scholarly journals Detection of fetal malnutrition and its associated maternal factors in a rural setting

2020 ◽  
Vol 7 (9) ◽  
pp. 1880
Author(s):  
Alok M. Janardhan ◽  
Sandhya Alok ◽  
Leelavathi Janardhan
Keyword(s):  
Socioeconomic Status ◽  
Nursing Home ◽  
Weight Gain ◽  
Rural Setting ◽  
Medical Illness ◽  
Maternal Factors ◽  
Cross Sectional ◽  
Maternal Risk ◽  
Clinical Method ◽  
Fetal Malnutrition

Background: The objectives of study were to analyse and compare the methods for detection of fetal malnutrition and to study the maternal factors associated with fetal malnutrition in babies born in rural hospitals.Methods: Periodic prospective cross-sectional case-control questionnaire-based study. Nursing home and Hospital based in rural population from January 2017-March 2018. There were 350 term newborns born in Shrinivasa Nursing Home, and Crawford General Hospital, Sakleshpur, were selected consecutively. Inclusion criteria: live, singleton term neonates. Exclusion criteria: Preterms, post-terms, those with congenital malformation, multiple gestations, cephalhematoma, subgaleal bleed. Anthropometry, fetal malnutrition assessed using clinical assessment of nutrition (CAN) score, Ponderal and Kanawati indices between 24–48 hours of birth. Newborns with fetal malnutrition (cases), and well-nourished babies (controls) assessed for maternal risk factors using standardised questionnaire from mothers.Results: CAN score identified 185 (52.9%) as malnourished and 165 (47.1%) as normal; Ponderal index classified 170(48.6%) as malnourished and 180 (51.4%) normal. Kanawati index grouped 151 (43.1%) as malnourished. Maternal factors:  age (91.7% among <20 yr mothers-malnourished, 25% among >35 yrs), socioeconomic status (status 3, 4 had 57.2%, 66.7% malnourishment), improper antenatal care(80.7% irregulars; 38.5% among regulars), primiparity (60%;against  38.3% among multipara), pre-eclampsia (78.7%; 41.3% in normotensives), anemia (55.4%), weight gain (83.2% in <10 kg; 33.33% in >10 kg), stature (73.5% in <145 cm; 39.7% in >145 cm), medical illness (55.81%).Conclusions: CAN score is simple, systematic, clinical method of identifying malnutrition; statistically superior as screening tool. Maternal factors: improper antenatal checkups, primiparity, pre-eclampsia, medical illness, inadequate weight gain, short stature had significant association with fetal malnutrition. Maternal age, socioeconomic status, anemia not statistically significant.

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 Is the link between socioeconomic status and resilience mediated by reserve-building activities: mediation analysis of web-based cross-sectional data from chronic medical illness patient panels

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025602 ◽  
Author(s):  
Carolyn Emily Schwartz ◽  
Jie Zhang ◽  
Brian Dale Stucky ◽  
Wesley Michael ◽  
Bruce David Rapkin
Keyword(s):  
Socioeconomic Status ◽  
Medical Condition ◽  
Personal Finance ◽  
Chronic Medical Condition ◽  
Secondary Outcome ◽  
Medical Illness ◽  
Cross Sectional ◽  
Web Based ◽  
Building Activities ◽  
Mediation Models

ObjectivesThe purpose of this study is to test the hypothesis that the link between socioeconomic status (SES) and resilience is mediated by reserve-building activities.DesignCross-sectional observational study. Structural equation modelling (SEM) was used to test the mediation hypothesis.SettingWeb-based survey.ParticipantsParticipants with a chronic medical condition were recruited from Rare Patient Voice.Primary and secondary outcome measuresDeltaQuest Reserve-Building Measure; demographic variables to capture SES; Centers for Disease Control Healthy Days Core Module; Self-Administered Comorbidity Questionnaire. Resilience was operationalised using residual modelling.ResultsThe study sample included 442 patients (mean age 49, 85% female). SES was modelled as a bifactor model composed of general SES and specific factors for personal finance and parent’s education. A series of simple mediation models predicting resilience led to the selection of three reserve-building activities for subsequent SEM-based mediation models: Active in the World, Outdoor and Exercise. The full SEM model supported the hypothesis that the relationships from both general SES and personal finance to resilience were mediated by engaging in the three reserve-building activities. In addition, the number of comorbidities partially mediated the relationship between personal finance and reserve-building. Those with more comorbidities generally had lower levels of resilience.ConclusionsThis study provides suggestive evidence that reserve-building activities may be one pathway by which SES is associated with resilience: people of higher SES are more likely to engage in reserve-building activities that are intellectually stimulating, involve Outdoor pursuits and include physical Exercise. These reserve-building activities are not costly to pursue. These findings may empower patients to introduce more such reserve-building activities into their lives.

