scholarly journals Prevalência de episiotomia e complicações perineais quando da sua realização ou não em uma maternidade de baixo risco do complexo HC/UFPR / Prevalence of episiotomy and perineal complications when executed or not in a low-risk maternity of the HC/UFPR hospital complex

2019 ◽  
Vol 64 (2) ◽  
pp. 93 ◽  
Author(s):  
Narcizo Leopoldo Eduardo Da Cunha Sobieray ◽  
Bruna Medeiros de Souza
Keyword(s):  
Birth Weight ◽  
Statistical Significance ◽  
Low Risk ◽  
Fetal Weight ◽  
Cross Sectional ◽  
Average Birth Weight ◽  
Maternal Characteristics ◽  
Perineal Lacerations ◽  
Vaginal Deliveries ◽  
Dorsal Position

Objetivo: Estudar a prevalência da episiotomia, associação das complicações perineais maternas quando da sua realização ou não, com características biométricas fetais e características maternas nos partos realizados em uma maternidade de baixo risco. Métodos: Estudo retrospectivo, transversal observacional, analítico, descritivo que avaliou 511 puérperas hígidas, de risco habitual da Maternidade Victor Ferreira do Amaral, que tiveram partos transpélvicos de 01 de janeiro à 30 de abril de 2018, referentes à realização ou não de episiotomia, lacerações, idade, paridade, peso do recém-nascido, Apgar de 1º e 5º minutos e posições do parto. Foram significativas as variáveis com p<0,05. Resultados: A episiotomia foi realizada em 32 (6,26%) das parturientes. No estudo 46 pacientes (9%) eram menores de idade e 298 (58,31%) eram primíparas. Não houve lacerações perineais em 240 partos (46,96%), houve lacerações de 1º grau em 180 partos (35,22%) e lacerações de 2º grau em 91 partos (17,80%). A média do Apgar 1º minuto foi 8 e 5º minuto foi 9. O peso médio ao nascer 3159g. Quanto às posições do parto: 84 (16,43%) foram partos em decúbito dorsal; 218 (42,66%) semi-sentados; 68 (13,30%) banco/ banqueta; 20 (3,91%) quatro apoios; 101 (19,76%) cócoras e 16 (3,13%) decúbito lateral. Correlacionaram-se primiparidade e episiotomia (p<0,001), peso do recém-nascido > 3000g e episiotomia (p=0,024), posição dorsal e episiotomia (p<0.001). Tiveram associação as variáveis primiparidade e lacerações (p<0,001). Correlacionando laceração e posições de parto, houve significância estatística entre laceração e posição dorsal (p=0,0409), posição parto no banco (p<0,001) e posição cócoras (p<0,001). Conclusões: A prevalência da episiotomia foi de 6,26%, considerada satisfatória. O peso fetal relacionou-se diretamente com os índices de lacerações perineais e de realizações de episiotomia. A primiparidade apresentou índices significativamente maiores de episiotomia e de lacerações perineais. As lacerações perineais predominaram significativamente nas posições verticais do parto (cócoras e banco). Enquanto episiotomias predominaram na posição de decúbito dorsal do parto.Descritores: Episiotomia, Lacerações, Períneo/lesões, Paridade, Peso fetalABSTRACT:Objective: To study the prevalence of episiotomy, the association of maternal perineal complications when it is carried out or not, with fetal biometric characteristics and maternal characteristics in deliveries performed at a low risk maternity hospital. Methods: Retrospective, observational, analytical, descriptive cross-sectional study that evaluated 511 healthy puerperal women at the usual risk of Victor Ferreira do Amaral Maternity, who had vaginal deliveries from January 1 to April 30, 2018, regarding episiotomy, lacerations, age, parity, newborn weight, 1st and 5th minute Apgar, and delivery positions. The variables with p <0.05 were significant. Results: Episiotomy was performed in 32 (6.26%) of parturients, 46 (9%) under age, 298 (58.31%) primiparous. There were no perineal lacerations in 240 births (46.96%), 1st degree lacerations in 180 births (35.22%) and 2nd degree lacerations in 91 births (17.80%). The average of the 1st minute Apgar was 8 and the 5th minute was 9. The average birth weight 3159g. Regarding the delivery positions: 84 (16.43%) delivery in the supine position; 218 (42.66%) semi-sitting; 68 (13,30%) bench / banquette; 20 (3.91%) four supports; 101 (19.76%) squatting and 16 (3.13%) lateral decubitus. Primiparity and episiotomy (p <0.001), birth weight> 3000g and episiotomy (p = 0.024), dorsal position and episiotomy (p <0.001) were correlated. The variables primiparity and lacerations were associated (p <0.001). Correlating laceration and delivery positions, there was statistical significance between laceration and dorsal position (p = 0.0409), birthing position in the bench (p <0.001) and squatting position (p <0.001). Conclusions: The prevalence of episiotomy was 6.26%, considered satisfactory. The fetal weight was directly related to the rates of perineal lacerations and episiotomy achievements. Primiparity had significantly higher rates of episiotomy and perineal lacerations. The perineal lacerations predominated significantly in the vertical positions of the childbirth (squatting and in the bench). While the episiotomies predominated in the position of dorsal decubitus of the childbirth.Keywords: Episiotomy, Lacerations, Perineum/injuries, Parity, Fetal weight

