scholarly journals UMBILICAL CORD BLOOD NUTRIENTS AMONG LOW BIRTH WEIGHT AND NORMAL BIRTH WEIGHT BABIES IN PRIMARY HEALTH CARE SETUP IN LUCKNOW, INDIA

2013 ◽  
Vol 1 (4) ◽  
pp. 300-303
Author(s):  
Krishna Kumar Sahu ◽  
M Z Idris ◽  
Monika Agarwal ◽  
S K Singh ◽  
Wahid Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Cord Blood ◽  
Umbilical Cord ◽  
Umbilical Cord Blood ◽  
Normal Birth Weight ◽  
Normal Birth ◽  
Primary Health

scholarly journals Iron stores at birth in a full-term normal birth weight birth cohort with a low level of inflammation

2020 ◽  
Vol 40 (12) ◽  
Author(s):  
Joy Y. Zhang ◽  
Jing Wang ◽  
Qinsheng Lu ◽  
Meizhen Tan ◽  
Ru Wei ◽  
...  
Keyword(s):  
Birth Weight ◽  
Cord Blood ◽  
Birth Cohort ◽  
Umbilical Cord ◽  
Serum Ferritin ◽  
Umbilical Cord Blood ◽  
Normal Birth Weight ◽  
Blood Samples ◽  
Iron Stores ◽  
Normal Birth

Abstract Iron stores at birth are essential to meet iron needs during the first 4–6 months of life. The present study aimed to investigate iron stores in normal birth weight, healthy, term neonates. Umbilical cord blood samples were collected from apparently normal singleton vaginal deliveries (n=854). Subjects were screened and excluded if C-reactive protein (CRP) > 5 mg/l or α1-acid glycoprotein (AGP) > 1 g/l, preterm (<37 complete weeks), term < 2500g or term > 4000g. In total, 762 samples were included in the study. Serum ferritin, soluble transferrin receptor (sTfR), hepcidin, and erythropoietin (EPO) were measured in umbilical cord blood samples; total body iron (TBI) (mg/kg) was calculated using sTfR and ferritin concentrations. A total of 19.8% newborns were iron deficient (ferritin 35 μg/l) and an additional 46.6% had insufficient iron stores (ferritin < 76 μg/l). There was a positive association between serum ferritin and sTfR, hepcidin, and EPO. Gestational age was positively associated with ferritin, sTfR, EPO, and hepcidin. In conclusion, we demonstrate a high prevalence of insufficient iron stores in a Chinese birth cohort. The value of cord sTfR and TBI in the assessment of iron status in the newborn is questionable, and reference ranges need to be established.

Antioxidant Levels in Cord Blood of Term Low Birth Weight Neonates Requiring Delivery Room Resuscitation

2021 ◽  
pp. 097321792199140
Author(s):  
Rimjhim Sonowal ◽  
Anamika Jain ◽  
V. Bhargava ◽  
H.D. Khanna ◽  
Ashok Kumar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Vitamin A ◽  
Cord Blood ◽  
Serum Levels ◽  
Study Groups ◽  
Delivery Room ◽  
Normal Birth Weight ◽  
Normal Birth ◽  
Major Congenital Malformations

Objective: The objective of this study was to evaluate the serum levels of various antioxidants, namely, vitamin A and E, superoxide dismutase (SOD), catalase, and glutathione peroxidase (GPx) in the cord blood of term low birth weight (LBW) neonates who required delivery room resuscitation (DRR). Materials and Methods: This case control study included 37 term LBW neonates who needed DRR as cases and 44 term neonates as controls (15 term LBW and 29 term normal birth weight) who did not require resuscitation at birth. Neonates suffering from major congenital malformations, infection, or hemolytic disease were excluded. Standard methods were used to measure the levels of vitamin A, vitamin E, SOD, catalase, and GPx levels in the cord blood. Results: Vitamin A and E levels were significantly low in cases compared to term LBW controls as well as term normal birth weight controls. Levels of SOD, GPx, and catalase were comparable in different study groups. Conclusion: Our study shows that term LBW neonates requiring DRR had significantly low levels of vitamin A and E in their cord blood. This might compromise their ability to tolerate oxidative stress during DRR.

scholarly journals The prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Free State ◽  
Health Clinic ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.

scholarly journals Determinan Kematian Neonatal Dini di RSUD Dr. Achmad Mochtar Bukittinggi

2007 ◽  
Vol 2 (3) ◽  
pp. 99
Author(s):  
Efriza Efriza
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Apgar Score ◽  
Neonatal Death ◽  
Health Care Facilities ◽  
Care Process ◽  
Normal Birth Weight ◽  
Early Neonatal Death ◽  
Normal Birth