scholarly journals Maternal and Infant Factors Associated with Human Milk Oligosaccharides Concentrations According to Secretor and Lewis Phenotypes

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1358 ◽  
Author(s):  
Karina M. Tonon ◽  
Mauro B. de Morais ◽  
Ana Cristina F. V. Abrão ◽  
Antonio Miranda ◽  
Tania B. Morais
Keyword(s):  
Weight Gain ◽  
Human Milk ◽  
Allergic Disease ◽  
Human Milk Oligosaccharides ◽  
Maternal Factors ◽  
Milk Oligosaccharides ◽  
Cross Sectional ◽  
Factors Associated ◽  
Excessive Weight ◽  
Novel Associations

Human milk oligosaccharides (HMOs) are multifunctional carbohydrates naturally present in human milk that act as prebiotics, prevent pathogen binding and infections, modulate the immune system and may support brain development in infants. HMOs composition is very individualized and differences in HMOs concentrations may affect the infant’s health. HMOs variability can be partially explained by the activity of Secretor (Se) and Lewis (Le) genes in the mother, but non-genetic maternal factors may also be involved. In this cross-sectional, observational study, 78 single human milk samples ranging from 17 to 76 days postpartum (median: 32 days, IQR: 25–46 days) were collected from breastfeeding Brazilian women, analyzed for 16 representative HMOs by liquid chromatography coupled to mass spectrometry and associations between maternal and infant factors with HMOs concentrations were investigated. HMOs concentrations presented a high variability even in women with the same SeLe phenotype and associations with maternal allergic disease, time postpartum and with infant’s weight, weight gain and sex. Overall, we present unprecedented data on HMOs concentrations from breastfeeding Brazilian women and novel associations of maternal allergic disease and infant’s sex with HMOs concentrations. Differences in HMOs composition attributed to maternal SeLe phenotype do not impact infant growth, but higher concentrations of specific HMOs may protect against excessive weight gain.

scholarly journals Severity of Hyperemesis Gravidarum and Associated Maternal factors

2019 ◽  
Vol 17 (3) ◽  
pp. 293-296
Author(s):  
Murari Thakur ◽  
Jageshwor Gautam ◽  
Ganesh Dangal
Keyword(s):  
Risk Factors ◽  
Hyperemesis Gravidarum ◽  
Total Duration ◽  
Severe Form ◽  
Age Group ◽  
Personal Factors ◽  
Maternal Risk Factors ◽  
Maternal Factors ◽  
Cross Sectional ◽  
Maternal Risk

Background: Hyperemesis gravidarum is the most severe form of nausea and vomiting in pregnancy. It is one of the most common cause of early pregnancy admissions and associated with various maternal risk factors . Very few studies have been conducted among Nepalese women with hyperemesis gravidarum. This study aims to identify various maternal risk factors among Nepalese women and its severity using pregnancy unique quantification of emesis scoring. Methods: This is a cross sectional observational study conducted at Paropakar Maternity and Women’s Hospital. Total duration of the study period was for one year from February 2018 to Janurary 2019. A total of 144 patients meeting the inclusion criteria were included in the study.The severity of the hyperemesis gravidarum was assessed and classified using pregnancy unique quantification of emesis scoring. Various maternal demographic, obstetric and personal factors were studied in relation to the incidence and severity of hyperemesis gravidarum.Results: Moderate (49.30%) to severe(50.69%) hyperemesis gravidarum were admitted in the hospital. Most women were nulliparous from 20-24 years age group. Among all categories of BMI, underweight had more severe hyperemesis gravidarum (63.63%) and overweight patient had increased incidence of moderate hyperemesis gravidarum (66.66%). Women with previous dysmenorrhea had severe hyperemesis gravidarum (54.05%) and non-smoker had severe hyperemesis gravidarum (52.03%) while smoker had moderate hyperemesis gravidarum (57.14%).Conclusions: Pregnant women of age group of 20-24 years, nulliparity and underweight were associated with severe hyperemesis gravidarum. Keywords: Hyperemesis gravidarum; maternal factors ; pregnancy unique quantification of emesis.

scholarly journals Assessment of Common Maternal Risk Factors in Fetal Malnutrition

