scholarly journals Variation of Clinical Estimation of Foetal Weight: Experience of 247 Cases in Dhaka City

2019 ◽  
Vol 16 (2) ◽  
pp. 60-64
Author(s):  
Tahmida Firdousi ◽  
Taslima Begum ◽  
Shimul Akter ◽  
Nur Mohammad
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Clinical Examination ◽  
Age Group ◽  
Singleton Pregnancy ◽  
Exclusion Criteria ◽  
Actual Weight ◽  
Normal Birth ◽  
Study Population ◽  
The Mean

Background: Foetal weight detection can vary by examining clinically. Objective: The purpose of the present study was to see the variation of clinical foetal weight among the newborn infant. Methodology: This prospective cohort study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital, Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Actual birth weights of babies were measured soon after their birth. This weight was measured within the first hour of life. They were weighed naked. Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Majority of the women [91(37.1%)] belonged to the age group 25 to 29 years, 83 (33.9%) in the age group 19 to 24 years. Low Birth Weight was found 14(5.7%) cases in clinical examination and 15(6.0%) cases in actual cases. Normal birth weight was found 215(87.8%) cases and 221(90.3%) cases in clinical examination and actual weight respectively. The mean with SD of foetal weight among the study population were 3283.27±461.05 gm and 2936.20±456.71 gram in clinical examination and actual weight respectively (p < 0.05). Conclusion: In conclusion there is a significant variation of clinical estimation of foetal weight Journal of Science Foundation 2018;16(2):60-64

Comparison of Clinical Foetal Weight and Ultrasonography Detected Foetal Weight

2019 ◽  
Vol 6 (2) ◽  
pp. 92-96
Author(s):  
Tahmida Firdousi ◽  
Taslima Begum ◽  
Fahmida Hafez ◽  
Nur Mohammad ◽  
Ashfaq Ahmad ◽  
...  
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Clinical Examination ◽  
Age Distribution ◽  
Abdominal Circumference ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Clinical Measurement ◽  
Ultrasonographic Examination ◽  
The Mean

Background: Comparison of foetal weight detection between clinical examination and ultrasonography is very important. Objective: The purpose of the present study was to compare the detection of foetal weight between clinical examination and ultrasonography. Methodology: This cross-sectional comparative study was carried out in the Department of Obstetrics & Gynaecology at Rajshahi Medical Hospital Hospital (RMCH), Rajshahi, Bangladesh from July 2012 to June 2014 for a period of 2(two) years. Pregnant women with known gestational age at term (38 to 40 weeks of pregnancy), singleton pregnancy with longitudinal lie were included in this study. The clinical estimation of foetal weight was done. Foetal weight was estimated by using Johnson’s formula. The patient was then taken to Dept. of Radiology & Imaging, RMCH. Ultrasonographic estimation of foetal weight was done from estimation of foetal abdominal circumference (AC), biparietal diameter (BPD) and foetal femur length (FL). All the weights measured by ultrasound were recorded in the data sheet. Result: A total number of 245 pregnant women in term pregnancy were recruited as per inclusion and exclusion criteria. Table 1 shows age distribution of the study subjects. The mean age was 26.42 (SD ± 4.46). Low birth weight was found 12(4.9%) cases in ultrasonographic examination and 14(5.7%) cases in clinical measurement. Overweight was found 13(5.2%) cases in ultrasonographic examination and 16(6.5%) cases in clinical measurement. The mean with SD of birth weight among the study population were 3283.27±461.05 gram and 2870.41±424.84 gram in clinical and Ultrasonographic examination respectively (p < 0.05). Conclusion: In conclusion clinical estimation of foetal weight is significant differed with the measurement of USG. Journal of Current and Advance Medical Research 2019;6(2):92-96

The relation between second-trimester placental elasticity and poor obstetric outcomes in low-risk pregnancies

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Murat Akbas ◽  
Faik Mumtaz Koyuncu ◽  
Burcu Artunç-Ülkümen ◽  
Gökce Akbas
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Value Added ◽  
Shear Wave Elastography ◽  
Multiple Regression Model ◽  
Low Risk ◽  
Obstetric Outcomes ◽  
Second Trimester ◽  
The Mean ◽  
Random Measurements