scholarly journals Prevalence of Episiotomy and Perineal Lacerations in a University Teaching Hospital, North-Central Nigeria

2018 ◽  
Vol 1 (2) ◽  
pp. 142-147
Author(s):  
S K Hembah-Hilekaan ◽  
A O Ojabo ◽  
O Audu ◽  
P E Onche ◽  
M T Maanongun
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Teaching Hospital ◽  
Maternal Age ◽  
Fetal Weight ◽  
University Teaching ◽  
Warning Sign ◽  
Perineal Laceration ◽  
Perineal Lacerations ◽  
Vaginal Deliveries

Episiotomy is an incision on the introitus and the perineum to increase pelvic outlet to facilitate childbirth and prevent trauma to fetal and maternal tissues. Episiotomy and perineal laceration may predispose the woman to short and long term complications. The objective of this study was to determine the prevalence of episiotomy and perineal lacerations and their associated risks factors at Benue State University Teaching Hospital, Makurdi, Nigeria. Retrospective data of all women who had spontaneous vagina delivery over a 3 year period with perineal laceration/episiotomy were reviewed. Data was obtained from the records and information on the socio-demographic variables, episiotomies, lacerations and the birth weight of infants. The associated risk factors were recorded using Statistical Package for Social Sciences version 22.Of the 636 vaginal deliveries, 85(13.4%) had lacerations with 65(10.2%) first degree, 19(3.0%) second degree and 1(0.2%) major laceration. Episiotomy rate was 132(20.8%). The mean parity and birth weight of infants were 2.62(SD= ± 1.83) and 3.1 kg (SD= ± 0.767) respectively. The highest number of perineal tears 69(10.8%) were in the lower age group (≤ 30 years). A similar observation was noted in respect of episiotomies which rate however decreased with parity. The relationship between maternal age, parity, booking status, fetal weight and the perineal status at delivery was statistically significant (P≤ 0.05). Episiotomy and perineal laceration rates in our institution were low. The major risk factors were low parity, young maternal age and increasing fetal weight at birth and their presence should be an early warning sign. We advise perineal support for all women during delivery.

scholarly journals Accuracy of Ultrasound Estimation of Fetal Weight at Three Teaching Hospitals in Addis Ababa

2020 ◽  
Author(s):  
Alexander Mohamed Ibrahim ◽  
Eskinder Kebede Weldetensaye
Keyword(s):  
Birth Weight ◽  
Addis Ababa ◽  
Obstetric Care ◽  
Working Hours ◽  
Fetal Weight ◽  
Teaching Hospitals ◽  
Weight Estimation ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Fetal Survival

