scholarly journals A study of postnatal assessment of gestational age of neonates by new Ballards and Parkins score

2021 ◽  
Author(s):  
Vivek R. Mehta ◽  
Hardik R. Parmar ◽  
Amola B. Khandwala ◽  
Khyati M. Kakkad ◽  
Vaidehi V. Vekaria ◽  
...  
Keyword(s):  
Clinical Study ◽  
Gestational Age ◽  
Positive Relationship ◽  
Tertiary Care ◽  
Assessment Method ◽  
Scatter Diagram ◽  
Cross Sectional ◽  
Postnatal Ward ◽  
Positive Linear Correlation ◽  
Written Informed Consent

Background: The aim, of the study was to find the correlation between new Ballard score and Parkin’s score and whether they correlate with obstetric gestational age estimated by LMP and/or 1st-trimester USG.Methods: A cross-sectional clinical study for 6 months duration was carried out at tertiary care NICU and postnatal ward of a teaching hospital. Any intramural neonate admitted in NICU and neonates examined after randomized selection in postnatal ward within the first 24 hours of life were included in the study after written informed consent. Their demographic profile was documented using preset Performa and gestational age was assessed using both New Ballard score and Parkins score.Results: Total 387 new-borns were screened with mean age of 12.86±11 hours. Out of which 209 (54.0%) were males and 178 (46.0%) were females. The 259 (66.0%) new-borns were normal vaginal delivered and 128 (33.0%) new-borns were delivered by caesarean section. In the study it was found that the obstetric gestational age strongly correlates to gestational age by new Ballard score (r=0.880, p<0.001), and to gestational age by Parkins score (r=0.880, p<0.001). The gestational age by new Ballard score also strongly correlates to gestational age by Parkins score (r=0.937, p<0.001). Scatter diagram shows that there is strong positive linear correlation between gestational age assessed by LMP and NBS. While that gestational age accessed by Parkins having weak positive relationship compared to NBS.Conclusions: New Ballard score predicts new-born gestational age better in preterm and term new-borns, but Parkin’s Score, being simpler assessment method, takes very less time and has the advantage of no subjective neurological criteria and lesser interpersonal variation.

scholarly journals Gestational Age Specific Postnatal Growth Curves for Singleton Babies in Tertiary Hospital of Western Nepal

2017 ◽  
Vol 56 (207) ◽  
pp. 325-330
Author(s):  
Santosh Pathak ◽  
Nagendra Chaudhary ◽  
Prativa Dhakal ◽  
Shyam Kumar Mahato ◽  
Sandeep Shrestha ◽  
...  
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Economic Status ◽  
Tertiary Care ◽  
Growth Curves ◽  
Tertiary Hospital ◽  
Care Hospital ◽  
Cross Sectional ◽  
Intrauterine Growth ◽  
Geographical Regions

Introduction: Measurement of birth weight (BW), crown heel length (CHL), head circumference (HC) and chest circumference used to assess the intrauterine growth of a baby vary with altitude, race, gender, socio economic status, maternal size, and maternal diseases. The study aimed to construct centile charts for BW, CHL and HC for new born at different gestational ages in western Nepal. Methods:  This was a descriptive cross sectional study done over a period of 15 months in a tertiary care hospital of western Nepal. BW, length, HC and CC were measured within 12-24 hours of birth. Gestational age was estimated from first day of last menstrual period, maternal ultrasonology and New Ballard’s scoring system. Microsoft 2007 Excel and SPSS-16 was used for data analysis. Cole’s Lambda Mu Sigma method was used for constructing centile curves. Results: Out of 2000 babies analysed, 1910 samples were used to construct smoothed intrauterine growth curve of BW, CHL, and HC from 33-42 weeks of gestation. 57.35% (1147) were male, mean gestational age was 38.13 ±2.44 weeks, where 21.5% were preterm and 1.7% post term. The means of BW, CHL, HC and CC were 2744.78 gm, 47.80 cm, 33.18 cm, and 30.20 cm with standard deviations of 528.29, 3.124, 1.78, and 2.35 respectively. These data vary as compared to the Kathmandu data, in case of birth weight for 10th and 90th centiles, and at 90th centile in case of length. Conclusions: This necessitates the update in the existing growth charts and develop in different geographical regions of a country.

scholarly journals Frequency of infantile colic in neonates presenting At Tertiary Care Hospital.

