Gupta
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Adult Life ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Maternal Factors ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Increased Risk

Introduction Birth weight is one of the important factors for the survival, normal growth and development of a child. LBW is associated with compromised growth, disabilities, hospitalizations, brain damage, and poorer language development, increased risk of cardiovascular and metabolic disorders in adult life. Maternal risk factor that may contribute to LBW include age, stature, socioeconomic status, multiple pregnancies, previous LBW infants and poor nutrition. Method: The present cross-sectional study was carried out in the postnatal care wards and NICU of Janta trust hospital, Patan. All live born babies born at Janta Hopsital with birth weight of less than 2.5kg during July 2019 to June 2020 were included after written consent from parents. The information regarding the study variables was record on predesigned, pretested questionnaire. Result: Out of 65 LBW babies, 46.2% were boys. Percentage of LBW babies was similar in second para and above (52.3%) as compared to primiparous mothers (47.7%). Eighteen babies (18, 27.7%) were born pre term. About 3.1% LBW babies had very low birth weight. The proportion of LBW babies was higher in 20-24 year age group (52.3%). Majority of mothers studied up to primary (84.8%). Total 63.1% had an antenatal registration with in the first trimester. Half of mothers (52.3%) visited adequately during antenatal period. Most common maternal factors found in LBW mothers were anemia (55.4%), PIH (12.0%) followed by UTI (7.7%) fever (6.2%) and APH (6.2%). Conclusion: Maternal factors like teenage pregnancy, illiteracy of the mothers, lower socioeconomic status, short birth spacing, lack of antenatal care were observed higher among low birth weight newborn. There is the need to strengthen the maternal services at community level.

scholarly journals THE SECOND-HAND SMOKE IN PREGNANCY AND ITS IMPACT TOWARD LOW BIRTH WEIGHT IN DISTRICT OF ACEH BESAR, ACEH PROVINCE, INDONESIA

2018 ◽  
Vol 17 (3) ◽  
pp. 117-124
Author(s):  
Ampera Miko ◽  
Satrinawati Berkat
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Total Sample ◽  
Normal Weight ◽  
Second Hand Smoke ◽  
Bivariate Analysis ◽  
P Value ◽  
Aceh Province ◽  
The Impact ◽  
In Pregnancy

Smoking does not only endangers the smokers themselves but will also harm the people around them. These are the non-smokers also called the passive smokers or second-hand smoke.In particular pregnant women who are the second-hand smoke can lead low birth weight (LBW) babies. This study aims to determine the impact of second- hand smoke in pregnancy toward LBW   in the district of Aceh Besar in 2016. A case control study was done in district of Aceh Besar, Aceh province, Indonesia. The total sample was 120 neonates (1:1), 60 neonates were LBW (cases) and 60 neonates were normal weight (controls). Data collection was doneusing a questionnaire filled in by the parents. The univariate analysiswas described with percentages and the Wald-Wolfowithz run test was used for the bivariate analysis. The results showed that the majority of mothers had a good knowledge about the dangers of smoking, ie 91 or 75.8%. Most of the mothers had positive attitudes for male smokers. The smoking men are considered normal and acceptable, consisting of 73 mothers or 60.8%.  All the mothers in this study were non-smokers (100.0%). The majority of the fathers were smokers, 88   or   73.3%, and most of them smoked around their   pregnant wife, 55 fathers or 62.5%.  The results of the bivariate analysis indicated there was a significant impact of the second-hand smoke toward the LBW (P value <0.05). It means, mothers as a second-hand smoke during pregnancy have a risk to born the LBW baby

scholarly journals Study of Vaginal Group-B Streptococcal Colonization in Pregnant Women Attending a Tertiary Care Centre of Agartala

2020 ◽  
Vol 7 (48) ◽  
pp. 2815-2819
Author(s):  
Argha Mallya Debbarman ◽  
Ashis Kumar Rakshit ◽  
Jahar Lal Baidya ◽  
Dhruba Prasad Paul
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Tertiary Care ◽  
Group B Streptococcus ◽  
P Value ◽  
Vaginal Colonization ◽  
Group B ◽  
Pregnant Mothers

BACKGROUND Lancefield Group-B Streptococcus (GBS) emerged as a significant neonatal pathogen with mortality rates of 15 - 50 % in western countries during 1970s. In India, incidence of invasive neonatal GBS diseases is around 0.17 per 1000 live birth and probably is underestimated. Hence, the study was undertaken to evaluate the vaginal GBS colonization in pregnant women along with the neonatal outcome. METHODS The study was single centered, hospital based observational cross-sectional study done in the dept. of Obstetrics & Gynaecology at Agartala Government Medical College (AGMC), and GBP Hospital for one & half years (Jan’ 16 - June’ 17). 250 Pregnant mothers with 31 to 40 weeks of gestation with singleton pregnancy, delivering either by Caesarean section & Vaginal delivery, were included in this study. They were recruited from obstetrics OPD and casualty of AGMC & GBP Hospital. During 1 st pelvic examination, two low vaginal swabs were taken for Gram Staining, and for determination of ß-hemolytic colony in blood agar. After identification of GBS from genitalia, outcome of neonates in these positive cases were evaluated for up to 28 days after delivery. RESULTS GBS was found in 8.8 % of total women recruited and was more common in multi-gravida. GBS vaginal colonization was significantly associated with low birth weight, and preterm delivery (p value 0.01) which is significant. CONCLUSIONS Prevalence of vaginal GBS colonization is more in pregnant mothers, more in multigravidas & is associated with low-birth-weight neonates and preterm delivery. So, there is a need to formulate guidelines for incorporation of detection of vaginal colonization in multi gravidas to determine its prevalence. KEYWORDS Group-B Streptococcus (GBS), Multigravidas, Colonization, Neonates, Pregnant Women