Abstract BackgroundUltrasound examination and measurement of fetal weight have become an integral part of modern obstetric care. Knowing the accuracy of the ultrasound estimation of fetal weight (EFW) and what factors affect it helps make a more informed decision. Fetal weight estimation is thought to help predict fetal survival and make management decisions in the low birth weight group and in managing the delivery of the large baby, where complications may occur.ObjectiveTo assess the accuracy of ultrasound estimation of fetal weight.MethodsThe study design was a facility-based prospective cross-sectional study comparing sonographic EFW with actual birth weight, involving 384 women admitted to the study hospitals. And assessed 12 factors that might affect accuracy (place of delivery/scan, level of the operator, time of scan (working vs. non-working hours), fetal presentation, liquor volume, placental location, days passed between scan and delivery, time of the scan to labor (antepartum vs. intrapartum), fetal sex, maternal BMI, gestational age, and fetal weight. Data were collected using structured questionnaires, developed based on study variables and available literature, and analyzed using SPSS software.ResultThe EFW that is within 10% of the actual birth weight is 62.4%. The overall mean error of EFW was 9.1%, with an SD of ± 7.1%. Of the 12 factors assessed, it was found that the place of delivery/scan (p = 0.017) and the level of resident experience (p = 0.47) significantly affected the accuracy. When R4 was compared to R1’s OR = 4.656(95%CI, [1.111–19.506], p = 0.035) and R2’s OR = 2.112(95%CI,[1.062–4.201],p = 0.033) but not significant when compared to R3’s OR = 1.227(95%CI,[0.563–1.191],p = 0.607). A paired sample t-test was applied (P = 0.14).Conclusion and recommendationThe EFW of R4’s was significantly different from that of R1’s and R2’s, but not R3’s we recommend that all ultrasound scans whose weight estimation can affect the management plan of the patient to be done by the senior residents rather than the junior residents i.e. the R3’s and R4’s.

scholarly journals Factors Related to the Quality of Antenatal Care Based on The Complete Scope of the Examination of Pregnant Women in the Health Center at Palopo City

2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Gestational Age ◽  
Statistical Significance ◽  
P Value ◽  
Service Access ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Maternal Characteristics

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.

PERBANDINGAN RUMUS JOHNSON DAN RUMUS RISANTO DALAM MENENTUKAN TAKSIRAN BERAT JANIN PADA IBU HAMIL DENGAN BERAT BADAN BERLEBIH

2020 ◽  
Vol 5 (2) ◽  
pp. 24-27
Author(s):  
Leo Jumadi Simanjuntak ◽  
Patrick Anando Simanjuntak
Keyword(s):  
Birth Weight ◽  
Mode Of Delivery ◽  
Mean Difference ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Care Workers ◽  
The Mean ◽  
Mean Differences ◽  
Estimated Fetal Weight

