scholarly journals To study the association of body mass index of mother and anthropometry of new born

Author(s):  
K. Karthika ◽  
Anjali Wagh

Background: India is now facing a double burden with underweight on one side, and a rapid upsurge in overweight, particularly in the urban settings on the other side. With a maternal mortality rate of 174 per100,000 live births and with an infant mortality rate of 38 per 1000 live births, there is an absolute need to focus upon the health of the mothers and thence that of the new-born. So, we planned to study the correlation between the BMI of the mother with that of the outcome of the pregnancy.Methods: 152 women, who were registered and gave birth in the respective hospitals during the study period were selected randomly and were enrolled for the study. A detailed history was taken on their socio-economic class, obstetric status, diet and body mass index was calculated. And, the anthropometry of the new borns was taken.Results: Mothers with BMI less than normal had babies of low birth weight in major proportion (86%). Mothers with BMI falling under normal range had 13% low birth weight babies. Mothers with BMI more than normal had 55.5% low birth weight babies, 29.6% normal birth weight babies and also around 15% high birth weight babies.Conclusions: There is a definite correlation between the BMI of mother and the anthropometry of the child. Any deviation from the normal body mass index of the mother is seen to be related to a change in the anthropometry of the newborn.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A12-A13
Author(s):  
Sufia Athar ◽  
Amna Khalifa Tellisi

Abstract Introduction: Infant birth weight is recognized as the leading indicator of health among infants and affects a wide range of subsequent outcomes later in life. The incidence of neonates with high birth weight has increased in recent years. Many studies in the past have revealed that high birth weight is associated with neonatal morbidity and mortality and associated with complications in later life. These complications include shoulder dystocia, birth trauma, asphyxia, and neonatal deaths. In the later life these neonates have high risk for obesity, hypertension, diabetes mellitus and cancer. High pre-pregnancy body mass index (BMI) has been reported as a well-established risk factors for adverse pregnancy outcomes. Despite the high prevalence of maternal obesity in the gulf region, only a few studies in this regard have been published. Methods: A retrospective service evaluation was conducted at a secondary hospital to evaluate the effect of pre-pregnancy BMI on neonatal birth weight. 950 women were randomly selected from women delivered at or more than 37 weeks gestation and grouped on the basis of pregnancy BMI as group A-BMI 18.5–24.9 kg/m2, group-B- BMI 25–29.9 kg/m2 and group C-BMI >30 kg/m2. Infants were grouped according to birth weight as low birth weight(<2500 g), normal birth weight (2500–3999 g), and high birth weight >4000g and correlation was studied with maternal body mass index. Chi square test was used for statistical evaluation using Medcal online software. Results: In the study group, 34.43% women had normal body mass index, 37.21 % women were overweight and 28.36 % were obese. In group A, 6.50% and 4.64 % infants were with low and high birth weight, respectively. In group B, 4.3% and 5.73 % were with low and high birth weight, respectively. In group C, 4.51% and 20.33 % infants were with low and high birth weight, respectively. In comparison to women with normal BMI, low birth weight infants in group B (OR-0.922, 95% CI- 0.327–1.275) and group C (OR- 0.679, 95% CI-0.682–1.572) were not statistically significant. High birth weight infants in group B (OR- 1.2482, 95% CI- 0.3270 to 1.2756, p = 0.2080) and group C (OR-5.230, 95% CI-2.875–9.512, p= < 0.0001) were positively correlated with pre-pregnancy BMI. Pre-pregnancy overweight and obesity increased the risk of high birth weight (OR- 1.248 and 5.230 respectively). The results were statistically significant in obese women (p=< 0.0001). Conclusion: Women with pre-pregnancy overweight and obesity have higher likelihood of high birth weight in infants. Pre-pregnancy weight loss is the key to reduce maternal and fetal complications. Early pregnancy booking and antenatal fetal surveillance is recommended for all women with high body mass index.


2021 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Dwi Wahyuni ◽  
Elika Puspitasari