AbstractObjectivesIncreased placental stiffness is associated with various pathological conditions. Our objective was to evaluate the relation between the second-trimester placental elasticity value in low-risk pregnant women and poor obstetric outcomes.MethodsA total of 143 pregnant women were enrolled. Placental elasticity values were measured using the transabdominal point shear wave elastography method. 10 random measurements were obtained from different areas of the placenta. The mean was accepted as the mean placental elasticity value. Logistic regression analyses were performed to identify independent variables associated with obstetric outcomes.ResultsSecond-trimester placental elasticity value was significantly and positively associated with the poor obstetric outcomes (p=0.038). We could predict a poor outcome with 69.2% sensitivity and 60.7% specificity if we defined the placental elasticity cut-off as 3.19 kPa. Furthermore, in the multiple regression model, the placental elasticity value added significantly to the prediction of birth weight (p=0.043).ConclusionsOur results showed that the pregnancies with a stiffer placenta in the second trimester were associated with an increased likelihood of exhibiting poor obstetric outcomes. Also, placental elasticity was independently associated with birth weight.

scholarly journals Helicobacter pylori infection and its correlates among the patients of peptic perforation and gastric carcinoma

2020 ◽  
Vol 7 (5) ◽  
pp. 1518
Author(s):  
Subhendu Bikas Saha ◽  
Sabyasachi Bakshi ◽  
Tapas Mandal
Keyword(s):  
Gastric Carcinoma ◽  
High Frequency ◽  
Age Group ◽  
Morbid Condition ◽  
Exclusion Criteria ◽  
Chronic Alcoholic ◽  
Female Ratio ◽  
History Of ◽  
Study Population ◽  
H Pylori

Background: Presence of H. pylori infection was found associated with peptic perforation and gastric carcinoma. Present study tried to estimate the prevalence of H. pylori infection in those patients and to find out the correlates of H. pylori infection.Methods: After matching the inclusion and exclusion criteria, all cases of diagnosed peptic perforation and gastric carcinoma were taken for this prospective, single center, observational study.Results: Among the study population, gastric carcinoma was found in higher age group; whereas peptic perforation was found in lower age group; male and female ratio was 2:1 in both groups of patient. Laborer and housewives were mostly affected in both cases. Gastric carcinoma was more prevalent in urban residents, opposite was seen in peptic perforation. Most patients in two groups had no previous co-morbid condition. Use of NSAIDs was found in high frequency in both groups. Most of the patients were chronic alcoholic and chronic smoker, and most of them had history of taking spicy foods more than twice in a week.Conclusions: H. pylori infection was found in high frequency in both group of patients, and it was higher in peptic perforation. The study establishes the association of H. pylori with the gastric carcinoma and peptic perforation.

Clinicoepidemiology and treatment outcome of acute intestinal obstruction in adult in KIMS Amalapuram: a retrospective observational study

2020 ◽  
Vol 7 (12) ◽  
pp. 4139
Author(s):  
Y. Anantha Lakshmi ◽  
K. V. Narasimha Reddy
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction ◽  
Age Group ◽  
Exclusion Criteria ◽  
Common Procedure ◽  
Case Record ◽  
Common Etiology ◽  
The Mean ◽  
Study Case ◽  
Surgical Admission

Background: The intestinal obstruction is a common potentially risky surgical emergency in all age group globally. This is responsible for 12% to 15% of surgical admission due to acute abdomen. Obstruction to gastrointestinal tract can occur at all labels but it is small intestine which more commonly involved. To improve the outcome early diagnosis and management is essential. Present study has been designed to study the epidemiology, demography and clinical presentation of acute intestinal obstruction and to study the complications and outcome of surgical management of acute intestinal obstruction.Methods: In present study patients admitted with diagnosis of acute intestinal obstruction during study period were enrolled for this study as per inclusion and exclusion criteria. As per that 126 patients were enrolled for this study. Case record of all patients were closely reviewed and analysed thoroughly.Results: The mean age of the patients was 54.64±12.93 years. The acute intestinal obstruction was more common in 41 to 60 years of age group that is (44.45%). Regarding etiology of acute intestinal obstruction 44.45% patient adhesion was the etiology of obstruction. Resection of adhesion was most common procedure done for removal of obstruction (42.85%).Conclusions: Adhesion was most common etiology and pain abdomen and tachycardia was common presentation. Regarding management of obstruction resection of adhesion was most common procedure done for removal of obstruction. Infection of wound was common complication.

