scholarly journals FOOTLENGTH MESEAUREMENT AS AN EFFECTIVE TOOL IN IDENTIFICATION OF LOW BIRTH WEIGHT BABIES

Author(s):  
Dr. Gyanesh Mishra

The incident rates for LBW at term conservatively estimate IUGR because when all infants below the 10the percentile of the birth-weight-for-gestational-age reference are considered, approximately 24% or 30 million newborn in developing countries would be affected each year. Prematurity and IUGR are the two main cause of LBW. The majority of LBW in developing countries is due to IUGR, while most LBW in industrialized countries is due to preterm birth. The   study   was conducted on five hundred and fifty newborns of either sex.  The newborns were taken from the Neonatal Intensive Care Unit (NICU) of Department of Pediatrics and those present in the post-natal and post-operative ward of Department of Obstetrics and Gynaecology, S.N. Medical College and Hospital. Neonatal and infant mortality rates are the sensitive indicators of child health. NMR of 37 for India and 44 per 1000 live births for UP is alarmingly high as compared to the other parts of the world. Of these neonatal deaths nearly 2/3 die within 1st weak itself. LBW and prematurity contribute to a significant proportion of the cause. Key Words: IUGR, NMR, LBW and Crown-heel length

2000 ◽  
Vol 32 (4) ◽  
pp. 487-493 ◽  
Author(s):  
FARID UDDIN AHMED ◽  
ENAMUL KARIM ◽  
SYEDA NURJAHAN BHUIYAN

In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.


2018 ◽  
Vol 5 (4) ◽  
pp. 1403
Author(s):  
Hemant Adikane ◽  
Kishor Surwase ◽  
Vishal Pawar ◽  
Kalidas Chaudhari

Background: Globally, 2.6 (2.5-2.8) million newborns died in 2016-i.e. nearly 7,000 every day. Neonatal deaths accounted for 46 % of all under-five deaths, increasing from 41 % in 2000. Five countries accounted for half of all newborn deaths including India. NFHS 4 data suggests that neonatal mortality rate (NMR) declined to 30 deaths per 1,000 live births.Methods: Present observational study was conducted at district hospital, Parbhani. Study period was Jan 2017 to Dec 2017. All the admitted babies to NICU were included into study. Data was collected by interview method using a predesigned, semi-structured questionnaire. Various morbidities and reasons for mortality were included.Results: There were total 2471 admission during year of 2017. There was slightly higher admission rate for Males 1432 (57.95%) than females 1039 (42.05%). Pre-term admissions were 501 (20.28%). Majority of admissions were due to low birth weight 1170 (47.35%).Conclusions: In the year of 2017, total 2472 NICU admissions took place. Out of these, 126 (5.09%) died. Respiratory distress syndrome, low birth weight, birth asphyxia were accounting for mortalities. The neonatal jaundice, preterm and low birth weight babies had significantly high mortality even with standard intensive care.


2017 ◽  
Vol 4 (3) ◽  
pp. 1008
Author(s):  
Darshan K. Raj ◽  
Adarsh E. ◽  
Prema R. ◽  
. Jayaprakash ◽  
Dhanyatha M. ◽  
...  

Background: ROP is a disorder of the developing retinal blood vessels in the premature infant retina. Objective of present study is to determine the number of babies affected with ROP among the premature and low birth weight babies admitted to neonatal intensive care unit or attending neonatal follow up clinic at RRMCH Hospital during a period of one year.Methods: This is a prospective observational study conducted in Rajarajeswari Medical College and Hospital Bangalore for 12 months. All eligible babies were screened at Neonatal Intensive Care Unit where temperature is well controlled and the place to handle any emergencies. The pupils were dilated using 2.5% phenylephrine and 0.5% tropicamide eye drops instilled three times into each eye at intervals of 15 minutes about one hour before the scheduled examination.Results: 100 babies were screened and followed up. The incidence of ROP is 40%. Gestational age (<37weeks) and low birth weight (2500g) are important risk factors for ROP. Our study concluded that ROP is an important complication of prematurity.Conclusions: The present study highlights the magnitude of the problem due to ROP in a tertiary care centre. Meticulous fundus examination with indirect ophthalmoscopy in all preterm babies with gestational age <37weeks and birth weight ≤2500gms is essential non invasive method for early detection of ROP and its progression. 