Background: Globally, the infant and maternal mortality rate is still a severe problem because it was an indicator of national health – no exceptions for Indonesia. In 2017, the average infant mortality rate was 76 per 1,000 live births, while in Yogyakarta, it was 313 cases. The most common causes of infant and neonatal mortality were low birth weight babies (LBW) and sepsis. In 2018 in Wonosari, Gunungkidul Regional Hospital found 1,421 new-borns were normal, and 298 infants were experiencing LBW. This study aims to determine preeclampsia's relationship with the incidence of low-birth-weight babies (LBW) in Wonosari, Gunungkidul Regional Hospital Year 2018.Methods: This research was conducted in Wonosari, Gunungkidul Regional Hospital, using quantitative analysis with a case-control approach. The case population was 280 and using the Slovin formula. We recruited 170 controls and 170 cases. Inclusion criteria used include (1) Babies born with low birth weight <2,500 grams; (2) a single fetus; and (3) recorded in the medical record at the hospital.Results: There was a significant relationship between preeclampsia with low-birth-weight babies (LBW) in Wonosari, Gunungkidul Regional Hospital 2018 with a p-value of 0.004 (p <0.05) and crude OR 2.114; 95% CI (1.268-3.523).Conclusions: Pregnant women with preeclampsia will be at greater risk of giving birth to a baby with LBW.


2020 ◽  
Vol 2 (2) ◽  
pp. 66-71
Author(s):  
Parti ◽  
Sumiati Malik ◽  
Nurhayati

Most causes of infant death are problems that occur in newborn/neonatal (0-28 days old), Low Birth Weight Babies (LBW) is one of the factors which has a contribution to infant mortality, especially in the neonatal period. Infant Mortality Rate (IMR) is a benchmark in determining the degree of public health, both at the National and Provincial levels. This study aimed to determine the effect of the Kangaroo Mother Care Method (KMC) on the prevention of hypothermia in low birth weight infants at Morowali District Hospital in 2019. The type of research used was a quasi-experiment. The population is all low birth weight babies born from May to July 2019. The sample in this study was all newborns with low birth weight born from May to July 2019, totaling 30 babies. There is a difference (influence) on the baby's body temperature before and after KMC with a p-value=0,000. The kangaroo mother care can continue to be affiliated considering its benefits for both infants and mothers, as well as increasing the ability of health workers in conducting KMC so that they can provide in-house training for mothers to be carried out at home.


Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

ABSTRACT   Low birth weight (LBW) infants with birth weight is less than 2500 grams, regardless of gestational age. Statistically showed 90 % incidence of LBW obtained in developing countries with a mortality rate 35 times higher tinggi.Di South Sumatra Province Infant Mortality Rate ( IMR ) is 29 per 1,000 live births. In Palembang BARI hospitals incidence of LBW in 2013 amounted to 317 cases . The purpose of this study is to determine is there a relationship between the factors of age, education, and parity with the incidence of Low Birth Weight in Palembang BARI hospitals in 2013. This study used survey method crosss sectional analytic approach. The study population was all women who gave birth and was admitted to hospital obstetrics Palembang BARI installations in 2013 amounted to 901. This research was conducted in February 2014. Samples were taken with a random sampling method sistematic. Analyze data using statistical test Chi - Square. Results of univariate analysis of this study showed that 193 (69.4 %) of the respondents had low birth weight, and 85 (30.6 %) respondents had BBLN. 63 (22.7 %) of respondents with a high risk of maternal age and 215 (77.3 %) of respondents with a low risk of maternal age. 157 (56.5 %) respondents with low education mothers and 121 (43.5 %) of respondents with higher education mothers. 48 (17.3 %) respondents with high parity mothers and 230 (82.7 %) respondents with low parity mothers. So the bivariate analysis showed no significant association between maternal age with the incidence of LBW with P value = 0.035, no significant association between education and the incidence of LBW with P value = 0.006, and no significant relationship between the incidence of low birth weight with parity P value = 0.041. It is recommended for health care workers (midwives) hospital in order to be used as material information regarding the occurrence of LBW and as an input as well as the evaluation of success in good health or when needed to do counseling and care of LBW, especially to mothers who give birth to low birth weight baby.   ABSTRAK Berat badan lahir rendah (BBLR) adalah bayi dengan berat lahir kurang dari 2500 gram tanpa memandang masa gestasi. Secara statistik menunjukkan 90% kejadian BBLR didapatkan di negara berkembang dengan angka kematiannya 35 kali lebih tinggi.Di Propinsi Sumatera Selatan Angka Kematian Bayi (AKB) sebesar 29 per 1.000 kelahiran hidup. Di RSUD Palembang BARI Tahun 2013 angka kejadian BBLR berjumlah 317 kasus. Tujuan Penelitian ini adalah untuk mengetahui adakah hubungan antara faktor umur, pendidikan, dan paritas dengan kejadian Berat Badan Lahir Rendah di RSUD Palembang BARI Tahun 2013. Penelitian ini menggunakan metode survey analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu yang melahirkan dan dirawat inap di instalasi kebidanan RSUD Palembang BARI Tahun 2013 berjumlah 901. Penelitian ini dilakukan pada bulan Februari 2014. Sampel penelitian diambil dengan metode sistematic random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 193 (69,4%) responden mengalami BBLR, dan 85 (30,6%) responden mengalami BBLN. 63 (22,7%) responden dengan umur ibu resiko tinggi dan 215 (77,3%) responden dengan umur ibu resiko rendah. 157 (56,5%) responden dengan ibu pendidikan rendah dan 121 (43,5%) responden dengan ibu pendidikan tinggi. 48 (17,3%) reponden dengan ibu paritas tinggi dan 230 (82,7%) responden dengan ibu paritas rendah. Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara umur ibu dengan kejadian BBLR dengan P value = 0,035, ada hubungan yang bermakna antara pendidikan dengan kejadian BBLR dengan P value = 0,006 dan ada hubungan yang bermakna antara paritas dengan kejadian BBLR dengan P value = 0,041. Disarankan bagi petugas kesehatan (bidan) rumah sakit agar dapat dijadikan sebagai bahan informasi mengenai terjadinya BBLR dan sebagai bahan masukan serta evaluasi keberhasilan dalam pelayanan kesehatan yang baik atau bila perlu dilakukannya penyuluhan serta asuhan  tentang BBLR khususnya kepada ibu yang melahirkan Bayi dengan BBLR.  


