LABOR AT TERM

Objectives: To compare the obstetric outcome between primigravida andmultigravida presenting in labor at term. Study Design: Cross sectional study. Period: Sixmonths from Jan 2013 to Jun 2013. Setting: Obs/Gynae unit III, Jinnah hospital, Lahore.Patients and methods: 800 patients were included in the study which comprised 400of primigravida and 400 of multigravida. Patients having single, alive fetus with cephalicpresentation at 37-41 weeks were included in the study. Those having recurrent miscarriages,parity >5, antepartum hemorrhage, previous uterine scars and significant medical illness wereexcluded from the study. The data was collected on specially designed proforma. Observationsmode of delivery including the indication of cesarean section or instrumental vaginal deliveryif applicable. Maternal complications such as postpartum hemorrhage along with its cause,retained placenta and uterine inversion were also recorded. Fetal and neonatal observationsincluded CTG abnormalities, oligohydramnios, low birth weight, macrosomia, Apgar score < 7at 5minutes, NICU admission, fresh still birth and early neonatal death. Results: Mean age was25.57+ 3.46 years in primigravida women while it was 25.75 + 3.44 years in multigravida group.CTG abnormalities (15.5% VS 4.25%), instrumental deliveries (9.75% VS 1%), cesarean section(15.25% VS 1%) and postpartum hemorrhage (5.7% VS 1.75%) were commoner in primigravidawomen. In addition, NICU admissions, low birth weight babies and a low Apgar score at5-minute were also commoner in primigravida women. Conclusion: Nulliparous women areat greater risk of labor abnormalities, fetal distress, instrumental deliveries, cesarean section,postpartum hemorrhage and neonatal morbidity. These adverse factors should therefore belooked for and treated well in time.

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Fetal and Maternal Outcome Asymptomatic vs. Symptomatic Covid Positive Pregnant Women

10.53350/pjmhs2115103423 ◽

2021 ◽

Vol 15 (10) ◽

pp. 3423-3425

Author(s):

Amna Najam ◽

Samreen Fakeer Muhammad ◽

Samia Saifullah ◽

Maryam Shoaib ◽

Maria Anwar

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Cesarean Section ◽

Pregnant Women ◽

Apgar Score ◽

Adverse Outcomes ◽

Maternal Outcomes ◽

Group A ◽

Nicu Admission ◽

Group B

Objective: The aim of this study is to compare the fetal and maternal outcomes in between asymptomatic and symptomatic COVID positive pregnant women. Study Design: Retrospective cohort study Place and Duration: The study was conducted at Gynae and Obs department of Sandeman Provincial Hospital, Quetta for duration of six months from November 2020 to April 2021. Methods: One hundred and ten pregnant women with ages 18-45 years had corona virus disease were presented. Informed written consent was taken from all patients for detailed demographics. COVID -19 was diagnosed by PCR. 55 patients had symptoms of coronavirus were included in group A and 55 patients did not show symptoms were included in group B. Frequency of pre-eclampsia, gestational diabetes mellitus and post-partum haemorrhage were calculated. Maternal adverse outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor, hypertensive disorder) were calculated among both groups. Fetal outcomes perinatal mortality, Low birth weight, Low Apgar score and NICU admission were observed. SPSS 20.0 version was used to analyze all data. Results: Mean age of the patients in group A was 28.47±3.18 years with mean BMI 24.03±5.24 Kg/m2 and in group B mean age was 27.99±4.17 years with mean BMI 24.44±6.41 Kg/m2. Maternal outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor,) in symptomatic group were significantly higher than that of asymptomatic group. Fetal outcomes, perinatal mortality in group A 9 (16.4%) and in group B was 5 (9.1%), low birth weight in group A was among 21 (38.2%) and in group B was 10 (18.2%), low apgar score in group A was 11 (20%) and in group B was 8 (14.4%), 15 (27.3%) in group A went to NICU admission and 3 (5.5%) patient in group II admitted to NICU. Conclusion: In this study we concluded that adverse outcomes among symptomatic COVID pregnant women were higher than that of asymptomatic coronavirus pregnant women in terms maternal and perinatal outcomes. Keywords: Pregnant women, Coronavirus, Symptomatic, Asymptomatic, Adverse Outcomes