2020 ◽  
Vol 27 (11) ◽  
pp. 2357-2362
Author(s):  
Anwar Muhammad ◽  
Muhammad Asghar Ali ◽  
Ali Hammad
Keyword(s):  
Gestational Age ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
Infantile Colic ◽  
Cross Sectional ◽  
Alternative Measures ◽  
Hospital Study

Objectives: To determine the frequency of infantile colic in neonates presenting at tertiary care hospital. Study Design: Cross Sectional Study. Setting: Department of Neonatology, Civil Hospital, Bahawalpur. Period: From January 2018 to August 2018. Material & Methods: Total 467 neonates either male or female were selected for this study. Total 467 neonates with complaints of crying and fussing either male or female were selected for this study and infantile colic was assessed in selected neonates by using Wessel criteria. Results: Total 467 neonates were selected for this study.  Mean age of the neonates was 24.94 ± 2.39 months, mean gestational age and mean weight was 39.42 ± 1.22 weeks and 3.27 ± 0.62g respectively.   Infantile colic was found in 322 (69%) neonates.  Infantile colic was found in 61 (33.33%) neonates, 136 (94.44%) neonates, 75 (87.21%) neonates and 50 (92.59%) neonates respectively.  Statistically significant association between infantile colic and type of feeding with p value 0.000.  Infantile colic was found in 147 (84.97%), 95 (67.86), 62 (49.21%) and 18 (64.29%) neonates respectively in 37 weeks, 38 weeks, 39 weeks and 40 weeks gestational age group.  Statistically insignificant association between infantile colic and gestational age was noted with p value 0.000. Conclusion: Results of present study showed higher rate of colic in infants.  Development of colic was highly associated with gestational age, birth weight and type of feeding.  There is no effective medical treatment (like anti-colic and herbal drugs) but alternative measures may relieve or prevent further colic attacks.

scholarly journals A study on adverse effect following immunization COVID-19 vaccination Covishield among MBBS student s of a tertiary care institution in a rural area of Chhattisgarh, India

2021 ◽  
Vol 8 (10) ◽  
pp. 4872
Author(s):  
M. N. Alam ◽  
Shagufta Khatoon ◽  
Nirmal Verma
Keyword(s):  
Adverse Effect ◽  
Injection Site ◽  
Tertiary Care ◽  
Common Adverse Effect ◽  
Cross Sectional ◽  
Dose Administration ◽  
Medical College ◽  
Tertiary Care Institution ◽  
Spss Software ◽  
Written Informed Consent

Background: India has granted emergency use authorization to two COVID-19 vaccines, Pune based Serum Institute of India’s Covishield and Hyderabad- based Bharat Biotech International Ltd.’s Covaxin, for the vaccination drive. Once a vaccine is in use, it must be continuously monitored to make sure it continues to be safe. These data will add on in policy making and also help vaccine to be safely tracked throughout its use. In view of above background present study has been conducted to determine adverse effect following immunization.Methods: A cross sectional observational study was conducted among 400 MBBS students of a rural medical college in Chhattisgarh, India from January 2021 to March 2021. Approval was taken from institutional ethical committee and written informed consent was obtained from participants. A semi-open questionnaire was used to estimate the adverse effect following Covishield administration. Data was processed, analysed using SPSS software and information was obtained.Results: Study shows most common adverse effect was pain at injection site (86%), followed by fever (76%). Female received more (69%) treatment compared to male (31%). Almost 100% of subject experienced adverse effect following immunization (AEFI) following first dose administration whereas about 20% only experienced adverse effect following administration of second dose.Conclusions: Pain at injection site was most common adverse effect followed by fever. Adverse effect was four times more with first dose compared to second dose. Female received more treatment compared to male. Majority had fever and pain for 1-2 days only. Thus, it was concluded that vaccine have no serious side effect.

scholarly journals Prevalence of iron deficiency and thalassemia in patients presenting Tertiary Care Hospital.

