Maternal Anthropometry and Intrauterine Growth Retardation (IUGR) - A Hospital Based Study (original) (raw)
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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.
medRxiv (Cold Spring Harbor Laboratory), 2023
Background: Poor foetal growth and subsequent low birth weight are associated with an increased risk for disease later in life. Identifying parental factors that determine foetal growth are important to curbing intergenerational malnutrition, especially among disadvantaged populations in the global south where undernutrition rates are high. The objective of this study was to assess the relationships between parental biometry, intrauterine growth and neonatal outcomes, while factoring in socioeconomic status of historically disadvantaged households in rural India Material and Methods: Using data from the prospective longitudinal cohort, pregnant women from rural Pune, India (n = 134) were assessed between August 2020 and November 2022. Data on socio-demography, ultrasound measurements, parental and foetal anthropometry were collected. Multiple linear regression models were run to predict determinants of foetal intrauterine and neonatal growth (p value<0.05). The dependent variables were ultrasound measurements and neonatal biometry, and independent variables were gestational weight gain, parental and midparental height. Results: Mean(±SD) maternal age, maternal height, paternal height and mid-parental height were 22.8±3.7 years, 153.6±5.5cm, 165.9±6.5cm and 159.1±8.7cm, respectively. Pre-pregnancy body mass index and gestational weight gain was 20.5±4.0 kg/m 2 and 9.8±3.7kg respectively. Midparental height and gestational weight gain were strongly correlated with neonatal growth and foetal intrauterine growth (p<0.05); however, the correlation peaked at 28 weeks of gestation(p<0.05). Gestational weight gain (B=28.7, p=0.00) and mid-parental height (B=14.3, p=0.00) were identified as strong determinants of foetal-intrauterine growth and neonatal. CC-BY 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.
Early Human Development, 1984
In a prospective clinical study from an unselected, area-based population, the influence on birthweight for gestational age of different factors was studied, with special respect to 15 risk factors for intrauterine growth retardation (IUGR) recognizable in early pregnancy. In the multiple regression analyses performed, birthweight for gestational age was used as the dependent variable. Only 10% of the variance in birthweight for gestational age could be explained. A correlation was found between the number of risk factors and birthweight for gestational age. Four risk factors had a significant negative influence on birthweight for gestational age: smoking, previous birth of a low birthweight infant, a low prepregnancy weight and addiction. No single risk factor influenced birthweight for gestational age as much as parity. When a risk factor was present the expected increase in birthweight for gestational age with increasing parity did not appear. human; birthweight for gestational age; risk factors; intrauterine growth retardation; multiple regression analyses
Background: Low pre-pregnancy BMI is considered a marker for minimal nutrient reserves, fetal growth restriction and adverse pregnancy outcome. This study was conducted to evaluate the influence of pre pregnancy BMI on fetal growth parameters. Methods: A hospital based, cross-sectional, observational study was conducted among pregnant women seeking antenatal care at Kasturba Hospital, Sewagram, a rural institute in central India. Maternal pre-pregnancy BMI was calculated and correlated with new born birth weight, birth length, chest circumference, head circumference, arm circumference and ponderal index. Results: Among 500 pregnant women of first trimester, the maternal mean Pre-pregnancy weight, height and Pre-pregnancy BMI were 47 ± 5.77 kg, 154.43 ± 5.39 cm and 19.78 ± 2.56 kg/m 2 respectively. The mean Pre-pregnancy
JAMA pediatrics, 2015
Stunting (short length for age) and wasting (low body mass index [BMI] for age) are widely used to assess child nutrition. In contrast, newborns tend to be assessed solely based on their weight. To use recent international standards for newborn size by gestational age to assess how stunted and wasted newborns differ in terms of risk factors and prognoses. A cross-sectional study with follow-up until hospital discharge was conducted at urban sites in Brazil, China, India, Italy, Kenya, Oman, England, and the United States that are participating in the INTERGROWTH-21st Project. The study was conducted from April 27, 2009, to March 2, 2014, and the final dataset for analyses was locked on March 19, 2014. Sociodemographic and behavioral maternal risk factors, previous pregnancy history, and maternal and fetal conditions during pregnancy were investigated as risk factors for stunting and wasting. Anthropometry at birth was used to predict for neonatal prognosis. Newborn stunting and wast...
