scholarly journals Anthropometric outcome of extremely low birth weight and very low birth weight newborn at 12 months of corrected age associated with prenatal risk factors

2019 ◽  
Vol 6 (6) ◽  
pp. 2242
Author(s):  
Balai Ch. Karmakar ◽  
Ramesh Ch. Kalder

Background: Advancement of skill, technology and perinatal medicine has led to improve survival of low birth weight babies during the last few decades but they have reported high incidence of growth failure during infancy and early childhood. The objective of the study was to find out the influence of perinatal risk factors on anthropometric outcome.Methods: A prospective cohort study conducted on 143 ELBW and VLBW babies admitted in Sick Newborn Care Unit (SNCU and PICU) of North Bengal Medical College and Hospital (NBMC), Darjeeling, West Bengal from 2016 to 2017 and discharged babies were followed up.Results: Total 143 neonates were studied at NBMC among male 82(57.3%) and female 61(42.7%), 95 were AGA and 48 were SGA babies. Significant positive correlations were found among birth weight, gestational age, perinatal infection (p<0.001). The mean weight for age (Mean±SD) was 7.615±1.1092 kg with median 7.8 kg. The mean length for age (Mean±SD) was 72.6±3.74 cm with median 73 cm. The mean head circumference for age (Mean±SD) was 42.5±2.12 cm median 43 cm. Adverse neonatal outcome associated with CRIB II score ≥10. Total CRIB II score with parameters of growth (<-2 Z score) like weight for age, length for age, weight for length and head circumference for age shows significant correlation (p<0.001).Conclusions: Perinatal risk factors are important determinant for future anthropometric outcome in very low and extremely low birth weight babies. They should be identified, and appropriate measures should be taken to achieve good outcome.

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110317
Author(s):  
Faisal A. Nawaz ◽  
Meshal A. Sultan

The aim of this study is to evaluate the prevalence of low birth weight and other perinatal risk factors in children diagnosed with neurodevelopmental disorders. This is one of the first studies in the Arabian Gulf region focused on the contribution of these factors toward the development of various disorders such as attention-deficit/hyperactivity disorder, autism spectrum disorder, and other mental disorders. This descriptive study was based on qualitative data analysis. We reviewed retrospective information from the electronic medical records of 692 patients in Dubai, United Arab Emirates. The prevalence of low birth weight in children with mental disorders was significantly higher as compared to the general population (16% vs 6% respectively). Furthermore, other risk factors, including high birth weight and preterm birth were noted to have a significant association with neurodevelopmental disorders. Future research on the impact of perinatal risk factors will contribute to advancement of early intervention guidelines.


2016 ◽  
Vol 30 (22) ◽  
pp. 2679-2685 ◽  
Author(s):  
Fermín García-Muñoz Rodrigo ◽  
Lourdes Urquía Martí ◽  
Gloria Galán Henríquez ◽  
Sonia Rivero Rodríguez ◽  
Patricia Tejera Carreño ◽  
...  

2021 ◽  
Vol 10 (36) ◽  
pp. 3094-3098
Author(s):  
Yugandhara Dilip Hingankar ◽  
Bali Thool ◽  
Vaishali Taksande

BACKGROUND Babies of low birth weight (LBW) include 2,499 g or less weight as stated by WHO. LBW consists of VLBW which is below 1500 g and extremely low birth weight which is lesser than 1000 g. The normal gross weight of the infant at the time of delivery is 2500 - 4200 g. The cause of LBW is preterm birth or a slow prenatal growth rate. The survival rate is determined by the baby’s birth weight. Several risk factors are also associated such as multiple pregnancies, poor nutrition, hypertension, drug addiction or intake of alcohol. It is very necessary to prevent LBW rather than treating it after birth. The present study was done to assess the prevalence of lowbirth-weight babies and its risk factors among postnatal mothers in the Wardha district. METHODS A descriptive research design was undertaken, and 35 postnatal mothers in the Wardha district were selected for the study, the data was collected with the help of a structured questionnaire and a risk factor assessment scale was used for postnatal mothers. RESULTS The result of the study shows the prevalence rate of LBW babies among postnatal mothers as 49.18 %, and there was an assessment of risk factors among postnatal mothers from selected areas and association of prevalence of low birth with selected demographic variables. There was no association of prevalence of lowbirth-weight babies among postnatal mothers in relation to demographic variables. CONCLUSIONS This study concludes that there is a good prevalence of LBW babies but mothers didn’t have adequate knowledge regarding LBW of babies and risk factors that affect the mother as well as the foetus. KEY WORDS Low Birth Weight, Preterm, Gestation, Dehydration, Hyperthermia, Hypothermia