2018 ◽  
Vol 10 (1) ◽  
pp. 16-22
Author(s):  
Zebun Nessa ◽  
Iffat Zaman ◽  
Menoka Ferdous ◽  
Sumana Rahman ◽  
Debalina Das

Background: World health organization estimates that 25 million low birth weight (LBW) babies are born annually worldwide and 95% occur in developing countries. Low birth weight is a major public health problem of Bangladesh. So an attempt was made to study the incidence of low birth weight (<2.5kg) and also the associated risk factors of low birth weight among the new born babies born to Dhaka Medical College Hospital.Aims: To determine the Prevalence of low weight among the babies born and to determine the relationship of low birth weight with maternal factor like maternal weight, height, gestational period, antenatal checkup, heavy physical work during pregnancy, hypertension, age of the mother and parity, in Obs. & Gynae Department, DMCH.Method: This descriptive cross sectional study was done in Gynecology and Obstetrics Department of Dhaka Medical College Hospital. Five hundred (500) samples were selected for the study. The study was done from 1st January 2006 to 31 December 2006. Data processing and questionnaire are processed manually using scientific calculator and by computer using SPSS programmers version-16. All abortions, still born, gross congenital abnormalities were excluded from this study. The cut off point used for low birth weight is 2.5 kg.Results: A total of 500 women were interviewed. The incidence of low birth were found 21.6%. Younger than 20 yrs (31.25%) and more than 40 years (35.71%) mother delivered more low birth weight babies. The primigravida and multigravida (>4 parity) showed more low birth weight babies. Women from low socioeconomic condition produced significantly larger number of low birth weight babies as well as short stature. Low maternal height, less educated, illiterate, manual worker mother delivered more low birth weight babies. Preterm birth comprises larger number of low birth weight (LBW 35%). Low height of new born babies also associated with low birth weight. Female babies were higher than the male babies. Preterm babies were lighter (LBW) than the full term babies.Conclusion: The study finds out the incidence of low birth babies, the figure close to the developing countries. The study revealed that maternal age, gestational age, parity, socioeconomic status, maternal weight and disease condition have strong relations with birth weight of babies. Occupation and antenatal check up also affects birth weight of babies.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 16-22


2020 ◽  
Vol 8 (1) ◽  
pp. 58-60
Author(s):  
Mahaboob Basha Kallur ◽  
K. Muralidhar

Background: Retinopathy of prematurity (ROP) is a vaso-proliferative retinopathy which occurs mostly in premature babies. The pathological change in ROP is peripheral retinal neovascularisation which may regress completely or leave sequelae from mild myopia to bilateral total blindness. International classification of ROP helped in uniform documentation and staging of ROP. In India, the incidence of ROP is between 38 and 51.9 p.c among low-birth-weight infants. Aim & Objectives: To estimate the incidence of ROP among premature and / or low birth weight babies who were born and admitted to neonatal intensive care unit and attending neonatal follow-up clinic.Subjects and Methods:A hospital based, prospective analytical cross-sectional study was conducted in Department of Pediatrics at Shadan Institute of Medical Sciences, Teaching hospital and research center, Hyderabad, Telangana for a period of 6 months from 1st October 2018 to 31st March 2019. Prior to the study initiation, ethical clearance was obtained and written consent was taken from the parents of the respective babies. The study subjects included premature babies (less than or equal to 35 weeks of gestation) or low birth weight babies (less than or equal to 1500 grams). A predesigned, pre-tested, semi-structured proforma was used to collected the data. The data was collected, entered in Microsoft excel-2013 and analyzed using SPSS version-22 (trial). Data was presented in percentages, proportions and figures.Result:The ROP incidence in the study group was reported among 17.1 p.c of the study subjects.Conclusion:Low birth weight and prematurity are important risk factors for ROP.