Berdasarkan data SDKI 2002-2003 angka kematian neonatal di Indonesia adalah 20 per 1000 kelahiran hidup. Sebagian besar kematian neonatal terjadi pada saat neonatal dini ketika bayi berumur 0-7 hari. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang mempengaruhi kematian neonatal dinidi RSUD Dr. Achmad Mochtar Bukittinggi tahun 2001-2005. Penelitian yang dilakukan pada sumber data sekunder rekam medik ibu dan bayi ini menggunakan disain studi kasus kontrol. Sampel dihitung dengan rumus ukursan sampel minimal kasus kontrol. Kasus. adalah bayi yang lahir hidup dan meninggal pada periode neonatal dini (0-7 hari) dan kontrol adalah bayi yang lahir hidup dan bertahan hidup pada periode neonatal dini. Jumlah kasus (93i) dan kontrol (392) ditentukan dengan rasio 1:4 untuk meningkatkan power penelitian Metoda analisis yang digunakan adalah analisis regresi logistik. Hasil penelitian menunjukkan kejadian kematian neonatal dini dipengaruhi oleh umur kehamilan, nilai apgar 1 menit setelah lahir, nilai apgar 5 menit setelah lahir dan berat lahir setelah dikontrol oleh variabel komplikasi kehamilan atau persalinan, rujukan, kelas perawatan, jenis persalinan, pendidikan ibu dan paritas. Bayi berat lahir sangat rendah (<1500 gram) berisiko untuk mati pada periode neonatal dini 59 kali lebih besar daripada bayi berat lahir normal. Sedangkan bayi beratlahir rendah (<2500 gram) berisiko mati pada periode neonatal dini 6 kali lebih besar daripada bayi berat lahir normal (³ 2500 gram). Antisipasi kematian neonatal dini perlu penanganan sejak kehamilan (ANC) sampai persalinan. Kerjasama pusat pelayanan dasar dengan pusat pelayanan ditingkat atas,persalinan di rumah sakit didampingi oleh dokter anak, pengkajian alat, tenaga, standar pelayanan dan mengoperasikan NICU (Neonatal Intensif Care Unit).Kata kunci : Kematian neonatal dini, faktor risikoAbstractThe Indonesia Demographic and Health Survey (SDKI) 2002-2003 reported neonatal death rate in Indonesia of 20 per 1000 live birth. Most of the neonatal death occurred early, that is in the age of infant of 0-7 days. This study aimed at knowing factors influencing early nenonatal detah in Dr Achmad MochtarHospital Bukittinggi in the year 2001-2005. The study used medical records of mother and infant as secondary data source and was designed as a casecontrol study. Cases were infants born alive and died during the early neonatal period (0-7 days), and controls were infants born and stay alive during thatperiod. Number of cases was 93 and control was 392 subjects was calculated on 1:4 ratio to increase the study power. Analysis method used was logistic regression analysis. The results show that early neonatal death was influenced by gestational age, Apgar score 1 minute after birth, Apgar score 5 minuteafter birth and birth weight after controlled by pregnancy or delivery complication, referral, health care class, type of delivery, mother’s education, and parity variables. Infants with very low birth weight (<1500 grams) have 59 times greater risk of early neonatal death compared to those of normal birth weight. While those with low birth weight (<2500 grams) have 6 times greater risk compared to normal birth weight infants. To anticipate the occurrence of early neonatal death there is a need to intervene since pregnancy (through ANC) until delivery. There is also a need to foster the collaboration between different levels of health care facilities, delivery assistance by specialist in the hospital level, and to standardize health care process including Neonatal Intensive Care Unit (NICU) implementation.Keywords : Early neonatal death, risk factors

scholarly journals Is low birth weight a risk indicator for congenital cytomegalovirus infection?

2009 ◽  
Vol 4 (01) ◽  
pp. 044-047 ◽  
Author(s):  
Zakyieh Al-Hareth ◽  
Fawza Monem ◽  
Nagwa Abdel Megiud
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cord Blood ◽  
Umbilical Cord ◽  
Umbilical Cord Blood ◽  
Head Circumference ◽  
Cytomegalovirus Infection ◽  
Congenital Infection ◽  
Congenital Cytomegalovirus Infection ◽  
Congenital Cytomegalovirus

Background: Congenital cytomegalovirus infection is currently the leading cause of congenital infection in 0.2-2.2% of live births worldwide leading to variable serious sequalae. The aim of the study was to determine if low birth weight is an indicator of CMV congenital infection evidenced by detecting CMV-DNA in umbilical cord blood at the time of delivery. Methodology: CMV-IgG and IgM antibodies and CMV-DNAemia were assessed in umbilical cord blood of two hundreds newborns, one hundred of whom had birth weight ≤ 2700 gram and/or head circumference ≤ 32 cm. Results: CMV-IgM was not detected, while CMV-IgG was positive in 80-90% of the two hundreds tested newborns. CMV-DNA was detected in four out of the 200 newborns. One of them was over the adopted weight limit (> 2700 gram). Conclusions: CMV-IgM and IgG antibodies assessment was not a potential discriminative test to identify congenitally infected newborns. In addition, low birth weight and small head circumference at birth failed to predict congenital CMV infection. CMV-DNA detection in umbilical cord blood at the time of delivery using real-time PCR of all newborns is recommended as decisive, rapid and non-invasive test.