A study of manual toothbrushing skills in children aged 3 to 11 years

2003 ◽  
Vol 27 (1) ◽  
pp. 91-94 ◽  
Author(s):  
Ali Mentes ◽  
Julide Atukeren
Keyword(s):  
Age Groups ◽  
Age Group ◽  
Age And Gender ◽  
Significant Difference ◽  
Study Population ◽  
The Mean ◽  
And Gender

The aim of the study was to evaluate toothbrushing management and ability of children in relation to age and gender. The study population consisted of 75 children and were divided into three equal groups as 3-5, 6-8 and 9-11 years of age.The grip type during toothbrushing was recorded on videotape.The most preferred grip types were distal (73%) followed by power (43%) and oblique grips (29%). There were a statistically significant differences between age groups and the grip types (p&lt;0.001) but no significant difference was seen between boys and girls in grip preferences (p&gt;0.05).The mean duration of toothbrushing was shorter in 3-5 years of age group (28 seconds) than the 6-8 and 9-11 age groups (35 and 47 seconds respectively).

scholarly journals Micronutrient intake and fundal height determine birth weight

2019 ◽  
Vol 8 (1) ◽  
pp. 93
Author(s):  
Faradina Aghadiati ◽  
Diffah Hanim ◽  
Yulia Lanti Retno Dewi
Keyword(s):  
Folic Acid ◽  
Birth Weight ◽  
Pregnant Women ◽  
Gestational Age ◽  
Significant Relationship ◽  
Cross Sectional ◽  
Normal Birth ◽  
Micronutrient Intake ◽  
Term Newborns ◽  
The Relationship

The birth weight (BW) are utilized as indicators of the healthy and term newborns. Factor that affects the weight of a newborn are micronutrient intake and fundal height. Folic acid and iron (Fe) were associated with newborn birth weight. Fundal height in <em>centimeters</em> (cm) is the same as the gestational age of the week, the fundal height that is not in accordance with the gestational age is leading to stunted fetal growth. The purpose of this study was to analyze the relationship between intake of folic acid, iron (Fe) and fundal height with newborn birth weight. This research method was an analytic observational using a <em>cross-sectional</em> approach. The sample in this study were 114 pregnant women living in Yogyakarta. Statistical test results proved a significant relationship between the intake of folic acid and iron (Fe) with the newborn birth weight (p &lt; 0.05). There was a significant relationship between the fundal height with the newborn birth weight (p &lt; 0.05). The concludes of this study, pregnant women with adequate folic acid intake, adequate iron intake and normal fundal height tended to give birth newborns with normal birth weight.

scholarly journals A STUDY OF MATERNAL AND PERINATAL OUTCOME IN POST DATED PREGNANCY

2020 ◽  
pp. 1-3
Author(s):  
Puja verma ◽  
Vinita Kumari ◽  
Dipti Roy
Keyword(s):  
Birth Weight ◽  
Perinatal Outcome ◽  
Post Partum ◽  
Fetal Outcome ◽  
Age Group ◽  
Term Pregnancy ◽  
Fetal Complications ◽  
The Mean ◽  
Labour Room ◽  
Post Term Pregnancy

When pregnancy goes beyond 40 weeks it is called post dated pregnancy. The incidence of post term pregnancy varies from 3-12%1,2. Post term or post dated pregnancies are associated with various maternal and fetal complications. A total of 80 women attending labour room emergency with post dated pregnancy (<40 weeks) were recruited for the study. This study was done to observe the maternal and fetal outcome in post dated pregnancies. The mean age was 23.14±2.2 years. Maximum women were in the age group of 20-30 years (67.5%). More than 50% had meconium stained liquor whereas 42.5% had clear liquor. A birth weight more than 3 kg was observed in 21 babies which was 26.25 % and maximum of 53 babies (66.25%) had birth weight between 2.5 kg and 3 kg. Only 6 babies had birth weight less than 2.5 kg. Ten babies were admitted to NICU. Thus, post dated pregnancies require strict vigilance during antepartum, intrapartum and post partum period due to increased incidence of complications.

scholarly journals Food habits and Pregnancy outcomes

2021 ◽  
Author(s):  
Devdatt Pitale
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Food Habits ◽  
P Value ◽  
Age Group ◽  
Maternal Nutritional Status ◽  
Nicu Admission

Abstract Introduction: Nutrition during pregnancy plays an important role for an optimum outcome of pregnancy. Women may be malnourished even before they become pregnant and this may further adversely affect the pregnancy. Maternal undernutrition can lead to poor intrauterine growth and low weight of the baby at birth. Moreover, the leading causes for maternal deaths like hemorrhage and infection are related directly or indirectly to nutrition. Aim of the Study: To study the impact of existing food habits on pregnancy outcome in a south Indian population. Materials and Methods: This prospective study was conducted at a tertiary health care and research institute in India. From the antenatal clinic, 350 women who satisfied the following inclusion and exclusion criteria were admitted to the study. Results: The majority of pregnant women belonged to the age group of 21-25 yrs (47%) followed by the 26-30 yrs age group (40%).The number of teenage pregnancies was 30 (8%) whereas 5% of pregnant women belong the age group of 31-35 yrs.83% of the study population belonged to the low socioeconomic class. Majority of the babies (66%) had the birth weight in the range of 2.5-2.9 kgs. 29 % of babies had birth weight in the range of 3-3.5 kgs. There was a significant association (p value < 0.05) between the socioeconomic status of the mother, parity and her calorie intake. The present study found a statistically significant association between the maternal nutritional status, the birth weight of the baby and the need for NICU admission (p value < 0.05). Conclusion: Maternal food habits have an impact on the pregnancy outcome. Maternal food habits are influenced by many factors like socioeconomic status, parity, social food taboos and pregnancy itself. The pregnancy outcomes like birth weight, need for NICU admission and postnatal complications are influenced by maternal nutritional status.