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Factors associated with low fifth minute Apgar score in term and preterm singleton live births in a Ghanaian hospital

10.21203/rs.2.19950/v1 ◽

2020 ◽

Author(s):

Alhassan Sibdow Abukari ◽

Shamsudeen Mohammed ◽

Nathaniel Awuni ◽

Ibrahim Yakubu ◽

Adam Yakubu ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Apgar Score ◽

Perinatal Asphyxia ◽

Newborn Health ◽

Cross Sectional ◽

Effective Measure ◽

Factors Associated ◽

North East ◽

Minute Apgar Score

Abstract Background: Apgar score remains the most effective measure of newborn health outcomes in the first few minutes of delivery and it is useful in diagnosing perinatal asphyxia and metabolic acidosis. Methods: This retrospective cross-sectional study was conducted at the Baptist Medical Centre in the North East Region of Ghana. For the period January 1 to December 31 2018, we extracted information on 3011 women who delivered at the facility from birth records. Binary logistic regression models were used to determine the factors associated with low fifth minute Apgar score, preterm low fifth minute Apgar score, and term low fifth minute Apgar score.Results :Nearly half of the participants had experienced 2 to 5 pregnancies (47.1%) and had given birth to 2 to 5 children (47.7%). Most of the women delivered at 37 weeks gestation or more (87.6%), attended 1 to 4 antenatal care visits (53.2%), and received 1 to 3 doses of sulfadoxine-pyrimethamine (70.9%). The majority of the newborns weighed 2.5kg or more at birth (90.7%), were delivered through the vagina (79.8%), and a little over half of them (51.40%) were males. After adjusting for potential confounders, we found evidence that multigravid women were 0.67 (95% CI 0.49 - 0.90) times less likely to deliver a child with low fifth minute Apgar score while delivery at less than 37 weeks gestation, birth weight of less than 2.5kg, and caesarean delivery were associated with increased odds of low fifth minute Apgar score. For infants born at term, being born to a multigravid mother was protective against low fifth minute Apgar score while delivery through caesarean section increased the odds of low fifth minute Apgar score among this group of newborns. Among preterm infants, our study found strong evidence that those born with low birth weight (<2.5kg) had about 4 times the odds of suffering low fifth minute Apgar score compared to those with normal birth weight.Conclusion:In designing interventions to improve the survival and the Apgar score of newborns, measures to properly diagnose and prevent preterm delivery and low birth weight should be of great concern.

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Sex, Conception Interval, Gestational Age, Apgar Score, and Anthropometric Surrogates in relation to Birth Weight of Bangladeshi Newborns: A Cross-Sectional Study

ISRN Public Health ◽

10.1155/2013/405725 ◽

2013 ◽

Vol 2013 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Bably Sabina Azhar ◽

Md. Monirujjaman ◽

Kazi Saiful Islam ◽

Sadia Afrin ◽

Md. Sabir Hossain

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Gestational Age ◽

Apgar Score ◽

Rural Areas ◽

Weight Status ◽

Cross Sectional Study ◽

Anthropometric Parameters ◽

Cross Sectional ◽

Infant Birth

In developing countries, where about 75% of births occur at home or in the community, logistic problems prevent the weighing of every newborn child. Baby born with a weight less than 2,500 g is considered low birth weight, since below this value birth-specific infant mortality begins to rise rapidly. In Bangladesh, the prevalence of low birth weight is unacceptably high. Infant's sex differences, birth to conception interval, gestational age, and Apgar score are associated with infant birth weight. To screen low-birth-weight babies, simple anthropometric parameters can be used in rural areas where 80–90% of deliveries take place. A sample of 343 newborn singletons, 186 male and 157 female babies, were studied in Southwest region of Bangladesh to examine the birth weight status of newborns and to identify the relationship between birth weight and other anthropometric parameters of newborns. The mean birth weight was 2754.81±465.57 g, and 28.6% were low-birth-weight (<2,500 g) babies. All key anthropometric parameters of the newborns significantly correlated with infant birth weight (P=0.05). Mid upper arm circumference and chest circumference were identified as the optimal surrogate indicators of LBW babies. In the community where weighing of newborns is difficult, these measurements can be used to identify the LBW babies.

