Size at Birth of Infants in a Saudi Maternity Hospital

Serenius, Fredrik; Edressee, A. W.; Swailem, A. R.

doi:10.1111/j.1651-2227.1988.tb10870.x

Cited by 4 publications

(5 citation statements)

References 20 publications

(29 reference statements)

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“…None of the women were treated with trimethadone which is also associated with intra-uterine growth retardation 5 . The higher proportion of babies with intra-uterine growth retardation born by epileptic mothers was the only feature that appeared different from the data on the historical controls in earlier studies [7][8][9] . However, the difference was not statistically significant.…”

Section: Discussioncontrasting

confidence: 82%

“…The commonest neonatal problem was: intra-uterine growth retardation or low birth weight which was associated with prematurity, pre-eclamptic toxaemia, congenital malformations, maternal old age and polytherapy. Maternal age in Saudis of more than 35 years was associated with a doubled increase in the risk of low birth weight compared with Swedish mothers in another study 9 . Intra-uterine growth retardation and developmental delay are well-documented as minor anomalies associated with the use of phenytoin, carbamazepine and phenobarbital 5 .…”

Section: Discussionmentioning

confidence: 84%

“…We tested for association between pregnancy outcome and the following: maternal age, duration of epilepsy, mode of therapy using cross-tabulations, determination of the odds ratio and chi-squared test statistics. We compared the anthropometric measurements of the babies with those from published literature on Saudi birth weights (historical controls) [7][8][9] . Birth weights less than 2.5 kg were regarded as low birth-weight infants 7 .…”

Section: Discussionmentioning

confidence: 99%

“…The high standard of living, absence of smoking, absence of hard physical work during pregnancies and adequate energy reserves at confinement are some of the factors which have been reported to account for the documented favourable outcome of pregnancies in Saudi mothers [7][8][9][10] . In addition, hospital care is free, so patients have access to drugs and investigations deemed necessary.…”

Section: Discussionmentioning

confidence: 99%

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Outcome of pregnancies in epileptic women: a study in Saudi Arabia

Mrcp

Mrcog

1999

Seizure

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We studied the outcome of 79 pregnancies in 44 Saudi women who had epilepsy. Their mean age was 28+/-6.5 years and the number of pregnancies studied varied from one to six. Nineteen subjects had generalized seizures, 16 had partial seizures and nine were unclassified. The commonest drug prescribed was carbamazepine and the majority of the women (61%) were on monotherapy. The seizures were controlled in 53 pregnancies (67%). Spontaneous vertex deliveries were the commonest. The indications for intervention by lower segment Caesarean section, forceps or ventouse were foetal distress, pre-eclamptic toxaemia (PET), eclampsia, breech presentation and prolonged labour. The most frequent adverse outcome in the babies was low birth weight (<2.5 kg) in nine pregnancies. The frequency of congenital malformation was 2.5%. Low birth weight was associated with prematurity, PET, congenital malformation and polytherapy. Avoidance of polytherapy appears to be the most feasible intervention in reducing the frequency of low birth-weight children by epileptic mothers.

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Outcome of pregnancies in epileptic women: a study in Saudi Arabia

Mrcp

Mrcog

1999

Seizure

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“…The naked infant was weighed to the nearest 10 g within one hour of birth on a Seca infant scale. Details have been discussed elsewhere (4).…”

Section: Methodsmentioning

confidence: 99%

Causes of Perinatal Death at a Saudi Maternity Hospital

et al. 1988

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ABSTRACT. The time, cause and avoidahility of perinatal deaths were analyzed in infants who were delivered in the main Maternity hospital in Riyadh and who represented a large proportion of all births in the city. The crude perinatal mortality rate was 39.8 per 1000 births. Of all deaths 53 percent occurred either intrapartum or within 24 hours of birth. The mortality rate in this time period was 9 times higher, and the intrapartum mortality rate 16 times higher than the corresponding Swedish rates. The causes of death were classified according to Wigglesworth. Of all deaths, 37 percent were due to asphyxial conditions in labor, 32 percent to conditions associated with preterm birth, and 17 percent to malformations. The perinatal mortality rates caused by asphyxia, preterm birth and malformations were 14.7, 12.6 and 6.7 per 1000 births, respectively. 75 percent of infants who died from asphyxia were born at term, and nearly half of the preterm deaths were associated with severe asphyxia at birth. Avoidable factors were found in 74 percent of the deaths. The high rate of asphyxia indicated deficiences in the obstetric management and a high priority should be given to the strengthening of the obstetric service.

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Influence of maternal nutritional status on mode of delivery and asphyxia neonatorum

et al. 1992

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To assess the influence of maternal malnutrition on the mode of delivery and asphyxia neonatorum, a cross sectional survey of 615 women in the age group of 20-28 yrs at the time of delivery was done. Women with chronic ailments and complicated pregnancies were excluded. The mothers were then classified into three groups based on Weight Height Product Index (WHPI) namely well nourished (WN), moderately malnourished (MMN) and severely malnourished (SMN). The proportion of asphyxiated babies among the three groups did not differ (P greater than 0.05). Abnormal deliveries like caesarean section were more common among SMN group compared to WN group ((P less than 0.01). No such difference was made out between MMN and WN groups (P greater than 0.05).

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Size at Birth of Infants in a Saudi Maternity Hospital

Cited by 4 publications

References 20 publications

Outcome of pregnancies in epileptic women: a study in Saudi Arabia

Outcome of pregnancies in epileptic women: a study in Saudi Arabia

Causes of Perinatal Death at a Saudi Maternity Hospital

Influence of maternal nutritional status on mode of delivery and asphyxia neonatorum

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