Anthropometric surrogates to identify low birth weight Nepalese newborns: a hospital-based study

Sreeramareddy, Chandrashekhar T; Chuni, Neena; Patil, Rajkumar; Singh, Dipendra Raman; Shakya, Brishna

doi:10.1186/1471-2431-8-16

Cited by 50 publications

(46 citation statements)

References 16 publications

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“…Decrease in LBW cases in 7 years time may also indicate improvement in health status of the country, awareness in people regarding antenatal care. Yet in another study 21 carried out in same city pokhara 3 years ago (2008) out of 400 newborns only 8.5% was found to be LBW, which is much lower than our fi ndings. This diff erence may be due to the fact that their study included only term babies whereas our study has included term as well as preterm babies.…”

Section: Discussioncontrasting

confidence: 84%

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Malla

Mall

Rao

et al. 2012

J. Nepal Paedtr. Soc.

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Introduction:There is a wide variation in normal birth weight, length and head circumference of newborns. The standards formulated by Western workers may not be very reliable to this part of world because of wide variations in normal range of length, weight and head circumference in different ethnic groups. This study aims to determine the anthropometric values -birth weight, length and head circumference in Term and Preterm newborns of different ethnic groups in this region of the country and to see if this can be used as a standard for taking the anthropometric measurements. Materials and Methods: A prospective study of 600 newborns born in Manipal Teaching Hospital, Pokhara from July 2009-June 2010. A detailed anthropometric measurement (weight, length, and head circumference) of all newborns was taken on 3 rd day of life. Results: Six major Ethnic groups were noted Brahmin, Gurung, Dalit, Chettri, Magar and Newar. There were 54 % males and 46% females among which 18.16% were preterms, 20.66% small for gestation age, 81.50% term and 0.33% posterm. The mean weight, length and head circumference of term babies were 2.817±0.61 gms, 47.68±2.48 cm, 33.56±2.02 cm and for preterm babies it was 2.215± 0.41 gms, 46.36±2.39 cm, 32.23±2.03 cm respectively. There were 25% low birth weight (n=151, highest number in Brahmins-27%), 74.16% normal weight (n=445) and 0.66% over weight (n=4, all were gurungs) babies. In Term newborns weight, length and head circumference was noted to be highest in Gurungs (3.3004gms, 49.35cm, 34.72cm) and was statistically significant (p<0.000). Weight and length of Brahmins was lowest (2.578 gms, 45.49cm) and head circumference was lowest in Dalits (30.88cm, statistically significant<0.000). In case of preterms highest weight and length was seen in Magars (2.387gms, 47.90cm) but head circumference was highest in Gurungs (34.18cm) whereas weight was lowest in chettri (2.1609gms), length in Brahmin (44.61cm) and OFC in Dalits (29.92cm). These parameters were directly proportion with gestation age and was statistically significant (p<0.000). Conclusion: The present study highlights the mean weight, length and head circumference of term and preterm newborns in different ethnic groups and gestation age. These parameters were directly proportion to gestation age but were variable in different Ethnic groups. Therefore a study in larger population could give us a different standard for anthropometric measurements in Nepalese newborns.

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Section: Discussioncontrasting

confidence: 84%

Anthropometric Measurements in Different Ethnic groups of Nepalese New Borns

Malla

Mall

Rao

et al. 2012

J. Nepal Paedtr. Soc.

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“…Maternal mean weight in that study 6 was 49.4 ± 6 kg and mean BMI was 21.31 kg/m 2 where as in this study at KMCTH, mean maternal weight was 59.73 ± 8.36 kg and maternal mean BMI was 25.37 ± 3.85 kg/m 2 showing a signifi cant increase in maternal nutrition within these 20 year period. A recent study done at the same hospital in 2010 by Aryal DR et al 15 also showed increased birth weight (mean birth weight was 3023 gms), which are depicted in Table 6 showing comparison among two hospitals in birth weight at 33 weeks, 36 weeks and 40 weeks respectively.…”

Section: Discussionsupporting

confidence: 57%

“…In developing countries, low birth weight (LBW) <2500 g accounts for 60-80% of neonatal deaths 2 . Neonatal anthropometric parameters are signifi cant predictive factors of neonatal morbidity and mortality.…”

mentioning

confidence: 99%

Gestational Age Specific Anthropometric Percentile Charts Of Newborns At Kathmandu Medical College Teaching Hospital

Manandhar

2015

J. Kathmandu Med. Coll.

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Background: A gestational age specifi c birth weight, length and head circumference centile chart will help to identify intrauterine growth of a baby. Since the fi rst published gestational age specifi c anthropometric study done in Nepal by Manandhar DS et al in 1993-94, there have been signifi cant changes in socioeconomic conditions with improved health indicators. This study was done for identifying any changes in anthropometric measurements of the newborns born at Kathmandu Medical College Teaching Hospital (KMCTH). Objectives: To produce gestational age specifi c birth weight, length and head circumference centile charts of the newborn babies born at KMCTH and to calculate incidence of low birth weight (LBW) babies at KMCTH. Methods: This is a cross sectional observational study. Study was done at labour room, operation theatre, special care baby unit and postnatal wards of KMCTH. Study period was from 18 th Aug 2011 to 28 th Nov 2012 (15 months duration). Within 24 hours of birth, baby's weight, length and head circumference were measured by medical offi cers and post graduate Residents of the Paediatrics Department. Mother's weight, height and ethnicity were also recorded. Maturity of the baby was assessed by maternal history and corroborated by using modifi ed Ballard score and Obstetric USG (Ultra sonogram) fi ndings. Data were entered in excel database programme and later transferred into SPSS (Statistical package of social science) 16. Mean, standard deviation, range and percentiles values at different gestational age specifi c groups were calculated. Results: A total of 2029 live babies without gross congenital malformations were included in this study, among which 57% (1154) were male. While analyzing maturity assessment, 89.1% (1808) were term, 8.7% (176) were preterm and 2.2 % (45) babies were post term. Mean birth weight at 40 weeks of gestation was 3.10 kg with Standard Deviation (SD) of 0.4 kg, mean head circumference was 34.0 cm (SD 1.2 cm) and mean length was 49.2 cm (SD 2.2 cm). Out of 2029 babies, 16.2% (328) babies were low birth weight (LBW) and 1.4% (28) babies weighed >4 kg. Conclusion: Percentile charts of newborns will help to assess the intrauterine growth of babies. Further more studies of these percentile charts will help to produce national level percentile charts of newborns of Nepal.

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“…Studies are lacking in this particular area even though many studies are there showing correlation with birth weight. [4][5][6][7][8][9][10][11][12][13][14] We trialed the BMI cutoff points at 11, 12, 13 for the anthropometric surrogates and compared their efficacy as provided in Table 2. This was done with proof from other studies, where their mean BMI ranged from 11 to 13.…”

Section: Discussionmentioning

confidence: 99%

“…These studies showed that the Mid Arm circumference, Chest circumference and head circumference correlated well with birth weight. [4][5][6][7][8][9][10][11][12][13][14] A study done by Brock RS, charted BMI for newborns according to the gestational age and the mean BMI in term neonates were found to be 13.25±1.11. 15 It also validated BMI as a good tool for accessing nutrition.…”

Section: Introductionmentioning

confidence: 99%