Author(s):  
V. Soumya ◽  
K. V. Phani Madhavi ◽  
B. Devi Madhavi

Background: Cerebral palsy (CP) is a disorder of movement and posture, defined as an “umbrella term covering a group of non-progressive, but often changing, motor impairment syndromes secondary to lesions or anomalies of the brain arising in the early stages of its development”. Risk factors for CP include maternal infection, placental insufficiency, gestational diabetes, pregnancy induced hypertension, instrumental delivery, low birth weight, hypoxic ischemic injury, hyperbilirubinemia, metabolic abnormalities (hypoglycemia). The families are affected psychologically, financially and socially. It also imposes burden on national health system. The objective of the study was to study the distribution of maternal and perinatal risk factors of cerebral palsy among children attending a cerebral palsy clinic in Visakhapatnam.Methods: A retrospective cohort study was conducted by eliciting history from the mothers of 90 cerebral palsy children who were treated in cerebral palsy clinic, Visakhapatnam, Andhra Pradesh, India for a period of 6 months in 2016. After taking consent, data was collected using a pretested questionnaire. Detailed history was taken from the mothers of 90 cerebral palsy children regarding the period of gestation at which the child was born (preterm or full term), any previous history of pre-term delivery or abortions and neonatal complications was obtained from the care givers. Data was entered into MS-excel sheet and analysed by using SPSS Trial Version 20.Results: Total numbers of study subjects were 90, out of which 58 were boys and 32 were girls. Around 38% of study subjects were born out of consanguineous marriage. As per the records available, only 7% of mothers had gestational diabetes. It was found that 13% study subjects were preterm, 22% had low birth weight, 24% had perinatal hypoglycaemia, 33% had neonatal jaundice and 33% had birth asphyxia.Conclusions: Consanguinity, birth asphyxia, neonatal jaundice are found to be the important risk factors for Cerebral Palsy in our study which can be avoided by improving maternal and paediatric health services. 


2019 ◽  
Vol 22 (6) ◽  
pp. 70
Author(s):  
R. Kh. Shangareeva ◽  
O. A. Bryukhanova ◽  
A. I. Fatykhova ◽  
R. Kh. Bakhitova ◽  
Z. V. Maksimenko ◽  
...  

2021 ◽  
Vol 8 (12) ◽  
pp. 1965
Author(s):  
Balai Chandra Karmakar ◽  
Kausik Patra ◽  
Mrinmoy Bairagi

Background: Various neuro-developmental impairment (NDI) among very low birth weight babies (VLBW) and extremely low birth weight (ELBW) babies are common in Indian scenario. This study was designed to assess the impact between prenatal risk factors and neuro-developmental outcomes of premature infants.Methods: This descriptive study was conducted on 143 VLBW and ELBW babies admitted in SNCU of North Bengal Medical College, Darjeeling, West Bengal and discharged babies were followed up.Results: Total 143 neonates were studied among male 82 (57.3%) and female 61 (42.7%) and AGA: SGA ratio was 1.97. Birth weight ranged from 500 to 1500grams with mean was 1199.6±244.14 and the median was 1240 gm. The mean gestational age (Mean± SD) was 29.65±2.032 weeks with range 24-32 weeks and the median was 30 weeks. 28 (19.6%) had PIH, 39 (27.3%) had multiple gestation, 18 (12.6%) had perinatal infection and 25 (17.5%) had birth asphyxia. CRIB II score ranged from 3-18 with mean was 8.021±3.883 and median was 7. 73.4% (105/143) were discharged alive. Significant positive correlations were found among birth weight, gestational age, perinatal infection (p<0.001). Adverse neonatal outcome was associated with CRIB II score ≥10. Total CRIB II score with parameters of NDI like developmental delay, cerebral palsy, visual abnormality, absent ABR showed good correlation (p<0.001). Fisher Exact test revealed significant association between total score and Cerebral palsy (p=0.0005), visual abnormality (p=0.0005), absent ABR (p=0.0002).Conclusions: Perinatal risk factors influence future NDI in very low and extremely low birth weight babies. They should be identified and treated promptly to achieve good outcome. 


2014 ◽  
Vol 28 (11) ◽  
pp. 1318-1323 ◽  
Author(s):  
Serife Esra Cetinkaya ◽  
Emel Okulu ◽  
Feride Soylemez ◽  
İlke Mungan Akin ◽  
Seda Sahin ◽  
...  

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