Relationship between Maternal Anemia during third trimester of pregnancy and Infant Low Birth Weight

Background: Anemia is one of the commonest health problems faced by pregnant women in both developing and developed countries. Maternal anemia is a potential risk factor for fatal outcomes like low birth weight and preterm delivery. This study intended at comparing the birth weight of the babies who were born to mothers with and without anemia during the third trimesters. Materials and methods: This study is a descriptive, cross-sectional study conducted at Kathmandu Medical College, Teaching Hospital from July 2019 to June 2020. The third-trimester hemoglobin of mothers was recorded along with the birth weight of their respective babies. Mothers with regular antenatal care visits at this hospital were included and the known causes for anemia like renal disorders, twin pregnancies, and others were excluded from the study. The third-trimester hemoglobin level of all pregnant females was correlated with the birth weight of the babies. Results: Out of a total of 2417 pregnant women, 317 (13%) had anemia. The overall prevalence of low birth weight was 12%. Out of 317 anemic mothers, 99 (31%) delivered low birth weight babies. Among those 99 low birth weight babies, 30 (30%) were preterm and 69 (70%) were term babies with the prevalence of low birth weight in anemic mothers being 31%. The correlation between maternal hemoglobin and birth weight was found to be statistically significant. Conclusions: Despite regular antenatal care, maternal anemia still prevails, affecting neonatal birth weight. There was a statistically significant correlation between maternal hemoglobin and birth weight (p-value <0.0001).

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Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis

International Journal of Reproductive BioMedicine ◽

10.29252/ijrm.15.3.125 ◽

2017 ◽

Vol 15 (3) ◽

pp. 125-134 ◽

Cited By ~ 20

Author(s):

Shoboo Rahmati ◽

Ali Delpishe ◽

Milad Azami ◽

Mohammed Reza Hafezi Ahmadi ◽

Kurosh Sayehmiri ◽

...

Keyword(s):

Systematic Review ◽

Birth Weight ◽

Low Birth Weight ◽

Meta Analysis ◽

Maternal Anemia ◽

Anemia During Pregnancy ◽

Infant Low Birth Weight

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Discrepancy Analysis between Clinical Versus Ultrasound Estimated Fetal Weight and Actual Birth Weight at 3rd Trimester

Journal of Shaheed Suhrawardy Medical College ◽

10.3329/jssmc.v11i1.43176 ◽

2019 ◽

Vol 11 (1) ◽

pp. 32-38

Author(s):

Naznin Rashid Shewly ◽

Menoka Ferdous ◽

Hasina Begum ◽

Shahadat Hossain Khan ◽

Sheema Rani Debee ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Fetal Weight ◽

P Value ◽

Weight Estimation ◽

Third Trimester ◽

Mortality And Morbidity ◽

Fetal Weight Estimation ◽

Obstetric Management ◽

Estimated Fetal Weight

Background: In obstetric management fetal weight estimation is an important consideration when planning the mode of delivery in our day to day practice. In Bangladesh low birth weight is a major public health problem & incidence is 38% - 58%. Neonatal mortality and morbidity also yet high. So accurate antenatal estimation of fetal weight is a good way to detect macrosomia or small for date baby. Thus to improve the pregnancy outcome and neonatal outcome decreasing various chance of neonatal mortality and morbidity antenatal fetal weight prediction is an invaluable parameter in some situation where to identify the at risk pregnancy for low birth weight become necessary. Reliable method for prenatal estimation of fetal weight two modalities have got popularity - Clinical estimation and another one is ultrasonic estimation. This study was designed to determine the accuracy of clinical versus ultrasound estimated fetal weight detecting the discrepancy with actual birth weight at third trimester. So that we can verify more reliable and accurate method. Objectives: To find out more accurate and reliable modality of fetal weight estimation in antenatal period during obstetric management planning. To compare clinical versus ultrasound estimated fetal weight & to determine discrepancy of both variable with actual birth weight. Method: This prospective, cross sectional analytical study was carried out in Dhaka Medical College Hospital from January 2006 to December 2006. By purposive sampling 100 pregnant women fulfilling inclusion criteria were included in my study in third trimester (29wks-40wks). In clinical weight estimation procedure SFH (Symphysio Fundal Height) was measured in centimeter. On pervaginal finding whether vertex below or above the ischial spine was determined. By Johnson’s formula fetal weight in grams was estimated. Then by ultrasound scan different biometric measurements were taken and finally by Hadlock’s formula fetal weight was estimated. Eventually actual birth weight was taken after birth by Globe Brand weighing machine. Accuracy of both modalities were compared and which one was more reliable predictor was determined by statistical analysis. Results: After data collection were analyzed by computer based software (SPSS). There was gradual and positive relationship between symphysiofundal height and estimated birth weight. Discrepancy between clinical and actual birth weight at third trimester was statistically significant – Paired Student’s ‘t’ test was done where p value was <0.001. Whereas discrepancy between sonographically estimated fetal weight with actual birth weight was not statistically significant (by paired ‘t’ test where p value was >0.05). That implies discrepancy between ultrasound estimated fetal weight and actual birth weight was significantly less than that of clinically estimated fetal weight. 14% clinically and 46% sonographically estimated fetal weight were observed within £ 5% of actual birth weight. 31% clinical and 42% sonographically estimates observed within 6% to 10% of actual birth weight and 55% clinical and 12% sonographically estimate were >10% of actual birth weight. That is about 88% sonographical versus 45% clinical estimates were within 10% of actual birth weight. Conclusion: There is no doubt about importance of fetal weight in many obstetric situations. Clinical decisions at times depends on fetal weight. Whether to use oxytocin, to use forceps or vacuum for delivery or extend of trial or ended by Caesarian section immediately or no scope of trial to be largely depend on fetal size and weight. So more accurate modality for antenatal fetal weight estimation has paramount importance. In my study sonographically estimated weight have more accuracy than that of clinical estimate in predicting actual birth weight. Sonographically estimated fetal weight is more reliable, accurate and reproducible rather than other modality. J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 32-38