Background: Estimated fetal weight (EFW) is important to determine mode of delivery. The use of estimated fetal weight based on fundal height has been widely used, but the use on overweight mothers is still limited. Objectives: This study aimed to compare the Johnson’s and Risanto’s formula in estimating fetal weight on overweight mothers. Method: The design used was cross-sectional, conducted at Mitra Sejati, Herna, and Methodist Sussana Wesley hospital on November 2019 until January 2020. Mann-Whitney test was used to compare EFW mean differences between Johnson’s and Risanto’s to actual birth weight. Paired t-test was used to compare EFW mean differences between Johnson’s and Risanto’s. Results: There were 103 overweight pregnant mothers fulfilling study criteria. The BMI mean was 31,26 ± 5l,54 kg/m2. Both Johnson’s and Risanto’s formula had no significant mean difference compare to actual birth weight, of 332,45 gram on Johnson’s (p value = 0,070) and 298,57 gram on Risanto’s (p value = 0,863). The mean difference between Risanto’s formula and actual birth weight was significantly lower than Johnson’s (mean difference = 33,88 gram, p value = 0,01). Conclusions: EFW measurement using Johnson’s and Risanto’s formula based on fundal height can be applied and used properly by health care workers. Risanto’s formula was more accurate to estimate fetal weight than Johnson’s in overweight mothers.   Latar belakang: Menentukan taksiran berat janin (TBJ) adalah penting bagi penolong persalinan untuk menentukan jenis persalinan. Pengukuran TBJ menggunakan tinggi fundus uterus merupakan metode yang banyak digunakan, namun penggunaan pada ibu hamil dengan berat badan berlebih masih terbatas. Tujuan: Penelitian ini bertujuan membandingkan rumus Johnson dan rumus Risanto dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih. Metode: Desain penelitian adalah potong lintang, data diambil di RSU Mitra Sejati, RSU Herna, dan RSU Methodist Sussana Wesley pada November 2019 – Januari 2020. Dilakukan uji Mann-Whitney untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto dengan berat badan lahir. Uji-t berpasangan digunakan untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto. Hasil: Didapatkan 103 ibu hamil yang memenuhi kriteria penelitian dengan rerata IMT 31,26 ± 5l,54 kg/m2. Terdapat perbedaan rerata TBJ rumus Johnson dan rumus Risanto dibandingkan berat badan lahir sebesar 332,45 gram dan 298,57 gram. Tidak terdapat perbedaan rerata bermakna antara penghitungan TBJ menggunakan rumus Johnson dengan berat badan lahir (p = 0,070) dan rumus Risanto dengan berat badan lahir (p = 0,863). Perbedaan selisih TBJ Risanto dengan berat badan lahir lebih rendah dibandingkan selisih TBJ Johnson dengan berat badan lahir, yaitu sebesar 33,88 gram dan bermakna secara statistik (p = 0,01). Kesimpulan: Pengukuran TBJ menggunakan rumus Johnson dan rumus Risanto dapat diterapkan dan digunakan dengan baik oleh tenaga medis. Rumus Risanto memiliki tingkat ketepatan yang lebih baik dibandingkan rumus Johnson dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih.

Comparison between clinical estimated fetal weights (CEFW) Versus Ultrasonographic estimated fetal weight (UEFW) for co-relation with actual birth weight (ABW) in 3rd Trimester of Pregnancy

2020 ◽  
Vol 3 (1) ◽  
pp. e1-e4
Author(s):  
Rabia Razaq
Keyword(s):  
Birth Weight ◽  
Pearson Correlation ◽  
Tertiary Care ◽  
Fetal Weight ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Study Results ◽  
The Mean ◽  
Estimated Fetal Weight

Background: Accurate prenatal estimation of birth weight is useful in the management of labour and delivery. Objective: To determine the correlation between clinical estimated fetal weight with actual birth weight in 3rd trimester of pregnancy and to determine the correlation between Ultrasonographic fetal weight assessment with actual birth weight in 3rd trimester of pregnancy. Material & Methods: This cross sectional study with non-probability purposive sampling technique was conducted in three tertiary care hospitals of Punjab, Department of Obstetrics & Gynaecology, Allied Hospital, Faisalabad, Lady Aitcheson Hospital Lahore and Lady Willington Hospital Lahore. Informed consent was obtained from each female to use their data for research purpose. Demographic details were also noted. Then females undergo CEFW was done by using Johnson’s formula. Then ultrasonography was done on every female by experienced radiologists to get UEFW. FW measurement was done by using Shepard formula. Then females were followed-up till delivery of fetus. Actual birth weight (ABW) was noted on birth. Pearson correlation was used to measure the correlation coefficient for CEFW and UEFW with ABW. P-value≤0.05 was taken as significant. Results: In our study the mean age of the patients was 29.60±6.23 years and the mean gestational age of 33.30±2.31 weeks. The mean BMI value of the patients was 23.08±1.26 Kg/m2, the mean CEFW value 2219.60±556.41 grams while the mean UEFW value of the patients was 2227.77±521.94 grams and the mean value of ABW of the patients was 2284.00±515.29 grams. In our study the positive correlation was found between the CEFW, UEFW with ABW of the baby. Conclusion: Our study results concluded that both the clinical estimation ultrasonography estimation showed the feasible and reliable results. Both showed positive correlation with actual birth weight.