2021 ◽  
Vol 6 (1) ◽  
pp. 1377-1382
Author(s):  
Anshu Poudel ◽  
Nisha K Bhatta ◽  
Mohan Chandra Regmi ◽  
Lokraj Shah ◽  
Rajan Paudel
Keyword(s):  
Nutritional Status ◽  
Antenatal Care ◽  
Clinical Assessment ◽  
P Value ◽  
Maternal Factors ◽  
Maternal Risk ◽  
Factors Associated ◽  
Status Score ◽  
Arm Circumference ◽  
Fetal Malnutrition

Introduction: Nutritional assessment of the newborn gives the reflection of the growth process in the intrauterine period. The Clinical Assessment of Fetal Nutritional Status score (CAN score) method is only the method to assess the fetal malnutrition which includes the clinical observation for the presence of the sign of malnutrition in newborns. Since the fetal growth is related to availability of intrauterine nutrition and placental function, there may be several maternal factors associated with the fetal malnutrition. Objectives: The main objective of the study was to determine the prevalance of Fetal Malnutrition in term newborns and the role of maternal factors in the etiology of fetal malnutrition (FM) in the Neonatal and Maternity Units of B.P Koirala Institute of Health Sciences, Dharan. Methodology: This was a hospital based observational cross sectional study of consecutive, singleton, term live babies delivered between September 2019 to March 2020. Fetal malnutrition was diagnosed using Clinical Assessment of Fetal Nutritional Status score (CAN score) developed by Metcoff. The maternal history was obtained from the mother which included age, parity, socioeconomic class, pre pregnancy weight, number of antenatal care during pregnancy, history of maternal illness and drugs taken during pregnancy. Nutritional status of the mother was determined using weight, height, mid arm circumference (MAC) and the body mass index (BMI). Collected data was entered in Microsoft excel 2010 and converted it into SPSS 23 version software, for statistical analysis. Results: Of the 400 studied newborns, 73 [18%] had FM. The prevalence of teenage pregnancy, primiparity, lower maternal mid arm circumference and vegetarian diets were higher in the mothers of the babies who had suffered fetal malnutrition than the mothers of the babies without FM (p value <0.05).The adverse maternal condition like Pregnancy induced hypertension (PIH), Antepartum hemorrahge (APH), Urinary tract infection (UTI), fever during pregnancy had significant impact in the fetal malnutrition(p value <0.05). Conclusion: Improvement in the socioeconomic condition of women and good antenatal care could reduce most of the maternal factors associated with fetal malnutrition. There should be implementation of more accessible programs which address the issues of the maternal nutrition and the maternal health care in Nepal. 

A study on the Relationship of the weight pattern with the socioeconomic status among adolescents school going children in an Indian Metropolitan City

2017 ◽  
Vol 3 (2) ◽  
pp. 320-323
Author(s):  
Samar Hossain ◽  
Sharma Priyanka ◽  
Talib Hossain ◽  
Surendra Mohan Mathur
Keyword(s):  
Socioeconomic Status ◽  
Socioeconomic Development ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Socio Economic Status ◽  
Obesity And Overweight ◽  
Prevalence Of Obesity ◽  
Development Levels

Objective: The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. The study was done to find the the prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors. Materials and Methods: School based cross sectional study carried out over a period of 4 months in three schools of East Delhi. The study was carried out in 629 school children of 10–18 years of age and belonging to different socioeconomic statuses in schools in East Delhi. The obesity and overweight were considered using an updated body mass index reference. A pre-tested questionnaire was used to determine the Socio-economic status and life style factors. Results: The prevalence of overweight among children was higher in middle socioeconomic status groups as compared to high socioeconomic class in both boys and girls whereas the prevalence of obesity was higher in high Socio economic status group as compared to middle socioeconomic group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Conclusion: The findings of this study suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.

Budaya Kerja Petugas Panti Menurut Persepsi Lansia Dengan Kejadian Pengabaian di PSTW X

2019 ◽  
Vol 4 (3) ◽  
pp. 651
Author(s):  
Lola Felnanda Amri
Keyword(s):  
Logistic Regression ◽  
Nursing Home ◽  
Work Environment ◽  
The Elderly ◽  
Statistical Test ◽  
Nursing Personnel ◽  
Work Culture ◽  
Chi Square ◽  
Cross Sectional ◽  
Correlation Design