Early Human Development, 2013
Maternal nutritional status is one of the most important factors of fetal growth and development. Consequently, the currently increasing prevalence of underweight women worldwide has come in the focus of interest of perinatal medicine. The aim of the study was to assess the effect of low pre-pregnancy body mass index (BMI) on fetal growth. Materials and methods: Data on 4678 pregnant women and their neonates were retrospectively analyzed. Pre-pregnancy BMI of study women was categorized according to the WHO standards. Fetal growth was assessed by birth weight and birth length, birth weight for gestational age, and ponderal index. Results: Study group included 351 (7.6%) women with pregestational BMI b 18.5 kg/m 2 , while all women with pregestational BMI 18.5-25 kg/m 2 (n = 3688; 78.8%) served as a control group. The mean birth weight and birth length of neonates born to underweight mothers were by 167 g and 0.8 cm lower in comparison with the neonates born to mothers of normal nutritional status, respectively (P b 0.001 both). The prevalence of small for gestational age (SGA) births was twofold that found in the control group of mothers of normal nutritional status (9.7% vs. 4.9%; P b 0.001). The inappropriately low gestational weight gain additionally increased the rate of SGA infants in the group of mothers with low pre-pregnancy BMI (21.4% vs. 10.4%; P = 0.02). Pre-pregnancy BMI category did not influence neonatal growth symmetry. Conclusion: Low maternal pregestational BMI is associated with fetal growth assessment. Improvement of the maternal nutritional status before pregnancy can increase the likelihood of perinatal outcome.
Low birth weight at term: relationship with maternal anthropometry
JNMA; journal of the Nepal Medical Association, 2007
The objective of this study was to determine the relationship of maternal anthropometry with low birth weight at term. This study was conducted at the Maternity Hospital, Thapathali, from 6th December 2004 to 30th January 2005. It was a prospective, hospital based, comparative study, carried out in 308 women who had delivered singleton live babies at term. The study population was divided into two groups based on baby's weight. During the study period, 154 women, who had delivered term low birth weight (LBW) babies (<2500gm), were taken as cases. For each case, a comparative case (matching in age and parity) who had delivered normal birth weight (NBW) baby (2500gm) was selected and served as control. Maternal anthropometric measurements were compared between the two groups. The variables studied were post-delivery maternal weight, height, body mass index (BMI) and mid upper arm circumference (MUAC). The incidence of low birth weight during the study period was 12.76% (329 of ...
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.
Maternal Predictors of Intrauterine Growth Retardation
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2018
To identify maternal factors associated with intrauterine growth restriction (IUGR). A case-control study. Neonatal Unit of The Aga Khan Hospital for Women (AKHW), Karimabad, from January 2014 to December 2015. Cases were IUGR live born babies (n=90), while control were appropriate-for-gestational age (AGA) babies (n=180). Information recorded in pre-designed proforma included gestational age and birth weight of baby, demographics of mothers, pregnancy related medical and obstetric complications. Data were analysed through SPSS-19. Multivariable logistic regression was used to determine the maternal factors associated with the intrauterine growth restriction. Maternal factors associated with IUGR after adjusting for confounders in the multivariable model included younger age (OR=0.9, CI=0.8-0.9), poor gestational weight gain (OR=3.0, CI=1.6-6.1) and history of previous abortion (OR=3.06, CI=1.1-8.0). Significant interaction was found between pregnancy-induced hypertension (PIH) and ...
Scholars Journal of Applied Medical Sciences
Original Research Article Objective: To evaluate maternal sociodemographic and clinical characteristics associated with intrauterine growth restricted infants. Methods: This case control study was conducted at BSMMU, Dhaka from August 2015 to July 2016, where 98 newborns in the NICU during study period were the study population. All the IUGR babies were labeled as case (Group-A), n=49 and the babies of the same gestational age were labeled as control (Group-B),n=49.After taking consent from parents/Guardians, particulars of the neonates, antenatal, natal and postnatal history were recorded in a data collection form. The sociodemographic and clinical characteristics were identified by taking face to face interview of mother regarding prenatal period. Data were analyzed by statistical package for social sciences (SPSS) version 20. Risk factors were analyzed to calculate the odds ratio. Then risk factors were analyzed with chi square test to find out significant risk factors. P values less than 0.05 (95% CI) were considered statistically significant. Result: During the study, maternal weight (p=<0.001), height (p=<0.001), socioeconomic status of mother (p=0.001), ANC visit (p=<0.001), Inter pregnancy Interval (p=0.04) were found statistically significant. Placental insufficiency (p=0.001) and Pregnancy Induced hypertension (p=0.001) were significantly associated with IUGR. Conclusion: From our result, we can conclude that, maternal weight, height, inter pregnancy interval, socioeconomic status, Pregnancy induced hypertension, placental insufficiency, and less ANC visit were contributing factor for IUGR babies.