2020 ◽  
Vol 27 (12) ◽  
pp. 2618-2621
Author(s):  
Nadia Taj ◽  
Saba Javed ◽  
Munazza Munir ◽  
Anam Naz ◽  
Asma Sajid ◽  
...  
Keyword(s):  
Iron Deficiency ◽  
Gestational Age ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Iron Deficient ◽  
Tertiary Care Hospitals

Objectives: To find the frequency of iron deficient anemia and thalassemia in anemic patient reporting in tertiary hospital in Multan. Study Design: Cross Sectional study. Setting: Department of Obstetrics and Gynecology in Nishtar Hospital, Multan. Period: 20th October 2018 to 20th April 2019. Material & Method: In this study total 260 females with anemia HB<10.5g/dl were incorporated. Blood of all the patients were collected following the septic measures in CBC vial for counting of hemoglobin and blood investigation serum ferritin [<11ng/ml] and HB electrophoresis HBA [>6]. Gestational age was predicted depending upon last period of menstruation. Results: Age of patients in this study was between 24 to 34 year with the average age of 29.9±2.3 year, average gestational age 33.2±2.11 week, average parity 1.46±1.3. Iron deficient anemia was observed in 88.4 percent patient. Thalassemia was observed in 5.7 percent patient. Conclusion: The results of our study revealed that iron deficiency and thalassemia are significant contributing factors of anemia in patients reporting tertiary care hospitals Multan. General screening for carriers of thalassemia should be provided to all pregnant females attending prenatal care.

scholarly journals Knowledge, Attitude and Practice with Regard to Gram stain, as a Preliminary Test for Clinical Diagnosis among the Internees and Postgraduates, in a Tertiary Care Teaching Hospital

2020 ◽  
Vol 7 (50) ◽  
pp. 2987-2991
Author(s):  
Raja Vikram Prasad ◽  
Mohammad Abdul Mushtaq Pasha ◽  
Afsar Fatima ◽  
Deepa Latha Ciddhavaduta ◽  
Veeresappa Doddi Kummari
Keyword(s):  
Informed Consent ◽  
Tertiary Care ◽  
Preliminary Test ◽  
Clinical Approach ◽  
Gram Stain ◽  
Provisional Diagnosis ◽  
Cross Sectional ◽  
Gold Standard Method ◽  
Gram Staining ◽  
Written Informed Consent

BACKGROUND Hans Christian Gram, a Danish pathologist originally devised the Gram staining method in 1882 for identification of Gram positive and Gram-negative bacteria and is the gold standard method for preliminary detection before inoculating for culture and sensitivity for better treatment outcome. In the present era, use of irrational antimicrobials has led to antimicrobial resistance which can be resolved by routine usage of Gram stain. METHODS This is a cross sectional study of 2 months duration (May 2020 - June 2020) with 172 subjects. Institutional ethical clearance and pharmaco-vigilance program of India permission was obtained. All interns and post-graduates who were available at the time of interview, and who gave written informed consent were included in the study. Those who did not give written informed consent and those who were absent or unavailable were excluded. Pre tested questionnaire was validated using Cronbach’s alpha for internal consistency and was filled voluntarily. Data was collected, compiled and analysed for results. RESULTS Among 172 subjects who participated in the study, 99 (57 %) are females and 73 (43 %) are males. 88 (51 %) are post-graduates and 84 (49 %) are interns. 100 % had knowledge about Gram stain, 47 (27 %) participants knew about procedure timing as 5 minutes for Gram staining and 26 (15 %) participants thought that test can be done at bedside. 90 (52 %) knew that test can be done for all specimens. 169 (98 %) had knowledge on the Gram stain which could help for provisional diagnosis. 119 (69 %) agreed that test was very cost effective. 28 (16 %) agreed that Gram stain was a better test for provisional diagnosis. 63 (36.6 %) were practicing regularly and 10 (6 %) were practicing Gram stain for appropriate antimicrobial use. CONCLUSIONS The present study concluded 100 % of the study participants had knowledge with regard to Gram staining, 27 % knew that the time taken was 5 minutes to perform test. 15 % knew that it can be done at bedside. 63 (36.6 %) were practicing regularly and 10 (6 %) were practicing as initial step for all clinical confirmations for appropriate antimicrobial treatment for better outcome. KEYWORDS Gram Stain, Preliminary Test, Antimicrobial Stewardship, Evidence Based Medicine, Better Clinical Approach