scholarly journals A study on efficacy of oral administration of colostrum fortified lactoferrin in the weight gain of low birth weight infants

2019 ◽  
Vol 6 (2) ◽  
pp. 482
Author(s):  
Raghul Jayaseelan ◽  
Chidambaranathan Sivaprakasam ◽  
Logesvar Palanisamy
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Head Circumference ◽  
Reference Population ◽  
P Value ◽  
Low Birth Weight Infants ◽  
Maternal Risk ◽  
Low Birth Weight Babies ◽  
Length Gain

Background: Low birth weight babies is the result of being small for gestational age (i.e. under 10th percentile of the reference population) and preterm (i.e. before 37 weeks of gestation. Preterm infants have higher protein, calorie requirement, which cannot be met with unfortified breast milk feeds.Methods: This study was conducted prospectively in the Department of Pediatrics, Rajah Muthiah Medical College and Hospital, Chidambaram from October 2016 to April 2018. 20 low birth weight babies were selected by randomization technique and they were administered with 2 grams of oral colostrum fortified lactoferrin daily for 4 weeks. The rate of weight gain, length gain and head circumference gain were assessed prospectively for a period of 4 weeks. They were analysed statistically by ANOVA and tabulated. Babies weighing less than 2.5 kg and on exclusive breast feeding, were included. Babies more than 2.5kg and less than 1kg, at risk for neonatal sepsis, congenital heart disease, necrotizing enterocolitis were excluded from the study.Results: In the present study, 20 low birth weight babies were included. 11 maternal risk factors were identified. Out of which anemia stands as a single risk factor. The rate of weight gain in oral colostrum fortified lactoferrin, is 320 grams with P value of 0.703 which is not statistically significant. The rate of length gain is 3.3cm, p value is 0.093 which is statistically insignificant. The rate of head circumference gain in oral colostrum fortified lactoferrin is 2.8cm, with the p-value of 0.001 which is statistically significant.Conclusions: The rate of weight and length gain was normal, but the rate of head circumference gain is significantly increased in oral colostrum fortified lactoferrin supplementation.

scholarly journals The effectiveness of baby massage in increasing infant’s body weight

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Kurniati Puji Lestari ◽  
Firdha Rahma Nurbadlina ◽  
Wagiyo Wagiyo ◽  
Muhammad Jauhar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Growth And Development ◽  
Health Workers ◽  
Health Care Facilities ◽  
Control Group ◽  
P Value ◽  
History Of ◽  
The Mean ◽  
The Impact

Background: The low birth weight (LBW) problem is found in various developing countries with an increasing trend of cases every year. This is caused by nutritional status and a history of maternal health. The impact of LBW in children is they are more likely to experience delayed growth and development. This study aims to identify the effect of baby massage on infants’ body weight.Design and Methods: The research design used was quasi-experimental pre and post-test type with control group. There were 16 infants for each group selected by purposive sampling. Baby massage was given to the infants twice a week within four weeks, 10 to 15 min per session. Data analysis was used paired t-test and independent t-test.Results: The mean age of infants was 3.69 months for both group, the mean age at birth was 37.8 weeks (intervention) and 38 weeks (control), the mean birth weight of infants was 2,295 grams (intervention) and 2,288 grams (control). Most of the infants was male for both group. There was an effect of baby massage on the increase in infants’ weight gain with a history of low birth weight significantly with a p value <0.05.Conclusions: Baby massage can increase infants’ weight with a history of low birth weight aged 1-6 months. The role of health workers is to provide education and practice baby massage for mothers in order to stimulate the growth and development of infants. This intervention can be integrated with maternal and child health programs in primary health care facilities.

scholarly journals A study of maternal factors influencing very low birth weight babies

2017 ◽  
Vol 4 (4) ◽  
pp. 1173 ◽  
Author(s):  
Mani Madhavan Sachithanantha Mooorthi ◽  
Balakrishnan Nadesan ◽  
Ezhilarasu Ramalingam ◽  
Sivaraman Thirumalaikumarasamy
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Interval ◽  
Very Low Birth Weight ◽  
Previous History ◽  
P Value ◽  
Maternal Factors ◽  
Maternal Risk ◽  
Vlbw Infants ◽  
History Of

