Association of Fetal Growth with Maternal Nutrition

Metcoff, Jack

doi:10.1007/978-1-4615-7198-8_16

Cited by 9 publications

(14 citation statements)

References 224 publications

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“…Clinical assessment of nutritional status (CAN) score Clinical assessment of nutritional status was done within 48 hours on the basis of the superficial readily detectable signs of malnutrition in the newborn as described by Metcoff J (Table 1). 5 A CAN score of <25 was used to define malnutrition.…”

Section: Neonatal Anthropometrymentioning

confidence: 99%

“…Fetal malnutrition (FM), and the term small for gestational age (SGA), and intrauterine growth retardation (IUGR) are not synonymous and one may occur without the other. [3][4][5] SGA is weight for gestational age based on population norms and some predetermined weight cut-off (-2SD, 10%).…”

Section: Introductionmentioning

confidence: 99%

“…Likewise an infant who is IUGR and/or SGA may or may not have FM. 2,4,5,8 Roherer's Ponderal index is a method used to identify at risk intrauterine growth retarded babies and which also distinguishes symmetric and asymmetric babies. Ponderal index is equal to one hundred times the birth weight in grams divided by cube of the birth length in cms.…”

Section: Introductionmentioning

confidence: 99%

“…CAN score scoring system is based on nine superficial detectable signs of malnutrition in the newborn as described by Metcoff J in which a score of ≤25 is used to define malnutrition. 5 CAN score scoring system helps to classify babies based on nutritional status, as malnourished or well-nourished babies, so that malnourished babies can be given special care.…”

Section: Introductionmentioning

confidence: 99%

“…Differentiation of malnourished neonates from adequately nourished neonates, whether AGA or SGA, provided the basis for utility of CAN score. 5 In the present study, by using CAN score as the gold standard for assessing nutritional status at birth, the sensitivity and specificity of other commonly used methods like weight for gestational age at birth, Ponderal index and MAC/HC (Kanawati index) for assessment of nutritional status at birth were calculated. In the present study, out of 250 babies, based on CAN score, scoring system 171 (68.4%) babies were malnourished (CAN score <25) and 79 (31.6%) babies were well nourished (CAN score>25).…”

mentioning

confidence: 99%

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Comparison of clinical assessment of nutritional status (CAN) score with other methods in the assessment of fetal malnutrition

Amarendra¹,

Yoganand²

2017

Int J Contemp Pediatr

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Background: Assessment of nutritional status of new born has been a major concern to many clinicians because of the potentially serious sequelae of malnutrition on multiple organ system and future health. Various methods have been used to identify malnourished babies as early as possible. The objective of the study was to assess the nutritional status of new born at birth using CAN score and to compare the utility of CAN score with other commonly used measures for defining nutritional status of new borns like weight for gestational age, Ponderal index and Kanawati index. Methods:The present study is a hospital based cross sectional study consisting of 250 singleton full term with no major congenital malformations. Clinical assessment of nutritional status was done on the basis of CAN score and compared with other methods like weight for gestational age, Ponderal index and Kanawati index. Results: Out of 250 babies, CAN score detected 171 (68.4%) babies as malnourished, weight for gestational age at birth detected 150 (60%) babies as AGA and 100 (40%) babies as SGA. Based on Ponderal index and Kanawati index, 154 (61.6%) babies and 140 (56%) babies were malnourished respectively. Using CAN score as the gold standard for identifying fetal malnutrition, the sensitivity and specificity of weight for gestational age at birth were 51% and 21.5%, the sensitivity and specificity of Ponderal index were 69.5% and 55.6% and the sensitivity and specificity of MAC/HC (Kanawati index) were 77.7% and 91.1%. Conclusions: CAN score is a simple, systemic method of identifying fetal malnutrition. This method does not require any sophisticated equipments or laborious calculations and is a good indicator in comparison with other methods of determining fetal malnutrition.

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Section: Neonatal Anthropometrymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Comparison of clinical assessment of nutritional status (CAN) score with other methods in the assessment of fetal malnutrition

Amarendra¹,

Yoganand²

2017

Int J Contemp Pediatr

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Optimal foetal growth in the reduction of learning and behaviour disorder and prevention of sudden infant death (SIDS) after the first month

Saugstad

1997

International Journal of Psychophysiology

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Longitudinal vitamin and homocysteine levels in normal pregnancy

et al. 2001

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Evidence of the impact of maternal nutritional status on pregnancy outcome is increasing. However, reference values for vitamin and homocysteine concentrations in maternal blood during normal pregnancy are scarce, and are lacking for the preconceptional period and early pregnancy. Thus, in a longitudinal study we evaluated vitamin and homocysteine concentrations in 102 nulliparous women with an uneventful singleton pregnancy and normal outcome not using supplements. The physiological changes in vitamin and homocysteine concentrations in blood were determined from the preconceptional period throughout pregnancy until 6 weeks post-partum. The vitamins evaluated comprised retinol, thiamin, riboflavin, pyridoxal 5Hphosphate, folate in serum and erythrocytes, vitamin B 12 and a-tocopherol. The plasma homocysteine concentration was also measured, considering the essential roles of folate, vitamin B 6 and vitamin B 12 in homocysteine metabolism. The concentrations of retinol, thiamin, pyridoxal 5H -phosphate serum folate and vitamin B 12 decreased during pregnancy. In contrast, the concentrations of riboflavin, a-tocopherol, and folate in erythrocytes increased or showed only minor changes. Homocysteine concentrations also remained approximately constant during pregnancy. These observations emphasize the importance of preconceptional and post-partum concentrations of vitamins in the evaluation of pregnancy-induced changes. These data have provided valuable reference values for vitamins and homocysteine before, during and after pregnancy in order to contribute to better diagnosis of maternal deficiencies and to study further the relationship between maternal vitamin status and adverse course and outcome of pregnancy.

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Association of Fetal Growth with Maternal Nutrition

Cited by 9 publications

References 224 publications

Comparison of clinical assessment of nutritional status (CAN) score with other methods in the assessment of fetal malnutrition

Comparison of clinical assessment of nutritional status (CAN) score with other methods in the assessment of fetal malnutrition

Optimal foetal growth in the reduction of learning and behaviour disorder and prevention of sudden infant death (SIDS) after the first month

Longitudinal vitamin and homocysteine levels in normal pregnancy

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