scholarly journals Relationship between Maternal Haemoglobin and Fetal Weight

2013 ◽  
Vol 8 (1) ◽  
pp. 37-40
Author(s):  
Sadikchya Singh Rana ◽  
S Sharma ◽  
A Chand ◽  
R Malla

Aims: This study was done to determine the relationship between maternal haemoglobin and fetal weight. Methods: This study was carried out at Paropakar Maternity and Women’s Hospital in 491 primigravidas with full term singleton pregnancy. The study population was divided into two groups, one who had haemoglobin 10 gm% or more and the other women having haemoglobin less than 10 gm%. Fetal weight as the outcome variable was compared between anaemic and nonanaemic mothers and the relation between maternal haemoglobin and fetal weight was studied. Results: The prevalence of anaemia was 46.2% out of which 99.5% had mild anaemia and 0.5% had moderate anaemia. Mean haemoglobin level was 11.54 gm% among non anaemic women and mean birth weight was 2.9 kg in this group whereas mean haemoglobin level was 9.2 gm% in anaemic women and mean birth weight was 2.6 kg in this group and 60% babies had low birth weight (<2.5 kg) born to anaemic women (haemoglobin <10 gm%), and 40% babies had fetal weight >2.5 kg. Similarly babies born to nonanaemic women (haemoglobin >10 gm%) 18.1% had LBW and 81.9% had fetal weight >2.5 kg. The risk of low birth weight was 6.8 times higher among anaemic mothers as compared to non- anaemic mothers which was statistically significant with p-value of 0.0001 (OR 6.80 95% CI, 3.83-12.12). Conclusions: Anemia in pregnancy is one of the causes for poor fetal outcome. Proper antenatal care and counseling can reduce the incidence of anaemia in pregnancy. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 37-40 DOI: http://dx.doi.org/10.3126/njog.v8i1.8860

2012 ◽  
Vol 10 (2) ◽  
pp. 15-17
Author(s):  
Sadikchya Singh Rana

Introduction: Teenage childbearing is linked to a host of negative social, economic and medical consequences for both mother and child. Maternal mortality among girls under 18 years is two to five times higher than that of women in their 20s. This study was conducted to determine the relationship between maternal age on fetal weight. Method: It was a prospective, hospital based study, carried out in 491 primigravidas with fullterm singleton pregnancy. The study population was divided into two groups, women who were 19 and less than 19 years of age and women who were more than 19 years of age. Fetal weight as the outcome variable was compared between these groups. Results: The age of the mother ranged from 16 to 37 years. 24.8% women in the study population were <19 years of age. Although the difference was not clinically significant (p=0.51), 1/3rd of the mothers who were <19 had low birth weight. Conclusion: the relation of low birth weight and young maternal age could not be proven in this study. DOI: http://dx.doi.org/10.3126/mjsbh.v10i2.6457 Medical Journal of Shree Birendra Hospital July-Dec 2011 10(2) 15-17


2019 ◽  
Vol 11 (1) ◽  
pp. 32-38
Author(s):  
Naznin Rashid Shewly ◽  
Menoka Ferdous ◽  
Hasina Begum ◽  
Shahadat Hossain Khan ◽  
Sheema Rani Debee ◽  
...  