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Desfechos Adversos Perinatais Associados A Escolaridade Materna

STUDIES IN EDUCATION SCIENCES ◽

10.54019/sesv3n1-004 ◽

2022 ◽

Vol 3 (1) ◽

pp. 49-60

Author(s):

Bianca Elicker Rosin ◽

André Luís Marcelo Albuquerque ◽

Rodrigo Ribeiro e Silva ◽

João Pedro Ribeiro Baptista ◽

Carla Gisele Vaichulonis ◽

...

Keyword(s):

Higher Education ◽

Birth Weight ◽

Secondary Education ◽

Low Birth Weight ◽

Cesarean Section ◽

Primary Education ◽

Odds Ratio ◽

Cesarean Sections ◽

Cross Sectional ◽

Neonatal Icu

Objective: To compare different levels of education with adverse perinatal outcomes in low-risk patients. Methodology: Cross-sectional study, puerperae were randomly selected, usual risk, attended in the public network, with single gestation. The evaluated puerperae were divided into 3 groups, according to education: primary or less, secondary and higher or more. The outcomes evaluated were cesarean section, neonatal ICU, low 1st minute Apgar, prematurity, and low birth weight. The calculation of the odds ratio had a 95% confidence interval. Results: the population was divided into 3 groups, 187 (52.9%) puerperal women with primary education or less, 437 (60.5%) patients with secondary education and 98 (13.6%) patients with higher education or more. Maternal characteristics differed in terms of age, previous pregnancies, normal deliveries, previous cesarean sections, age of 1st pregnancy, number of prenatal visits, income, number of people living in the household, and tobacco use. In the newborn profile, there was a difference only regarding cesarean sections. After calculating the odds ratio, it was seen that patients with primary education or less had a lower propensity to perform a cesarean section (0.511 95%CI 0.290-0.900), as well as patients with secondary education (0.530 95%CI 0.322-0.873), both compared to the population with higher education or more. In the other outcomes, no significance was observed. Conclusion: Primary and secondary education proved to be protective factors for cesarean section. No difference was found regarding prematurity, low birth weight, need for neonatal ICU and low 1st minute Apgar score.

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MATERNAL AND CHILD RISK FACTORS ASSOCIATED WITH NEONATAL MORTALITY

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072016002290015 ◽

2016 ◽

Vol 25 (4) ◽

Cited By ~ 3

Author(s):

Maria Aparecida Munhoz Gaiva ◽

Elizabeth Fujimori ◽

Ana Paula Sayuri Sato

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Neonatal Mortality ◽

Apgar Score ◽

Cross Sectional Study ◽

Mortality Data ◽

Cross Sectional ◽

Live Births ◽

Factors Associated

ABSTRACT This was a cross-sectional study that investigated maternal and child factors associated with neonatal mortality. Data was obtained from the Live Births and Mortality Information Systems integrated by linkage. A total of 9,349 live births and 78 deaths in the neonatal period, which occurred in 2010 in Cuiabá-MT were analyzed. Univariate and multivariate analyzes were performed. In the multiple logistic regression, neonatal mortality was associated with: maternal age less than 20 years; prematurity; low birth weight; Apgar score less than seven at 1 and 5 minutes; and presence of congenital anomaly. The results highlight the need to improve the quality of prenatal care in order to prevent low birth weight and prematurity. The association between neonatal death and low Apgar score at 1 and 5 minutes indicates the importance of investments in delivery care.

