Effect of maternal anthropometry and metabolic parameters on fetal growth (original) (raw)

Correlation of Maternal Anthropometry with Intrauterine Growth Restricted Neonates' Birth Weight

Objectives: To determine the correlation between weight, height and body mass index (BMI) of the mothers with their term intra-uterine growth restricted (IUGR) neonates' birth weight. Material and methods: An observational, cross sectional study was conducted involving 322 term IUGR neonates and their mothers, and was compared with 336 term appropriate for gestational age (AGA) neonates matched for that gestational age, and their mothers over a period of one year. The anthropometric measurement was done on birth weight, length, head circumference, ponderal index of neonates, and height and BMI of mothers. The maternal weight was obtained from antenatal cards. Results: Majority (72.04%) of the mothers having IUGR neonates were primi-gravida, 63.04% were of poor economic status. Mean age, weight, height and BMI of the mothers of IUGR neonates were 20.2±0.8 years, 49.1±2.3 kg, 144.1±37.2 cm, and 17.6±2.1 kg/m 2 , respectively. These parameters for the mothers of AGA neonates were 22.3±2.5 years, 54.3±2.7 kg, 155.2±42.1 cm, and 19.2±2.3 kg/m 2 , respectively. Comparison of these maternal parameters between both the groups showed a significantly higher value in the second group (p< 0.01 in all cases). Maternal weight, height and BMI showed a strong negative correlation {Pearson's correlation coefficient of-0.53,-0.76, and-0.42 respectively; adjusted odds ratio (95% CI) of 0.72 (0.54-0.91), 0.40 (0.28-0.52) and 0.76 (0.54-0.96), respectively with the neonates' birth weight, but maternal age did not {Pearson's correlation coefficient of-0.32, adjusted odds ratio (95% CI) of 0.89 (0.10-1.55)}. Conclusion: There are lesser chances of development of IUGR neonates with increase in maternal weight, height and BMI.

Variations in Gestational Anthropometric Parameters of Pregnant Subjects and their Predictive Values of the Birth Weight of the Neonate

Global Journal of Medical Research, 2020

Background: Birth weight is an important determinant of an infant's well-being as low or large birth weight are associated with morbidities or mortality during pregnancy and later in life. Maternal anthropometry is a potential veritable tool in evaluation of pregnancy status and prediction of birth weight. Aim: This study was designed to determine the predictive values of the gestational variations of some anthropometric parameters in booked pregnant subjects at the antenatal clinic of Alex Ekwueme Federal University Teaching Hospital, Abakaliki andin which trimester these anthropometric parameters (weight, height, BMI, BSA) correlates better with the birth weight of a neonate. Abstract-Background: Birth weight is an important determinant of an infant's well-being as low or large birth weight are associated with morbidities or mortality during pregnancy and later in life. Maternal anthropometry is a potential veritable tool in evaluation of pregnancy status and prediction of birth weight.

Anthropometric Parameters in Infants of Gestational Diabetic Women With Strict Glycemic Control

Obstetrics & Gynecology, 2004

The aim: This study is to compare the anthropometric parameters in newborn infants from Gestational Diabetic (GDM) women and Diabetes Mellitus (DM). Methodology: The present study is retrospective. 110 women and their babies were included in this study. 38 women (34.5%) had Diabetes Mellitus and 72 women (65.5%) Gestational Diabetes. GDM was diagnosed by Oral Glucose Tolerance Test. Anthropometric parameters of infants were recorded in two groups within 24 of delivery. All women were primipare deliveries with self-monitoring of very good glycemia level. Low pre-pregnancy HbA1C and normal levels during pregnancy. Only three women underwent vaginal delivery. Anthropometric measures were conducted in mothers and their infants. Results: Actual BMI of DG monthers is essentialy higher compared to BMI. BMI of infants of DM mothers is strongly and significantly connected to the infant's head, thorax, and abdomen perimeter, whereas in infants of DG mothers this is not noticed. Naturally, the head perimeter is positively, strongly and significantly linked to the thorax and abdomen perimeter for both DM and DG infants. Current and initial BMIs of DM and DG mothers are loosely and insignificantly connected to infants' perimeters (all anthropometric measures).

MATERNAL ANTHROPOMETRY AND ITS RELATIONSHIP WITH BIRTH WEIGHT OF NEONATES

Anthropometric indicators may be reflective of past e vents, pre dictive of future e vents, or indicative of current nutritional status. To determine the relationship between maternal anthropometric measurements and birth weight of ne w born, 215 pre gnant women in the last trimester were selected from Government Hospitals of Nagpur City. A structured questionnaire was de ve lope d which consisted of questions related to demographic and socioeconomic profile and anthropometric measurements. Inte rview cum questionnaire method was used for eliciting information. The maternal anthropometry viz., height, weight and mid arm circumfe rence were recorded as per standard me thods. The birth weight was taken from the hospital records. The results of the study showed that the maternal anthropometric measurements of mothers viz., height (r = 0.232, p < 0.01), pre-pregnancy weight (r = 0.342, p < 0.01), last trimester weight (r = 0.454 , p < 0.01), gain in weight (r = 0.427 , p < 0.01), mid upper arm circumference (r = 0.471 , p < 0.01) and Body Mass Index (r = 0.246, p < 0.01) had positi ve and significant correlations with birth we ight of infants.