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


2021 ◽  
pp. 48-50
Author(s):  
Vinita singh ◽  
Sneha kumari

Thyroid disorders are the most common endocrine disorders affecting women of reproductive age group Hypothyroidism is common in pregnancy with an estimated prevalence of 2-3% Maternal hypothyroidism leads to many maternal and perinatal complications like miscarriage, gestational diabetes mellitus, pre-eclampsia, pre-term labor, placental abruption, and fetal death. AIMS AND OBJECTIVE: To nd out the effect of hypothyroidism on the course of pregnancy, to study the neonatal outcome, to know the prevalence of subclinical and overt hypothyroidism in pregnant women. MATERIALS AND METHODS: This prospective study was conducted in the department of Obstetrics and Gynecology, Nalanda medical college and hospital, Patna. All pregnant women attending the obstetric unit during this period were included in the study after informed consent 10 ml of blood sample of pregnant women was drawn at the rst visit in the rst trimester; then it was centrifuged and stored at -70 degree Celsius until assays, which were done after delivery, TFT was assessed by quantitative analysis of serum TSH and FT4 (ELISA). The pregnancy outcome variables like miscarriages, preterm deliveries, IUGR, preeclampsia, anemia, low birth weight, intrauterine fetal demise, antepartum hemorrhage, stillbirth, postpartum hemorrhage, birth asphyxia were studied. The neonatal outcome was also studied. The statistical analysis was done using the odds ratio. P-value <0.05 was considered signicant. RESULTS: Out of the 250 pregnant women 25 had hypothyroidism (9.5%). The prevalence of subclinical hypothyroidism was more as compared to the overtone (Table 2). Abortions were seen in 12.5% of subclinical and 11.1% of overt hypothyroid women. PIH and abruptions were signicantly higher in subclinical cases (P<0.05) while in the overt group both complications were higher as compared to the normal women but the p-value was not signicant for abruption. More of the hypothyroid women had preterm delivery (37.5% in subclinical and 44.4% in the overt group), Regarding neonatal complications, IUD and Early neonatal deaths were signicantly higher in overt hypothyroidism (P<0.01) Hypothyroid women had more low birth weight babies (31.25% in subclinical and 35.5% in overt) and IUGR babies (18.70% in subclinical and 22.21% in overt), CONCLUSION: The present study shows that, though the occurrence of hypothyroidism in pregnancy is less yet it causes many maternal and neonatal complications therefore universal screening of thyroid disorder should be done in pregnancy.


Author(s):  
Hanslata Gehlot ◽  
Om Prakash Yadav ◽  
Seema Sharma ◽  
Girdhar Gopal Nagar ◽  
Ayna Yadav ◽  
...  

Background: Dengue is a vector borne viral disease. Female Anopheles mosquito is the vector for the disease. Recently, there is an increase in the incidence of dengue fever in adult population in South Asian countries. With increasing rate of adult dengue fever victims, the number of infected pregnant women has also been increased. Dengue, during pregnancy may be associated with various complications, including abortions, preterm delivery, maternal mortality, low birth weight, neonatal admissions and fetal anomalies. Timely intervention can improve the maternal as well as fetal outcome. This study was aimed to assess the clinical profile, maternal and fetal outcome of dengue fever during pregnancy.Methods: The study was carried out on 25 pregnant females diagnosed and serologically confirmed to have dengue fever and were admitted in Umaid hospital, associated to Dr. S. N. Medical College Jodhpur, Rajasthan, India. Patients were included irrespective of the period of gestation of contracting the disease. Serological testing for dengue virus specific antigen and antibody was done for the diagnosis of dengue fever. The World Health Organization (WHO) classification and case definitions 2009 were used to categorize the dengue patients. A predesigned proforma was used to collect data related to maternal and fetal consequences both during pregnancy and at birth, as well as the effect on the newborn. Informed and written consent was taken from all those who participated in the study.Results: Thrombocytopenia (platelet count <1.5lakh/mm3) was found in 22 (88%) patients out of which 6 (24%) of them had platelet count below 20,000 cells/mm3 and 3(12%) patients required platelet transfusion. Other complications observed were spontaneous abortions (4%); preterm birth (16%), oligohydramnios (8%) and antepartum hemorrhage (4%). One patient was admitted to Intensive Care Unit. Fetal distress and meconium stained amniotic fluid was observed in 16% and 12% patients respectively. Adverse fetal outcome was observed in form of low birth weight, prematurity. 8% of the babies required NICU admission and 4% were Intra Uterine Fetal Death (IUFD).Conclusions: Maternal infection with the dengue virus during antenatal period represents a real risk of premature birth. Early onset or late onset in pregnancy appeared to have a bad prognosis.  A high index of clinical suspicion is essential in any pregnant woman with fever during the epidemic. The treatment of dengue in pregnancy is mainly conservative as in non-pregnant adults. In case of high risk cases early referral to well-equipped health centres where technical, transfusion and intensive care facilities are available may prove lifesaving.


