A longitudinal study to determine association of various maternal factors with neonatal birth weight at a tertiary care hospital

Abstract

BMI Gestational weight gain Birth weightFood frequency questionnaire a b s t r a c t Background: Neonatal birth weight is a powerful predictor of infant growth and survival and maternal factors like poor knowledge and insufficient dietary intake are significant risk factors. Other preventable determinants like pre pregnant BMI <18.5, low gestational weight gain (GWG) and anemia are also associated with low birth weight. This study was carried out to identify the impact of these maternal factors with risk of low birth weight (LBW). Methods: A longitudinal study was carried out on 124 booked antenatal cases at a tertiary care center. A validated protocol containing socio demography, food frequency and anthropometry was administered at the 3rd trimester. Birth weight of the newborn was noted after delivery. Results: 26.28% children had low birth weight (<2500 g), 14.6% mothers were thin (BMI < 18.5), 55.3% mothers had a weight gain of less than 9 kgs and 45.5% were anemic.81.81% mothers with BMI >18.5 and 28.92% women who were educated till high school had a baby with LBW. Most mothers consumed milk and vegetables daily and a few consumed non vegetarian foods but quality and quantity of food were grossly inadequate. GWG levels and Hb levels were significantly different in different birth weight groups and also were significantly associated with low birth weight. Conclusion: Quality and quantity of maternal dietary intake during pregnancy, even in normal weight mothers (BMI > 18.5), are important determinants of birth weight. Nutritional counseling for mothers during the antenatal period is the cornerstone for healthy mother and healthy child.© 2015, Armed Forces Medical Services (AFMS). All rights reserved. m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 1 ( 2 0 1 5 ) 2 7 0 e2 7 3http://dx

Survey of the Relationship Between Mother’s Chronic Diseases and Low Birth Weight in Infants, Ahvaz, South of Iran, 2014

“…In addition, acute pyelonephritis has been associated with anemia. The spacing pregnancies between the current birth and the previous birth, the use of iron supplements and Folic Acid in line with the studies of Gebremedhin et al (14) and Feresu et al (9) and Misra et al (6), weight gain during pregnancy and gestational age in line with the results of Demelash et al (8) and Misra et al (6), record of LBW infants in line with Feresu et al (9), are also influential. In this study, the probability of low birth weight with maternal anemia record was 5 times more, for the increase of each level it increased to about 1.5 times more, in infants with spacing pregnancies under 3 years it increased to about 18 times more, in the cesarean delivery it was more than 2 times more, in twin delivery it was approximately 98 times more, and in preterm deliveries compared to fullterm deliveries it was 438 times more.…”

“…Babies born with LBW are more likely to have health problems and slower development from immediately after birth to later in life (5). They suffer from extremely high rates of morbidity and mortality from infectious diseases and underweight, and stunting or wasting beginning in the neonatal period and lasting through childhood (6). LBW is a multi-causal phenomenon that economic, social, and cultural factors contribute to its development, but the factors associated with the mother and the baby are the most important ones (4).…”

Thyroidisation of breast – An intriguing entity

“…This entity is composed of cystically dilated ducts of various sizes lined by flat to columnar, orderly bland epithelial cells enclosing colloid-like material. 1 A 28 year old female patient reported to surgical OPD with complaints of lump in the left breast since 6 months. On examination the lump was 3 Â 3 cm in size, in the outer lower quadrant, firm, mobile and non-tender.…”

“…Treatment involves wide local excision. 1 It is important to differentiate cystic hypersecretory hyperplasia from its more worrisome spectrum of lesions i.e. Atypical cystic hypersecretory hyperplasia, cystic hypersecretory DCIS and Invasive cystic hypersecretory carcinoma.…”

“…However extensive sampling is warranted to rule out any component of DCIS or invasive carcinoma. 1 It is a relevant and ground level research work done by a young medical graduate on an issue that has impact on crores of people in a developing nation like India.…”