Anthropometric measurements of a neonate vis-a-vis maternal nutritional status

International Journal of Contemporary Pediatrics, 2018

Background: The incidence of low birth weight i.e. <2500gm babies in India is 30-40% as compared to 7.5% in the developed world. The objective of this study was to find correlation between neonatal anthropometric indices and maternal nutritional status.Methods:Out of one thousand twelve live births during the study period 529 newborns which were fulfilling the required criteria were enrolled in the study. All the enrolled newborns were assessed for weight, length, OFC, MAC, MAC/OFC and Ponderal index. Maternal nutritional status was assessed by maternal weight, maternal height and BMI. Maternal data also comprised of demographic and social factors viz. maternal age, socioeconomic status, dietary habits, maternal education, occupation, parity, residence, altitude and antenatal care. The correlation between neonatal anthropometric indices and maternal nutritional status was studied using appropriate statistical methods.Results: The study population had mean maternal weight 50.0593±...

CORRELATIONS BETWEEN MATERNAL ANTHROPOMETRY AND BIRTH WEIGHT OF NEWBORNS

Mukt Shabd Journal UGC CARE GROUP-I JOURNAL, 2020

Maternal nutritional status is closely associated with birth weight of the newborn and prenatal morbidity and mortality. To determine the correlation between maternal anthropometric measurements and birth weight of new born, 285 pregnant women in the last trimester were selected from private hospitals of Nagpur City. A structured questionnaire was developed which consisted of questions related to demographic and socioeconomic profile and anthropometric measurements. Interview cum questionnaire method was used for eliciting information. The maternal anthropometry viz., height, weight and mid arm circumference were recorded as per standard methods. The birth weight was taken from the hospital records. The results of the study showed that the mean height, weight, mid upper arm circumference and BMI of the pregnant women were, 157.01  4.04 cm, 60.21  6.98 kg, 23.93  2.06 cm and 20.58  2.37 kg/ m 2 respectively. The maternal anthropometric measurements of mothers viz., height (r = 0.146, p < 0.05), pre-pregnancy weight (r = 0.285, p < 0.01), last trimester weight (r = 0.391, p < 0.01), gain in weight (r = 0.488, p < 0.01), mid upper arm circumference (r = 0.342, p < 0.01) and Body Mass Index (r = 0.249, p < 0.01) had positive and significant correlations with birth weight of infants.

Observational study of maternal anthropometry and fetal insulin

Archives of Disease in Childhood - Fetal and Neonatal Edition, 1999

Aims-To examine the relation between maternal body fat and fetal metabolism. Methods-In this observational study, cord blood samples were collected from 60 infants of healthy women for the measurement of insulin and C peptide concentrations. Maternal weight, height, body mass index (BMI) and body composition (skinfold thickness measurements and bioelectrical impedance) were assessed at 13-15 weeks of gestation. Twenty five of the volunteers agreed to have a 75 g oral glucose tolerance test at 28-31 weeks of gestation. Results-Positive correlations were observed with both cord insulin or C peptide concentrations and maternal early pregnancy BMI (r=0.44, p=0.002 and r=0.33, p=0.008, respectively). There was no significant correlation between cord insulin or C peptide concentrations and birthweight or birth weight centiles. Conclusion-Maternal BMI could be a predictor of fetal cord insulin concentration. (Arch Dis Child Fetal Neonatal Ed 1999;81:F122-F124)

Antenatal predictors and body composition of large-for-gestational-age newborns: perinatal health outcomes

Journal of perinatology : official journal of the California Perinatal Association, 2014

To compare body composition of large-for-gestational-age (LGA) with appropriate-for-gestational-age (AGA) newborns and to identify antenatal predictors of LGA. This cross-sectional study included 536 term, singleton infants. Anthropometric measurements were performed within 48 h of birth and included determination of body fat percentage (%BF) by air displacement plethysmography. Associations were investigated using logistic regression. LGA infants had greater %BF (P<0.001) compared with AGA infants. Significant predictors of LGA infants included parity (odds ratio (OR)=1.98, (95% confidence interval (CI) 1.00, 4.02)), paternal height (OR=1.08, (95% CI 1.03, 1.14)), maternal pregravid weight (65 to 74.9 kg: OR=2.77, (95% CI 1.14, 7.06)) and gestational weight gain (OR=1.09, 95% CI (1.03, 1.16)). Gestational diabetes mellitus was not associated with LGA infants (P=0.598). Paternal height, parity, maternal pregravid weight and gestational weight gain were strongly associated with LG...

A Case Control Study to Elucidate the Effects of Maternal Anthropometric Characteristics and Other Factors on Birth Weight of Newborn

2018

Results: The proportion of low birth weight was 27.73%. Maternal age of more than 30 years (odds ratio 1.98; χ2=3.86, P=0.04), gestational age at the time of birth (OR 4.37; χ2=44.21, P=0.000) occupation of mother (OR 1.69, χ2=4.54, P=0.03) maternal height <145 cm (OR 2.74, χ2=17.97, P= 0.000), maternal weight <45 kg (OR 1.90, X2 =8.19, P= 0.004) and complications during pregnancy (OR 1.78 χ2=6.55, P =0.01) have a significant association with LBW infant.

Impact of maternal body mass index on neonate birthweight and body composition

American Journal of Obstetrics and Gynecology, 2008

The purpose of this study was to compare bodyweight and composition (percent fat, fat mass, and fat-free mass) in neonates born to mothers with a normal pregravid body mass index (BMI; Ͻ 25 kg/m 2 ) vs neonates born to mothers with an overweight/obese pregravid BMI (Ն 25 kg/m 2 ). STUDY DESIGN: Seventy-two neonates (33 from normal mothers and 39 from overweight/obese mothers) of singleton pregnancies with normal glucose tolerance had their bodyweight and body composition assessed by air-displacement plethysmography.