scholarly journals Correlation of Actual Fetal Weight with Clinically and Ultrasonographically detected Macrosomia cases among Diabetic Mother

2019 ◽  
Vol 16 (2) ◽  
pp. 38-44
Author(s):  
Shamsun Nahar ◽  
Kashefa Khatun ◽  
Tahmina Khanum ◽  
TA Chowdhury ◽  
AS Mohiuddin
Keyword(s):  
Diabetes Mellitus ◽  
Birth Weight ◽  
Cross Sectional Study ◽  
Diabetic Mother ◽  
Fetal Weight ◽  
Cross Sectional ◽  
Clinical Method ◽  
The Mean ◽  
Diagnosed Diabetes ◽  
Estimated Fetal Weight

Background: Correlation of actual fetal weight with clinically and ultrasonographically detected macrosomia cases among diabetic mother is very essential for the management of the neonates. Objectives: The purpose of the present study was to correlate actual fetal weight with clinically and ultrasonographically detected macrosomia cases among diabetic mother. Methodology: This cross-sectional study was carried out in inpatient Department of Obstetrics and Gynecology and in outpatients Department of Radiology and Imaging, BIRDEM during the period of April 2005 to March 2007. Pregnant women with diagnosed diabetes mellitus (DM) or gestational diabetes mellitus (GDM) selected for caesarean section or induction of labour, gestational age 236 weeks having 23700 gm by clinical method were included in this study. First clinical estimation of fetal weight was done by the investigator then Radiologist estimated the fetal weight without knowing the EFW by clinical method. The actual birth weight was estimated after the birth of the babies. Result: The mean (+SD) age of the patients was 30.8±5.1 years ranged from 20 to 40 years. A significant correlation (r=0.5081; p<0.05) was found between clinically estimated fetal weight (gm) and actual birth weight (macrosomia) (gm). Significant correlation (r=0.6199; p<0.05) was found between sonographically estimated fetal weight (gm) and actual birth weight (macrosomia) (gm). Significant correlation (r=0.4863; p<0.05) was found between clinically estimated fetal weight (gm) and sonographically estimated fetal weight (gm). Conclusion: The study findings indicate that clinical method can be used instead of ultrasonography for prediction of macrosomia in diabetic mother Journal of Science Foundation 2018;16(2):38-44

scholarly journals Birth weight and refractive state measured by Spot Vision Screener in children aged 40 months

2021 ◽  
Vol 6 (1) ◽  
pp. e000808
Author(s):  
Shunya Tatara ◽  
Masako Ishii ◽  
Reiko Nogami
Keyword(s):  
Birth Weight ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Pearson’S Correlation ◽  
Average Birth Weight ◽  
Refractive State ◽  
Significant Difference ◽  
Pearson's Correlation ◽  
The Right ◽  
Vision Screener