<p><em>Perawatan pada lansia di panti tresna werdha X dilakukan berdasarkan rutinitas kerja dan petugas belum mendapat pelatihan mengenai kebutuhan dasar lansia yang harus dipenuhi. Berdasarkan hal tersebut, peneliti ingin mengetahui hubungan budaya kerja petugas panti menurut persepsi lansia dengan kejadian pengabaian di PSTW X Sumatera Barat. Desain penelitian deskriptif korelasi, menggunakan pendekatan cross sectional. Pengambilan sampel dengan total sampling, berjumlah 75. Uji statistik digunakan chi square dan regresi logistik. Hasil yang diperoleh seluruh lansia mengalami pengabaian; ada hubungan antara sikap terhadap apa yang dikerjakan, lingkungan pekerjaan; waktu dengan pengabaian lansia; Tidak ada hubungan antara perilaku ketika mengambil keputusan dengan pengabaian lansia. Sikap terhadap apa yang dikerjakan memiliki pengaruh paling besar terhadap kejadian pengabaian lansia. Disimpulkan bahwa petugas harus lebih memahami tentang peran dan fungsinya sebagai pemberi pelayanan pada lansia. Direkomendasikan agar pejabat yang berwenang dapat menempatkan petugas panti sesuai dengan peran dan fungsi serta kewenangannya, dan merekrut perawat sesuai dengan kebutuhan panti.</em></p><p> </p><p><em>The nursing of elderly in </em><em>Tresna Werda X nursing home is mainly based on the workrout in and that the caregiver have not yet received training on the basic needs of the elderly that they should meet. Therefore, the researcher wanted to know the relations of the work culture of caregiver according to the elderly’s perception with the incidence of neglect in PSTW X West Sumatera. This study used Descriptive correlation design with cross sectional approach. The method of sampling used total sampling, which amounts to 75. The statistical test used chi square and logistic regression. The results of the study show that all of the elderly experienced neglect; there is a relation between attitude towards what is conducted, work environment, time with elderly neglect; no relation between behavior in making decisions with elderly neglect. The attitude towards what is conducted has the most impacton the incidence of elderly neglect. It is concluded that the caregiver should have a better understanding on their roles and functions as the caregivers to the elderly. Moreover, it is recommended that the authorities should put nursing personnel in accordance with the roles, functions and competence, and recruit nurses in accordance with the needs of the nursing home.</em></p>

scholarly journals The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

2020 ◽  
Vol 42 (06) ◽  
pp. 316-324
Author(s):  
Daiane Sofia Morais Paulino ◽  
Maira Pinho-Pompeu ◽  
Fernanda Raikov ◽  
Juliana Vasconcellos Freitas-Jesus ◽  
Helymar Costa Machado ◽  
...  
Keyword(s):  
Weight Gain ◽  
Sleep Duration ◽  
Gestational Weight Gain ◽  
Overweight And Obesity ◽  
The Body ◽  
Stepwise Logistic Regression ◽  
Cross Sectional ◽  
Gestational Weight ◽  
Health Related Behaviors ◽  
Health Related

Abstract Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

scholarly journals Association between procrastination, white-collar work and obesity in Japanese male workers: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e029931 ◽  
Author(s):  
Akihiko Narisada ◽  
Kohta Suzuki
Keyword(s):  
Weight Gain ◽  
White Collar ◽  
Cross Sectional Study ◽  
Blue Collar ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Adult Weight ◽  
Japanese Male ◽  
Male Workers

ObjectiveTo investigate the associations among procrastination (time inconsistency), work environment and obesity-related factors in Japanese male workers.DesignCross-sectional study.SettingData were collected at two work sites of Japanese electronics manufacturing company in 2015.Participants795 full-time male workers in a Japanese electric company, aged 35–64 years, who underwent health checkups in 2015.Main outcome measuresBody mass index (BMI), adult weight change, obesity (BMI ≥25 kg/m2), adult weight gain over 10 kg (AWG10) and metabolic syndrome (MetS). Multivariable linear and logistic regression analyses were performed to assess the associations of procrastination assessed by using a one-item questionnaire and white-collar and blue-collar work with obesity-related factors.ResultsWhite-collar workers with high procrastination levels showed positive associations with BMI (B: 0.75, 95% CI 0.06 to 1.44) and adult weight change (B: 1.77, 95% CI 0.26 to 3.29), and had increased odds of AWG10 (OR: 1.85, 95% CI 1.04 to 3.29) and MetS (OR: 2.29 95% CI 1.18 to 4.44) after adjustment for age, education, work-related factors and lifestyle factors. However, such positive associations were not observed among blue-collar workers.ConclusionsProcrastination and white-collar work might have a joint effect on weight gain during adulthood and consequential obesity.

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