Background: Very low birth weight (VLBW) infants present one of the greatest medical and ethical challenges to the medical field. Although they represent a small percentage of overall birth and NICU admissions, VLBW infants are often the most critically ill and at the highest risk for mortality and long-term morbidity of any NICU patients. The present study was conducted with aim to find out the maternal risk factors related to VLBW of newborn.Methods: This prospective case control study was conducted in Govt. R.S.R.M Lying in Hospital, which is affiliated to Stanley Medical College, during the period from January 2005- December 2005. The data related to maternal and new born variables were collected and evaluated by using Chi square test. P value less than 0.05 was considered as statistically significant.Results: The incidence of VLBW newborns was found to be 2.08%. The most common cause of VLBW is preterm delivery (84%). Maternal factors like age, weight, parity, literacy, mid arm circumference, income, bad obstetric history of the mother and birth interval showed a significant association with the incidence of VLBW of the infants (P <0.05). Antenatal visits, maternal occupation and maternal disease had no significant (P >0.05) influence on the delivery of VLBW babies.Conclusions: In the present study, incidence of VLBW was associated with the maternal factors like age, parity, literacy, nutritional status, income, birth interval and previous history of bad obstetrics. Hence, the study concludes that pregnant women need to be careful of all these above factors so as to avoid VLBW babies. 

Discrepancy Analysis between Clinical Versus Ultrasound Estimated Fetal Weight and Actual Birth Weight at 3rd Trimester

2019 ◽  
Vol 11 (1) ◽  
pp. 32-38
Author(s):  
Naznin Rashid Shewly ◽  
Menoka Ferdous ◽  
Hasina Begum ◽  
Shahadat Hossain Khan ◽  
Sheema Rani Debee ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Fetal Weight ◽  
P Value ◽  
Weight Estimation ◽  
Third Trimester ◽  
Mortality And Morbidity ◽  
Fetal Weight Estimation ◽  
Obstetric Management ◽  
Estimated Fetal Weight

Background: In obstetric management fetal weight estimation is an important consideration when planning the mode of delivery in our day to day practice. In Bangladesh low birth weight is a major public health problem & incidence is 38% - 58%. Neonatal mortality and morbidity also yet high. So accurate antenatal estimation of fetal weight is a good way to detect macrosomia or small for date baby. Thus to improve the pregnancy outcome and neonatal outcome decreasing various chance of neonatal mortality and morbidity antenatal fetal weight prediction is an invaluable parameter in some situation where to identify the at risk pregnancy for low birth weight become necessary. Reliable method for prenatal estimation of fetal weight two modalities have got popularity - Clinical estimation and another one is ultrasonic estimation. This study was designed to determine the accuracy of clinical versus ultrasound estimated fetal weight detecting the discrepancy with actual birth weight at third trimester. So that we can verify more reliable and accurate method. Objectives: To find out more accurate and reliable modality of fetal weight estimation in antenatal period during obstetric management planning. To compare clinical versus ultrasound estimated fetal weight & to determine discrepancy of both variable with actual birth weight. Method: This prospective, cross sectional analytical study was carried out in Dhaka Medical College Hospital from January 2006 to December 2006. By purposive sampling 100 pregnant women fulfilling inclusion criteria were included in my study in third trimester (29wks-40wks). In clinical weight estimation procedure SFH (Symphysio Fundal Height) was measured in centimeter. On pervaginal finding whether vertex below or above the ischial spine was determined. By Johnson’s formula fetal weight in grams was estimated. Then by ultrasound scan different biometric measurements were taken and finally by Hadlock’s formula fetal weight was estimated. Eventually actual birth weight was taken after birth by Globe Brand weighing machine. Accuracy of both modalities were compared and which one was more reliable predictor was determined by statistical analysis. Results: After data collection were analyzed by computer based software (SPSS). There was gradual and positive relationship between symphysiofundal height and estimated birth weight. Discrepancy between clinical and actual birth weight at third trimester was statistically significant – Paired Student’s ‘t’ test was done where p value was <0.001. Whereas discrepancy between sonographically estimated fetal weight with actual birth weight was not statistically significant (by paired ‘t’ test where p value was >0.05). That implies discrepancy between ultrasound estimated fetal weight and actual birth weight was significantly less than that of clinically estimated fetal weight. 14% clinically and 46% sonographically estimated fetal weight were observed within £ 5% of actual birth weight. 31% clinical and 42% sonographically estimates observed within 6% to 10% of actual birth weight and 55% clinical and 12% sonographically estimate were >10% of actual birth weight. That is about 88% sonographical versus 45% clinical estimates were within 10% of actual birth weight. Conclusion: There is no doubt about importance of fetal weight in many obstetric situations. Clinical decisions at times depends on fetal weight. Whether to use oxytocin, to use forceps or vacuum for delivery or extend of trial or ended by Caesarian section immediately or no scope of trial to be largely depend on fetal size and weight. So more accurate modality for antenatal fetal weight estimation has paramount importance. In my study sonographically estimated weight have more accuracy than that of clinical estimate in predicting actual birth weight. Sonographically estimated fetal weight is more reliable, accurate and reproducible rather than other modality. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 32-38

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