scholarly journals Sonographic estimation of foetal weight versus actual birth weight at term

2021 ◽  
Vol 10 (5) ◽  
pp. 1782
Author(s):  
Akinshola A. Ero-Phillips ◽  
Faosat O. Jinadu ◽  
Abimbola T. Ottun ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Predictive Value ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Percentage Error ◽  
State University ◽  
Singleton Pregnancy ◽  
Cross Sectional ◽  
Delivery Accuracy

Background: Estimated foetal weight is very critical to decision making in the management of pregnant women. It is therefore important to evaluate the accuracy of ultrasound estimated foetal weight (USEFW) at term in our environment. We compared ultrasound estimated foetal weight at term with the actual foetal birth weight at delivery.Methods: This was a prospective, comparative cross-sectional study at the Lagos State University Teaching Hospital over a 6-month period. Four hundred and five pregnant women with normal singleton pregnancy, who had sonographic estimation of foetal weight at term, using the Hadlock IV formula, were followed up and had their actual birth weight (ABW) determined at delivery. Accuracy was determined by proportion of estimates within 10% of actual birth weight and mean absolute percentage error (MAPE). The p<0.05 was considered significant at 95% confidence interval.Results: The prevalence of macrosomia was 10.3%. At 10% margin of error, ultrasound accurately estimated the weights of 73.3% of babies. The mean USEFW was 3559.89±316.9g and mean ABW was 3477.42±422.9g with a mean difference of 82.44g (p<0.001) and MAPE of 7.11. There was positive correlation (r=0.669) between the EFW and ABW (p<0.001). The USEFW had a sensitivity of 66.7%, specificity of 91.5%, positive predictive value of 47.5% and negative predictive value of 96.0% in predicting macrosomia.Conclusions: Ultrasound estimation of foetal weight at term is reliably accurate in predicting actual birth weight in south-western Nigeria. 

scholarly journals Pregnancy Profile and Perinatal outcome in Gestational Diabetes Mellitus: A Hospital Based Study’

2016 ◽  
Vol 33 (2) ◽  
pp. 79-85
Author(s):  
Fahmida Naz Mustafa
Keyword(s):  
Blood Glucose ◽  
Birth Weight ◽  
Pregnant Women ◽  
Analytical Study ◽  
First Trimester ◽  
Oral Glucose ◽  
Third Trimester ◽  
Gestational Period ◽  
Gestational Week ◽  
The Mean

Objective: The objective of the study was to measure the proportion of GDM in antenatal outdoor of a hospital, to find out the mean gestational period at which most delivery occurred in GDM and to assess the perinatal outcome.Study design : It was a prospective analytical study conducted in BSMMU, from March,2010 to February,2011.Method: 1489 pregnant women, not known to be diabetic previously, were selected by consecutive sampling in first trimester from Obstetrics outdoor, BSMMU. Their FBS and blood glucose 2hrs after 75gm oral glucose were recorded. We investigated blood glucose in first, second and third trimester in the same pregnant women for screening GDM. Cut off GDM values in fasting stage was e” 6.1mmol/l and 2 hrs after 75gm oral glucose was e” 7.8mmol/l .Result: The proportion of GDM in Obstetrics Outdoor of BSMMU was 6.85%. The mean gestational period at which delivery occurred was lower in GDM ( 36.9 ± 2.2 wks ) than that in non-GDM (39 ± 1.6 wks ) .The most common (31.4%) gestational week during delivery in GDM was 37 completed weeks. Birth weight of 40.2% babies were in the range of 2.5kg to 3.0kg, 31.4% in the range of 3.1 to 3.5 kg and 1% neonate died after birth in GDM.Conclusion: Presently GDM is diagnosed early. The mean gestational period at delivery in GDM is 36.9±2.2 wks. Majority neonatal birth weight is of normal range. Neonatal mortality rate is not increased and is not significantly different from non-GDM women.J Bangladesh Coll Phys Surg 2015; 33(2): 79-85

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