2021 ◽  
pp. 17-19
Author(s):  
Kumari Ragini ◽  
Amit Kumar ◽  
Reena Kumari ◽  
Debarshi Jana

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.


2013 ◽  
Vol 21 (2) ◽  
pp. 160-165
Author(s):  
Shishir Ranjan Das ◽  
AKM Matiur Rahman ◽  
AKM Azad Chowdhury ◽  
Md. Mahbubul Hoq ◽  
Sudip Ranjan Deb

J Dhaka Medical College, Vol. 21, No. 2, October, 2012, Page 160-165 DOI: http://dx.doi.org/10.3329/jdmc.v21i2.15339


Author(s):  
Dr. Ujjwal Mittal ◽  
◽  
Dr. Vivek Parasher ◽  
Dr. Rahul Khatri ◽  
Dr. Samarth Yadav ◽  
...  

Introduction: To achieve MDG4 (Millennium Developmental Goals-4), a substantial reduction inearly neonatal deaths will be required. The first steps in improving early neonatal survival are todocument the number and rate of deaths and identify their common causes. As per the NationalFamily Health Survey-3 report, the current neonatal mortality rate (NMR) in India is 39 per 1000 livebirths, neonatal deaths account for nearly 77% of all infant deaths (57/1000) and nearly half ofunder-five child deaths (74/1000). This study was undertaken to study the disease pattern andoutcome of neonates admitted to the neonatal intensive care unit (NICU) of a tertiary care teachinghospital located in Udaipur, Rajasthan. Material and methods: The age, sex, gestational age, andmorbidity and mortality profile of all NICU admissions in 5 years was determined and the differencebetween Inborn (those born in the Teaching Hospital) and Out born was calculated. Morbidity riskfactors to reduce NMR in Udaipur were determined. Results: A total of 2648 neonates wereadmitted to NICU during the study period, out of which none were excluded from the study. Theratio of Male to Female admitted was 1.30:1. The major causes of morbidity were MeconiumAspiration Syndrome (16.16%), Respiratory Distress Syndrome(10.12%), Cong. HeartDefects(8.76%), Neonatal Sepsis(4.83%) and Hypoxic-Ischemic Encephalopathy(5.66%). In thisstudy, the overall mortality rate was 9.96%. Most of the Deaths were due to MAS(25.75%),RDS(15.90%), Neonatal Sepsis(10.22%), and HIE(12.87%). Neonates with birth weight <1000ghad poor outcomes compared to neonates with birth weight >2500g. Conclusion: This studyidentified Prematurity, Extremely low birth weight, MAS, and Neonatal Sepsis as major causes ofMorbidity and MAS, RDS as the major contributors to neonatal mortality. Improving antenatal care,maternal health, and timely referral of high-risk cases to tertiary care hospitals will help to improveneonatal outcomes.


1970 ◽  
Vol 5 (1) ◽  
pp. 41-45
Author(s):  
Mushtaq Ahmad ◽  
Farial Naima Rahman ◽  
Mohd Ashrafuzzaman ◽  
Dipak Kumer Paul Chowdhury ◽  
Mohammad Ali

The corresponding author Mushtaq Ahmed was added on 3/12/2009.Introduction: Bangladesh is a developing country of South Asia. Rural population of this country is mostly dependant on agricultural cultivations. With the advance of times, pesticides are, now a days routinely used for modern cultivation method. These are readily available as over the counter (OTC) drugs in village shops and act as a common agent for suicidal purpose after trivial family problems. Currently pesticide self poisoning has become a major clinical problem of the developing countries  killing around 3,00,000 people each year. Industrialized countries are also affected by it, where a significant proportion of suicidal death are caused by Pesticide ingestion. Of course, such poisoning is seldom included as a priority for heath research in this country.   doi: 10.3329/jafmc.v5i1.2851 JAFMC Bangladesh. Vol 5, No 1 (June) 2009 pp.41-45


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