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

Journal of Patan Academy of Health Sciences ◽

10.3126/jpahs.v6i2.27236 ◽

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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Regular antenatal care visits were associated with low risk of low birth weight among newborns in Rwanda: Evidence from the 2014/2015 Rwanda Demographic Health Survey (RDHS) Data

F1000Research ◽

10.12688/f1000research.51969.1 ◽

2021 ◽

Vol 10 ◽

pp. 402

Author(s):

Emmanuel Biracyaza ◽

Samuel Habimana ◽

Donat Rusengamihigo ◽

Heather Evans

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Pregnant Women ◽

Health Survey ◽

Cross Sectional Study ◽

Demographic Health Survey ◽

Maternal Complications ◽

Cross Sectional ◽

Maternal Characteristics

Background: Low birth weight (LBW) remains the global unfinished agenda in most countries of the world especially in low- and middle-income countries. LBW subsequently has harmful effects on the lifestyle, psychosocial and physiological development of the child. Although it is known that antenatal care (ANC) visits are important interventions contributing to prediction of newborn birth weight, little has been conducted on effect of ANC visits on birth weight in Rwanda. This study aimed at determining the association between regular ANC visits and risk of LBW among newborns in Rwanda. Methods: A cross-sectional study design was conducted to analyse the effects of ANC on LBW using the 2014/2015 Rwanda Demographic Health Survey. Associations of socio-demographic, socio-economic, and individual factors of the mother with LBW newborns were performed using bivariate and multiple logistic regression analyses. Results: Prevalences of LBW and macrosomia were 5.8% and 17.6%, respectively. Newborns delivered from mothers attending fewer than four ANC visits were at almost three-times greater risk of having LBW [aOR=2.8; 95%CI (1.5–5.4), p=0.002] compared to those whose mothers attending four or more ANC visits. Residing in a rural area for pregnant women was significantly associated with LBW [aOR=1.1; 95%CI (0.7–1.6), p=0.008]. Maternal characteristics, such as anemia, predicted an increase in LBW [aOR=3.5; 95%CI (1.5–5.4), p<0.001]. Those who received no nutritional counseling [aOR=2.5; 95%CI (2–8.5), p<0.001] and who were not told about maternal complications [aOR=3.3; 95%CI (1.5–6.6), p=0.003] were more prone to deliver newborns with LBW than those who received them. Pregnant women who received iron and folic acid were less likely to have LBW newborns [aOR=0.5; 95%CI (0.3–0.9), p=0.015]. Conclusion: ANC visits significantly contributed to reducing the incidence of LBW. This study underscores the need for early, comprehensive, and high-quality ANC services to prevent LBW in Rwanda.

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Study of the association of the nutritional profile of pregnant women with the birth weight of newborns in Morocco

Roczniki Państwowego Zakładu Higieny ◽

10.32394/rpzh.2021.0189 ◽

2021 ◽

pp. 427-434

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Pregnant Women ◽

Rural Areas ◽

Positive Impact ◽

Neonatal Morbidity ◽

Normal Weight ◽

Cross Sectional ◽

Factors Associated ◽

El Jadida

Background. Low birth weight (LBW) is an important predictor of neonatal morbidity and mortality. It reflects the nutritional status of the mother and the quality of health care services during pregnancy. Objective. The objective of this study is to determine the factors associated with low birth weight of children born to Moroccan pregnant women in the province of El Jadida. Material and Methods. This cross-sectional case-control study was carried out in the maternity ward of El Jadida provincial hospital on 344 parturient women, half of whom had given birth to children with an LBW and the other half of children with normal weight (NW) at birth. Information on maternal gestational and socioeconomic characteristics as well as eating habits was collected using a questionnaire and anthropometric measurements were taken on the newborns. Results. The study identified 172 parturient who gave birth to newborns with LBW and 172 parturient who gave birth to newborns of NW. The proportions of LBW are greater in first-time mothers (50.6%) and professionally inactive (86.6%). The mean weight of LBW newborns is 2013.95 ± 372.95g compared to 3380 ± 217.59g for NW newborns. The determined factors associated with LBW are the low socio-economic level (OR = 3.18; 95% CI: 1.09-9.23), insufficient monitoring of prenatal consultation (OR = 2.91; 95% CI: 1, 71-4.95), origin from rural areas (OR = 0.52; 95% CI: 0.30-0.91) and lack of nutritional education (OR = 0.17; 95% CI: 0, 09-0.34). The daily calcium intake in mothers of newborns with LBW is 33.82% of the recommended daily allowance (RDA), the daily iron requirement coverage was 50%, folates 66, 16% and zinc 87.72% of the RDA. Conclusions. Well-targeted and coordinated education and awareness-raising actions on early pregnancy and feeding pregnant women could have a positive impact on improving the birth rate of children with a weight deficit.