2018 ◽  
Vol 17 (3) ◽  
pp. 117-124
Author(s):  
Ampera Miko ◽  
Satrinawati Berkat

Smoking does not only endangers the smokers themselves but will also harm the people around them. These are the non-smokers also called the passive smokers or second-hand smoke.In particular pregnant women who are the second-hand smoke can lead low birth weight (LBW) babies. This study aims to determine the impact of second- hand smoke in pregnancy toward LBW   in the district of Aceh Besar in 2016. A case control study was done in district of Aceh Besar, Aceh province, Indonesia. The total sample was 120 neonates (1:1), 60 neonates were LBW (cases) and 60 neonates were normal weight (controls). Data collection was doneusing a questionnaire filled in by the parents. The univariate analysiswas described with percentages and the Wald-Wolfowithz run test was used for the bivariate analysis. The results showed that the majority of mothers had a good knowledge about the dangers of smoking, ie 91 or 75.8%. Most of the mothers had positive attitudes for male smokers. The smoking men are considered normal and acceptable, consisting of 73 mothers or 60.8%.  All the mothers in this study were non-smokers (100.0%). The majority of the fathers were smokers, 88   or   73.3%, and most of them smoked around their   pregnant wife, 55 fathers or 62.5%.  The results of the bivariate analysis indicated there was a significant impact of the second-hand smoke toward the LBW (P value <0.05). It means, mothers as a second-hand smoke during pregnancy have a risk to born the LBW baby


2019 ◽  
Vol 17 (2) ◽  
pp. 39-42
Author(s):  
Niraj Acharya ◽  
Diwas Dhungana ◽  
Veena Gupta

Background: Hypertensive disorders of pregnancy (HDP) are one of the maternal diseases that cause the most detrimental effects to the mother and the fetus. Objective: This study was conducted to compare the perinatal outcomes of neonates delivered by hypertensive mothers and normal mothers. Methods: This comparative hospital based study was conducted in Nepalgunj Medical College Teaching Hospital, Kohalpur from December 2014 to December 2015. Fifty mothers fulfilling the inclusion criteria and their fetal outcome in form of still birth and newborn babies were taken for the study and 50 healthy mothers with normotensive pregnancies and their newborn babies or fetal outcome were taken as control. They were followed up till their hospital stay in NICU or postnatal ward and final outcomes were noted. Results: The prevalence of HDP in our hospital was 2.16%. Among neonates, 27(54%) in case group and 9(18%) in control group were low birth weight which is statistically significant. It was found that 18(36%) neonates in case group and 7(14%) neonates in control group were IUGR(Intrauterine growth retardation). Seventeen (34%) neonates in case group were preterm as compared to 2(4%) neonates in control group (p value < 0.001). Conclusion: Pregnancies complicated by hypertension were characterized by an increase in the rate of preterm delivery and low birth weight infants compared with normal pregnancies.


Author(s):  
Nasreen Noor ◽  
Akanksha Jain ◽  
Shazia Parveen ◽  
Syed Manazir Ali

Background: The human placenta develops with the principal function of providing nutrients and oxygen to the fetus. Objective of present study was to assess the relationship between placental thickness with estimated fetal weight.Methods: The present study was a prospective observational study and includes 152 pregnant women with known last menstrual period, history of regular menstruation, singleton pregnancy and aged between 20 and 35 years. After Institutional Ethics Committee approval all recruited women were observed for baseline demographic and obstetric data including age, parity and past medical events at first antenatal visit. All women provided an informed written consent and underwent ultrasound evaluation of placental thickness at 18 to 40 weeks of gestation.Results: In the present study the mean placental thickness between the ranges of 18-40mm was 31.63±4.79mm and the mean estimated fetal birth weight was 2145.86±121.24grams. The pearson’s correlation coefficient between the two was 0.982. Thus, proving the significant positive correlation between placental thickness and estimated fetal birth weight (p-value <0.001).Conclusions: Estimated fetal weight is a very important component of antenatal care in which ultrasonography plays an important role. Placental thickness measured at the level of umblical cord insertion can be used as an accurate sonographic indicator in the assessment of fetal weight because of its linear correlation. Therefore, it can be used as an additional sonographic tool in assessing fetal weight.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Umriaty Umriaty ◽  
Juhrotun Nisa