2021 ◽  
Vol 86 (2) ◽  
pp. 102-109
Author(s):  
Miroslav Korbeľ ◽  
◽  
Pavel Kaščák ◽  
zuzana Nižňanská

Overview Objective: Analysis of perinatal mortality in the Slovak Republic during the years 2007–2018. Methods: Analysis of prospectively collected selected perinatal data in the years 2007–2018. Results: In the year 2007, there were 63 obstetrics units, 51,146 deliveries and that of live births 51,650 in the Slovak Republic. The number of obstetrics units decreased to 51 in the years 2018, the total number of deliveries increased to 57,085 and that of live births increased to 57,773. The total fertility rate in the years 2007–2018 increased from 1.27 to 1.54. The preterm deliveries rate increased from 7.3% in the year 2007 to 8.5% in the year 2010 and decreased to 7% in the year 2018. The perinatal mortality rate decreased from 6.2 in the year 2007 to 4.4 in the year 2017, increased again in the years 2018 to 5.0 and according to the criteria of WHO (World Health Organization) to 6.6 per 1,000 still- and live-births. During the years 2007–2018 at perinatal mortality stillbirth participate with 65%, low birth weight with 63% and severe congenital anomalies with 19%. Transport in utero to perinatological centers in the years 2007–2018 has decreased from 57 to 56% for infants 1,000–1,499 g and from 75 to 73% for infants below 1,000 g. Conclusion: In the year 2017, perinatology in the Slovak Republic reached the best result in the perinatal mortality rate – 4.4‰ (0.44%), but has increased to over 5‰ next year. To further reduce perinatal mortality in the Slovak Republic, it is necessary to improve the prenatal dia­gnosis of severe congenital abnormalities, transport in utero of very low birth weight fetuses, centralization of high-risk pregnancies, obstetric personnel and material-technical equipment of obstetricians and neonatal intensive care units. Keywords: perinatal mortality – preterm delivery – multiple pregnancy – low birth weight – very low birth weight – total fertility rate


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 706-706
Author(s):  
Arif Sabta Aji ◽  
Dyah Ayu Larasati Kisworo Putri ◽  
Nur Indrawaty Lipoeto

Abstract Objectives This study analyzed the association between pre-pregnancy body mass index (PPBMI), dietary intake status, and birth size outcomes in the VDPM cohort study in West Sumatra, Indonesia. Methods The VDPM study is a prospective longitudinal study including 239 healthy pregnant women of Indonesian women with singleton pregnancies. Data on maternal dietary intake including energy, carbohydrate, protein, and fat intake, and anthropometry were collected during pregnancy. New-born anthropometry for 195 new-born babies was measured immediately after delivery. Bivariate and multivariate regression analyses were constructed to determine the association between PPBMI, dietary intake status, and birth size outcomes. Results The mean birth weight was 3195 ± 463 g. Dietary intake of pregnant mothers had a significant correlation with newborn birth weight, length of birth, head circumference, and placental weight as pregnancy outcome indicators (p ≤ 0.05). This study showed that no association between pre-pregnancy BMI status and birth size outcomes (p ≥ 0.05). Conclusions Our studies have not shown a statistically significant difference between PPBMI and birth size outcomes. However, maternal dietary intake associated with birth size outcomes, more research is warranted to confirm these findings. Funding Sources Indonesian Danone Institute Foundation.


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