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Comparison of APGAR Score of Newborns with Mode of Delivery and Its Associated Factors

International Journal of Social Sciences and Management ◽

10.3126/ijssm.v7i3.29961 ◽

2020 ◽

Vol 7 (3) ◽

pp. 176-182

Author(s):

Laxmi Paudyal

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Apgar Score ◽

Mode Of Delivery ◽

Cross Sectional Study ◽

Normal Vaginal Delivery ◽

Research Approach ◽

Contributing Factors ◽

Cross Sectional ◽

Mother’S Age

Newborn baby should be assessed immediately soon after the birth and the APGAR (Appearance, Pulse, Grimace, Activity, Respiration) score is the most commonly used, simple and most effective method of immediate newborn assessment. The aim of the study was to compare the newborn APGAR score on first and fifth minute in two different mode of delivery; Normal Vaginal delivery (NVD) and Cesarean Delivery (CD) and its contributing factors. A cross-sectional study design with comparative research approach was adopted to conduct the research. Total 200 singleton babies (100 NVD and 100 CD) were selected and APGAR score was checked in the first and fifth minutes from baby’s birth record. Data were analyzed using descriptive and inferential statistics. Results showed that 88 and 95 percentage of neonatal APGAR scores in 1st and 5th minutes were more than seven, respectively. There were no significant statistical differences between APGAR score of 1st and 5th minutes in two methods of delivery (t=0.067 and 0.066 on 1st minute and 5th minute respectively, p>0.05). However, premature newborns, low birth weight, mother’s age and weight of mother, no of parity has effect on APGAR score. The study findings concluded that not the method of delivery has any effect on the low Apgar score of babies on birth but the factors such as prematurity, maternal age, mother’s weight, no of parity, low birth weight has significant association on low APGAR score of babies. Int. J. Soc. Sc. Manage. Vol. 7, Issue-3: 176-182

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Oligohydramnios and its perinatal outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205230 ◽

2020 ◽

Vol 9 (12) ◽

pp. 4965

Author(s):

Rita Saxena ◽

Brinda Patel ◽

Anjana Verma

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Apgar Score ◽

Perinatal Outcome ◽

Mode Of Delivery ◽

Morbidity And Mortality ◽

Medical Illness ◽

Perinatal Morbidity ◽

Nicu Admission

Background: Oligohydramnios is one of the major causes of perinatal morbidity and mortality. The sonographic diagnosis of oligohydramnios is usually based on an AFI≤5 cm or on a single deepest pocket of amniotic fluid≤2 cm3. Our study was aimed to study the perinatal outcome in oligohydramnios. Aim and objective were to study obstetric risk factors associated with oligohydramnios and maternal outcome in the form of mode of delivery, and to assess neonatal complications in terms of APGAR score at birth, NICU admission rates, meconium stained liquor and still birth rates.Methods: It was an Observational, Prospective, clinical study of 100 pregnant patients diagnosed with oligohydramnios by ultrasound, carried out in Geetanjali medical college and hospital, Udaipur for period of from January 2020-August 2020. The study was conducted after ethical clearance and with informed consent. Detailed history on demographic profile, medical illness, obstetric history and antenatal complication if any in the present pregnancy; general examination, obstetric examination and bimanual examination were performed meticulously.Results: In our study 53% cases of oligohydramnios were associated with some of the risk factors like PIH (29%), IUGR (22%), fetal anomaly (1%), systemic maternal disease (1%) and 47% of the cases were Idiopathic. LSCS was done in 85.71% cases with AFI<5 cm. Low birth weight was found in 51.43% cases with AFI<5 cm. NICU admission was required for 28.57% cases with AFI<5 cm.Conclusions: AFI is an important and convenient screening test for prediction of perinatal outcome. In presence of oligohydramnios, the risk of fetal distress, operative delivery, low Apgar score, low birth weight, perinatal morbidity and mortality are more. Hence early detection of oligohydramnios, associated antenatal risk factors and timely management can improve the maternal and fetal outcome.

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