scholarly journals Frequency and risk factors for the birth of small-for-gestational-age newborns in a public maternity hospital

2016 ◽  
Vol 14 (3) ◽  
pp. 317-323 ◽  
Author(s):  
Marina Parca Cavelagna Teixeira ◽  
Tatiana Peloso Reis Queiroga ◽  
Maria dos Anjos Mesquita
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Tertiary Care ◽  
Maternity Hospital ◽  
Histopathological Analysis ◽  
Hospital Data ◽  
Cross Sectional ◽  
Significance Level

ABSTRACT Objective: To determine the frequency and risk factors of small-for-gestational-age newborns in a high-risk maternity. Methods: This is an observational, cross-sectional, and case-control study, conducted in a public tertiary care maternity hospital. Data from 998 newborns and their mothers were collected through interviews and review of medical records and prenatal care cards. Some placentas underwent histopathological analysis. The variables of small-for-gestational-age and non-small-for-gestational-age newborns and of their mothers were statistically compared by means of Student's t test, Fisher's exact test, and odds ratio. The significance level used was 0.050. Results: There was a 17.9% frequency of small-for-gestational-age newborns. The statistically significant factors associated with the birth of these babies were female sex (p=0.012); positive history of another small-for-gestational-age child (p=0.006); inadequate prenatal care (p=0.019); smoking (p=0.003); hypertensive disorders of pregnancy (p=0.007); placental bleeding (p=0.009) and infarction (p=0.001). Conclusion: In the population studied, the frequency of small-for-gestational-age newborns was high and associated with sex, inappropriate prenatal care, presence of maternal diseases and addictions, and placental abnormalities.

scholarly journals Correlation of neonatal gestational age with foot length and right nipple to umbilicus distance

2020 ◽  
Vol 7 (6) ◽  
pp. 1319
Author(s):  
Ajay K. Keshwani ◽  
Swati S. Suroshe
Keyword(s):  
Birth Weight ◽  
Gestational Age ◽  
Tertiary Care ◽  
Large For Gestational Age ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Systematic Analysis ◽  
Neonatal Deaths ◽  
Foot Length

Background: India contributes to one fifth of global live births and more than a quarter of neonatal deaths. A systematic analysis of global, regional and national causes of child mortality in 2013 identified preterm birth complications and infections to be the two major causes of neonatal deaths in India. So, there is need of a simple, easy to use and reliable screening tool for assessment of gestational age at peripheral level for early referral of a neonate to a tertiary care hospital, thereby reducing neonatal mortality.Methods: A hospital based observational cross-sectional study included 350 live new-borns within 48 hours of birth, from September 2018 to February 2019. Gestational age assessed by new ballard score, birth weight, foot length and right nipple to umbilicus distance were noted. Babies categorised as per the gestational age profile as small, appropriate and large for gestational age using fenton charts. Data analysis done, correlation coefficient, and p value calculated to obtain results.Results: Out of 350 babies, males (185) outnumbered females (165); 154 were LBW, 89 VLBW and 76 were ELBW. AGA neonates were 193, and 157 belonged to SGA. There were no post-term and large for gestational age newborns. Both foot length and right nipple to umbilicus distance correlated well with gestational age in all age groups (p<0.001).Conclusions: Foot length as well as right nipple to umbilicus distance can be used as a reliable tool for assessment of gestational age and birth weight of newborns by any health care professional to identify and refer high risk neonate.

scholarly journals Thyroid hormone profile in apparently healthy pregnant women attending in a tertiary care hospital of Bangladesh