ObjectivesChildren with retinopathy of prematurity (ROP) often have myopia. Even without ROP, birth weight and refractive state are related immediately after birth, but this relationship is reduced with increasing age. Here, we examined whether refractive state and birth weight were associated in 40-month-old children.Methods and analysisOf 541 children aged 40 months in Tsubame City, Japan, who underwent a medical examination between April 2018 and March 2019, this cross-sectional study enrolled 411 whose birth weights were available (76% of all).We measured the non-cycloplegic refraction using a Spot Vision Screener and correlated this with birth weight. Children were divided into three groups according to normal (2500–3500 g), high (>3500 g) or low (<2500 g) birth weights, and mean differences in spherical equivalent (SE) between the groups were analysed.ResultsThe average SE for the right eye was 0.34 D (95% CI 0.28 to 0.40). Average birth weight was 3032.1 g (95% CI 2990.2 to 3073.9). Birth weight did not correlate with SE for the right eye (Pearson’s correlation, r=−0.015, p=0.765) or with the degree of anisometropia (Pearson’s correlation, r=−0.05, p=0.355). Furthermore, the mean SE showed no significant difference across the three groups of children with different birth weights (one-way analysis of variance, p=0.939).ConclusionData on refractive states and birth weight for 411 children of similar age in one Japanese city were analysed, showing that birth weight did not influence SE, J0, J45 and the absolute degree of anisometropia at about 40 months of age.

scholarly journals Accuracy of Fetal Weight Estimation Using Hadlock II Formula

2019 ◽  
pp. 166-169
Author(s):  
Dwi Pratika Anjarwati ◽  
Yudhistya Ngudi Insan Ksyatria ◽  
Widardo Widardo
Keyword(s):  
Birth Weight ◽  
Skills Training ◽  
Cross Sectional Study ◽  
Fetal Weight ◽  
Weight Estimation ◽  
Cross Sectional ◽  
Fetal Weight Estimation ◽  
Fetal Birth Weight ◽  
The Relationship ◽  
Estimated Fetal Weight

abstract Objective: to investigate the accuracy of estimated fetal weight using Hadlock II formula in RSUD Dr Moewardi. Methods: This cross-sectional study was conducted at RSUD Dr Moewardi in June 2017. Subjects were women who gave birth at RSUD Dr Moewardi from August 2014 to March 2017. The method of collecting data by quoting the medical record as required. Data analysis was done by using linear regression statistic test. Result: By distribution, the number of samples that, according to the standard, is 81.67 %. With the value of R = 0.706 which means that the relationship between two research variables are strong and the value of R Square = 0.499 which means that estimated fetal weight using Hadlock II formula has contribution 49.9 % on fetal birth weight and 50.1 % others by other factors. Conclusion: Fetal weight estimation using Hadlock II formula in RSUD Dr Moewardi has low accuracy. Operator skills training is required to improve the accuracy of estimated fetal weight. Keywords:  fetal birth weight,  fetal weight estimation, Hadlock II   abstrak Tujuan : Mengetahui keakuratan taksiran berat janin menggunakan rumus Hadlock II di RSUD Dr Moewardi. Metode : Penelitian ini adalah penelitian observasional analitik. Penelitian ini dilaksanakan di RSUD Dr Moewardi pada Juni 2017. Subjek penelitian ini adalah data rekam medis dari ibu hamil yang mengalami partus di RSUD Dr Moewardi pada Agustus 2014 – Maret 2017. Metode pengumpulan data dengan mengutip data rekam medis pasien sesuai ketentuan. Analisis data dilakukan dengan uji statistik regresi linier. Hasil : Secara distribusi, jumlah sampel yang memenuhi standar yaitu   81,67 %. Dengan nilai R = 0,706 yang artinya bahwa hubungan kedua variabel penelitian ada dalam kategori kuat dan nilai R Square = 0,499 yang berarti taksiran berat janin menggunakan rumus Hadlock II memiliki pengaruh kontribusi sebesar 49,9% terhadap berat bayi lahir sedangkan 50.1 % lainnya dipengaruhi oleh faktor lain. Kesimpulan : Taksiran berat janin menggunakan rumus Hadlock II  di RSUD Dr Moewardi kurang akurat. Perlu dilakukan pelatihan ketrampilan operator sehingga diharapkan dapat meningkatkan keakuratan taksiran berat janin.  Kata kunci:   berat bayi lahir , Hadlock II, , taksiran berat janin

scholarly journals Correlation of ultrasonographic estimated fetal weight with actual birth weight at a rural setting