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Hubungan Antara Preeklampsia dengan Kejadian Berat Badan Lahir Rendah di RSUD Dr. Soedarso Pontianak Tahun 2018

Cendekia Medika ◽

10.52235/cendekiamedika.v5i2.64 ◽

2020 ◽

Vol 5 (2) ◽

pp. 85-88

Author(s):

Lina Astuty

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Analytical Study ◽

Hydatidiform Mole ◽

Past Research ◽

Significance Test ◽

Third Trimester ◽

Chi Square ◽

Control Approach ◽

Chi Square Test

Research: Pre-eclampsia is a disease with signs of hypertension, edema, and proteinuria arising from pregnancy. This disease generally occurs in the third trimester of pregnancy, but can occur earlier, for example in hydatidiform mole (Wiknjosastro, 2005: 282). Preeclampsia and Eclampsia are one of the main causes of maternal mortality in Indonesia. The incidence of preeclampsia ranges from 5-15% of all pregnancies in the world. Based on the 2003 Indonesian Demographic and Health Survey (IDHS), the incidence of preeclampsia in Indonesia is estimated at 3.4–8.5%. The research method used analytical observational method through a case control approach, which is an analytical study concerning how risk factors are studied using a retrospective approach. In other words, the effect is identified now, then the risk factor is identified as having existed or occurred in the past. Research Results The results of the significance test using the Chi-Square test showed a significant relationship to the occurrence of low birth weight (LBW) in mothers with preeclampsia. This is indicated by the value of p = 0.000 which is smaller than α = 0.05, so Ho is rejected. While the results of the calculation of the Odds Ratio show that preeclampsia is one of the causes of LBW, this is indicated by the OR value of 3.028. Conclusion: There is a relationship between preeclampsia and low birth weight in dr. Soedarso Pontianak in 2018 with a probability value (ρ) = 0.000.

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A systematic review of the impact of malaria prevention in pregnancy on low birth weight and maternal anemia

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2012.12.014 ◽

2013 ◽

Vol 121 (2) ◽

pp. 103-109 ◽

Cited By ~ 30

Author(s):

Elizabeth M. McClure ◽

Robert L. Goldenberg ◽

Arlene E. Dent ◽

Steven R. Meshnick

Keyword(s):

Systematic Review ◽

Birth Weight ◽

Low Birth Weight ◽

Malaria Prevention ◽

Maternal Anemia ◽

The Impact ◽

In Pregnancy

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Antepartum Dental Radiography and Infant Low Birth Weight

JAMA ◽

10.1001/jama.291.16.1987 ◽

2004 ◽

Vol 291 (16) ◽

pp. 1987 ◽

Cited By ~ 64

Author(s):

Philippe P. Hujoel

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Dental Radiography ◽

Infant Low Birth Weight

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Pregnancy outcome in isolated oligohydramnios diagnosed in third trimester

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211510 ◽

2021 ◽

Vol 10 (5) ◽

pp. 1914

Author(s):

Pratibha Singh ◽

Vibha Rani Pipal ◽

Dharmendra Kumar Pipal ◽

Navdeep Kaur Ghuman ◽

Garima Yadav ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Amniotic Fluid ◽

Pregnancy Outcome ◽

Preterm Delivery ◽

Neonatal Outcome ◽

Low Risk ◽

Control Group ◽

P Value ◽

Third Trimester

Background: The aim of this study was to compare the outcomes of pregnancies complicated by isolated oligohydramnios with the low risk pregnancies with normal amniotic fluid volume.Methods: The present study is a retrospective cohort study of singleton pregnancies diagnosed with Isolated oligohydramnios (AFI≤5) in their third trimester (N=35). Pregnancy outcome was compared with a matched control group of low risk pregnancies with amniotic fluid volume >5 (N=30).Results: The overall incidence of Isolated oligohydramnios was 0.7-0.8%. In oligohydramnios group, significant association were found in null-parity (60% vs 23.33%, p-value<0.005), Fetal growth retardation (25.71% vs 0% p-value<0.02), preterm delivery (22.85% vs 3.33%, p-value 0.025), rate of Induction of labor (40% vs 10%) and cesarean rate for non-reassuring fetal heart rate (20% vs 3.33%, p-value<0.001). Likewise, the incidence of low birth weight was (54.28% vs 13.33%, p-value<0.001) and NICU admissions was (20% vs 0%, p-value<0.01), but there was no difference in Apgar score finding. NICU stay was of short duration and all babies discharged in stable condition, there were no stillbirth or early neonatal death in both groups.Conclusions: Isolated oligohydramnios has an adverse influence on pregnancy and neonatal outcome in the form of FGR, preterm delivery, increased rate of Induction and cesarean section. Despite the high incidence of low birth weight and NICU admissions, the overall early neonatal outcome was similar to the other low risk pregnancies.

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