AbstrakMenurut data WHO tahun 2015 jumlah BBLR di Indonesia berada di peringkat sembilan dunia dengan persentase BBLR lebih dari 15,5 % dari kelahiran bayi. Bayi yang lahir dengan berat badan kurang dari 2500 gram mempunyai resiko mengalami komplikasi. Keberlanjutan kehidupan bayi yang lahir dengan berat rendah juga sangat tergantung dari keadaan ekonomi, Pendidikan orang tua  dan perawatan pasca bayi lahir. Penelitian ini adalah penelitian survey analitik. Rancangan penelitian yang digunakan adalah  case control yaitu penelitian melibatkan kelompok kasus yaitu bayi BBLR yang berjumlah 32 dan bayi yang lahir dengan berat lahir normal sebagai kelompok kontrol yang berjumlah 32. Variabel faktor ibu yang diteliti pada penelitian ini adalah umur ibu, paritas, jarak kehamilan, status gizi ibu, anemia dalam kehamilan, pre eklampsi, dan riwayat berat lahir rendah pada kehamilan sebelumnya. Penelitian ini dilakukan pada bulan Oktober sampai dengan Desember 2017. Hasil penelitian menunjukkan bahwa sebagian besar bayi lahir  pada  umur ibu usia tidak beresiko 68, 8 %, paritas Pirmi/multigravida 90,6 %, jarak kehamilan ≥ 2 tahun 84,6 %, ibu hamil tidak KEK 68,8, anemia dalam kehamilan 50 %. Hasil analisis uji hubungan dengan Chi Square dan alpha 0,05 didapatkan 2 variabel mempunyai hubungan yang bermakna yaitu status gizi (p value 0,023), dan Anemia dalam kehamilan (p value 0,012). Kata kunci : faktor maternal, Bayi Berat Lahir Rendah AbstractAccording to WHO data in 201, the number of Low Birth Weight (LBW) of Indonesia is ranked ninth in the world with the percentage of LBW more than 15.5% of babies born. Babies born with weight less than 2500 grams have a risk of complications. The sustainability of a low birth weight baby's life is also highly based on the state of the economy, parental education and post-natal care.This research is an analytic survey research. The design of the research used was case control, the study involved case groups of 32 LBW infants and babies born with normal birth weight as a control group of 32. Maternal factor variables studied in this study were maternal age, parity, gestational distance, maternal nutritional status, anemia in pregnancy, pre-eclampsia, and a history of low birth weight in previous pregnancies. This study was conducted during October to December 2017. The results showed that most of the babies born at the age of the mother were not at risk 68,8%, Primi / multigravida 90.6%, the distance of pregnancy ≥ 2 years 84.6%, pregnant women not KEK 68.8, anemia in pregnancy 50%. Result of analysis of test of correlation with Chi Square and alpha 0,05 got 2 variables have significant relationship that is nutrition status (p value 0,023), and Anemia in pregnancy (p value 0,012). Keyword : maternal factor, Low Birth Weight


2021 ◽  
Vol 14 (3) ◽  
pp. 209-213
Author(s):  
Muhammad Ali Shodikin ◽  
Inke Kusumastuti ◽  
Wahidah Nur Indasyah

Background: The prevalence of Human Immunodeficiency Virus (HIV) infection in pregnancy were increase in developing countries. The existence of infection interferes with the absorption of nutrients due to accumulation of inflammatory cells in the placenta can cause the infant born with low birth weight. Objective: The purpose of this study was to determine the correlation of HIV infections in pregnancy and low birth weight infant. Methods: This research used an observational analytic design with a retrospective approach. The samples were positive and negative HIV mother with their infants that hospitalized at dr. Soebandi Hospital, Jember, from August 2014 - July 2017. The data were analysed by Fisher's Exact. Results: This study was found 52 positive HIV mother with their infants and 52 negative HIV mother with their infants. Nine from 52 infants (17.3%) who born from positive HIV mother were low birth weight. Only 3 from 52 infants (5.8%) who born from negative HIV mother were low birth weight. Data analysis using Fisher’s Exact was obtained p value = 0.06. Conclusion: There was no significant correlation of HIV infections in pregnancy and low birth weight infant.


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.


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