2016 ◽  
Vol 8 (2) ◽  
pp. 91
Author(s):  
Murshed Ahamed Khan ◽  
M.A. Hasanat ◽  
Md. Jahangir Alam ◽  
Md. Anwar Hossain ◽  
Ahmed Abu Saleh ◽  
...  
Keyword(s):  
Thyroid Hormone ◽  
Pregnant Women ◽  
Thyroid Function ◽  
Gestational Age ◽  
Tertiary Care ◽  
American Thyroid Association ◽  
Reference Ranges ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hormone Profile

<p><strong>Background:</strong> Thyroid dysfunction is not uncommon in pregnancy. It should be evaluated for better outcome of pregnancy.</p><p><strong>Objective:</strong> To observe the thyroid hormone profile in apparently euthyroid pregnant women of any trimester. Methods: This cross-sectional study investigated 350 pregnant women irrespective of gestational age [(age 24±4, m±SDyr; 1st trimester = 101, 2nd trimester=111, 3rd trimester=138) for thyroid stimulating hormone (TSH) and for free thyroxine (FT4)] to assess their thyroid function during pregnancy following the criteria of American Thyroid Association (ATA).</p><p><strong>Results:</strong> Most of the mothers were housewifes (93.1 %, 326/350) of whom 46.6% were primigravida. About 63% mother had associated goiter, 58% (204/350) were euthyroid and 41 % (142/350) were subclinical hypothyroid (SCH). Frequency of goiter (63% vs. 62%, euthyroid vs. dysfunction) was not significantly different between dysfunction and normal groups. FT4 significantly correlated with gestational age (r= - 0.131, p=0.014) and TSH level (r= - 0.612, p&lt; 0.001).</p><p><strong>Conclusion:</strong> It is concluded that many of the apparently euthyroid pregnant mother have dysfunction as defined by ATA reference ranges for TSH and FT4. Simple screening for thyroid function may have greater implication for better pregnancy outcome.</p>

scholarly journals Etiology and frequency of respiratory distress in neonates: A cross sectional study conducted in tertiary care hospital, Lahore.

2019 ◽  
Vol 26 (11) ◽  
pp. 1815-1819
Author(s):  
Mirza Liaqat Ali ◽  
Naila Jabbar ◽  
Abdul Hannan ◽  
Azher
Keyword(s):  
Respiratory Distress ◽  
Gestational Age ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Meconium Aspiration Syndrome ◽  
Care Hospital ◽  
Cross Sectional ◽  
Meconium Aspiration ◽  
New Born

Respiratory distress in neonate defines as when rate of respiration is greater than sixty in one minute, nasal flaring, grunting and intercostal / sub coastal recession is present. Various causes are reported of respiratory distress in new born. Objectives: To determine frequency of respiratory distress in new born and to Find frequency of various etiologies of respiratory distress in full term newborn admitted up to the age of 24 hours of birth in Study Design: Cross sectional studies. Setting: Neonatal unit of Jinnah Hospital Lahore. Period: From February 10, 2016 till August 10, 2016. Material and Method: SPSS v-20 was used for analysis of data like name, age, sex, gestational age, maternal record of pregnancy and fetus for etiologies of respiratory distress. Results: There were 100(66.7%) male and 50(33.3%) females in this study. The mean gestational age of these newborn was 39.51±1.51 weeks. Respiratory distress was seen in 16(10.7%) of the cases. Transient tachypnea seen in 4(25%) of the cases, Meconium aspiration syndrome was diagnosed in 2(12.5%), Pneumothorax in 3(18.8%), Congenital pneumonia in 2 (12.5%), Sepsis in 6(37.5%) and Birth asphyxia 2 (12.5%) of early neonatal age were the common observed causes. Conclusion: Respiratory distress was 1/10 of the cases. The commonest etiologies were Sepsis preceding to Respiratory distress syndrome, MAS (Meconium Aspiration Syndrome), TTN (Transient Tacyhpnea of Newborn), Pneumothorax, Congenital pneumonia, Birth asphyxia.

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