scholarly journals Low Birth Weight as Risk Factor of Pneumonia Child in Primary Health Care of Surabaya

2019 ◽  
Vol 10 (2) ◽  
pp. 61
Author(s):  
Vania Ayu Puspamaniar ◽  
Retno Asih Setyoningrum ◽  
Dwi Susanti
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Factor ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Center ◽  
Control Group ◽  
Mortality And Morbidity ◽  
Primary Health

Introduction: Pneumonia is an infectious disease attacking lower respiratory tract. It has one of the highest number of world’s mortality and morbidity in children. Many risk factors are suspected as the reasons why the disease still occur a lot. One of the major risk factors is birth weight which makes their immune system immature and easier to get various complications and infections. The aim of this study is to analyze birth weight as risk factor of pneumonia in children under 5 years old. Methods: This was an analytical study with case control design. This study was held in Primary Health Care of Tambakrejo, from August to December 2017. The sample size was 22 respondents for each case and control group. Technique of sampling was total sampling. Secondary data were collected by medical records at the health center and Kartu Menuju Sehat (KMS). Data were entered into Microsoft Excel then statistically analyzed using IBM SPSS 22. The data were analyzed by Fisher’s Exact Test.Results: During August to December 2017, there were 22 respondents which were diagnosed with pneumonia in Tambakrejo Primary Health Center. Two of them (4.55%) had low birth weight and the rests had normal birth weight (95.45%). The analyze result stated that there is no significant correlation between pneumonia incidence and birth weight. Conclusion: Birth weight is one of pneumonia risk factors without significant impact.

scholarly journals Physical intimate partner violence and low birth weight in newborns from primary health care units of the city of Rio de Janeiro

2016 ◽  
Vol 29 (3) ◽  
pp. 357-366 ◽  
Author(s):  
Raquel de Souza MEZZAVILLA ◽  
Maria Helena HASSELMANN
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Partner Violence ◽  
Intimate Partner ◽  
Physical Intimate Partner Violence ◽  
Primary Health ◽  
The City

ABSTRACT Objective To investigate the association between physical intimate partner violence and low birth weight. Methods This cross-sectional study included 604 children with approximately 30 days of age who visited four primary health care units in the city of Rio de Janeiro , Brazil, for the second dose of hepatitis B vaccine. Children with a birth weight below 2.500 g were considered underweight. Information regarding physical intimate partner violence was obtained by the Portuguese version of the Conflict Tactics Scale. The study investigated the 12 months prior to interview. Physical intimate partner violence was analyzed as a dichotomous variable and cumulatively. Associations between physical intimate partner violence and low birth weight were verified by logistic regression models based on crude and adjusted odds ratios and their respective 95% confidence intervals. Results Some (7.1%) babies were born underweight, and 33.6% of the mothers had been exposed to physical intimate partner violence. Physical intimate partner violence was significantly associated with low birth weight (OR=3.69; 95%CI=1.57-8.66). Notably, the odds of low birth weight increase with the severity of violence. Conclusion These findings draw attention to the consequences of physical intimate partner violence on the nutritional status of newborns and emphasize the need of greater attention during prenatal care to improve women's quality of life and to reduce the rate of low birth weight.

scholarly journals Maternal Factors Associated with Low Birth Weight Babies Delivered in Selected Primary Health Care Centres in Abuja Municipal Area Council, FCT, Nigeria

2021 ◽  
Vol 4 (3) ◽  
pp. 121-138
Author(s):  
Adeosun L.T. ◽  
Amosu A.M.
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Pregnancy Termination ◽  
Haematocrit Level ◽  
Factors Associated ◽  
Primary Health ◽  
Low Birth Weight Babies ◽  
The Mean

Introduction: Globally, low birth weight remains a public health challenge and is a major risk factor for infant mortality. Therefore, this study investigated the factors associated with low birth weight babies delivered in health facilities within Abuja, Nigeria. Methodology: Secondary data from January 2017 to December 2020 was extracted from 330 delivery records in ten (10) Primary Health Care centres to assess the determinants of low birth weight babies born in Abuja. Findings: The results showed that the mean age of mothers was 27.8 ± 5.1. Majority of the mothers (93.6%) were between 16 and 35 years of age, 93.6% were married, 67% were Christians, 23.3% had no formal education, 31.5% were housewives and 75.8% lived in rural communities. The mean birth weight of babies was 3.05 ± 0.55 kg and 20.3% of the babies had low birth weight compared to 79.7% with normal weights at birth. Maternal age, p=0.02; marital status, p=0.02; religion, p=001; occupation, p=0.001; and weight, p=0.000 were found to be significantly associated with having LBW babies. Maternal obstetric characteristics such as birth spacing, p=0.00; haematocrit level, p=0.001; pregnancy termination, p=0.001; and medical conditions, p=0.00 were also significantly associated with birth weight. Conclusion: The study reported a high prevalence of low birth weight; it also revealed the protective effects of being married on LBW. However, being a housewife significantly increased the risk for having a low birth weight baby.

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