2020 ◽  
Vol 9 (7) ◽  
pp. 2973
Author(s):  
Elnazeer A. Hashim ◽  
Elsir A. Saeed ◽  
Elsadig Y. Mohamed ◽  
Elabbas M. Ebaid ◽  
Hussam Zain ◽  
...  
Keyword(s):  
Fetal Weight ◽  
Rural Setting ◽  
P Value ◽  
Sonographic Examination ◽  
Cross Sectional ◽  
Post Hoc Analysis ◽  
Vaginal Deliveries ◽  
Newborn Weight ◽  
Post Hoc ◽  
Estimated Fetal Weight

Background: Ultrasound estimation of fetal weight in term pregnancies is used to determine fetal growth. The objective of this study was to assess the precision of sonographic estimation of fetal weight in normal vaginal deliveries at a rural setting.Methods: The study was cross-sectional. A group of 74 pregnant women delivered normally in Muglad hospital in West Kordofan, Sudan, were considered in the study. Fetal weight was estimated by Hadlock and shephards formulae within one week prior to delivery and then newborn weight was taken within 24 hours after delivery. Data were collected by a questionnaire and medical examination as well as sonographic examination. Data analysis was done by SPSS version 23 and Kruskal Wallis Test (post-hoc analysis) Pearson’s correlation coefficient within 95% confidence interval. p value <0.05 was considered as statistically significant.Results: The correlation, by Paired sample, to assess fetal weight was as follows: between Hadlock and shephards was 0.901 (p < 0.001), between Hadlock and AFW was 0.908 (p < 0.001) and between Shephards and AFW was 0.781 (p < 0.001).Conclusions: Estimation of fetal weight by Hadlock has been more correlated with actual fetal weight (AFW) than that done with shephards. The study recommends using Hadlock formula which is more accurate in estimation of fetal weight by sonography.

scholarly journals Incidence of neonatal hypothermia and its association with low birth weight, preterm delivery, APGAR score and nursing care

2019 ◽  
Vol 6 (2) ◽  
pp. 75-80
Author(s):  
Shanta Dangol Shrestha
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Delivery ◽  
Nursing Care ◽  
Apgar Score ◽  
Axillary Temperature ◽  
Cross Sectional ◽  
Vaginal Deliveries ◽  
Care Practices ◽  
Neonatal Hypothermia

Introductions: Neonatal hypothermia increases morbidity and mortality . This study aimed to assess the incidence of neonatal hypothermia and its association with low birth weight, preterm delivery, APGAR score and nursing care practices. Methods: A cross-sectional analytical study was carried out to assess the neonatal hypothermia in neonates born via vaginal deliveries at Maternity ward of Patan hospital, Patan Academy of Health Sciences (PAHS), Nepal, during Aug–Sept 2018. The study was approved from institutional review committee of PAHS. Axillary temperature was measured 4 times, at ten minutes and at 1,2, 4 hours after delivery by using Micro Life digital thermometer. The SPSS was used to analyse data for association of hypothermia with low birth weight, preterm delivery, APGAR score and nursing care practices. Chi square and fisher exact tests were used and p<0.05 was considered significant. Results: Out of 153 neonates, neonatal hypothermia was seen in 61 (39.8%), 66 (43.1%), 52 (33.9%) and 41 (26.8%) at 10 minutes and 1, 2 and 4 hours after delivery. There was statistically significant association between APGAR score and hypothermia at 1 hour. There was significant association between nursing care practices after delivery and hypothermia at 4 hours. Conclusions: In this study, the incidence of neonatal hypothermia was highoccurringin40% at 10 minutes and 25% at four hours after delivery. Low APGAR score was associated with hypothermia.

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