Correlation of Nutritional Status of Mother and the Birth Weight of the Baby

Salunkhe, Avinash H.; Pratinidhi, Asha; Kakade, Satish V.; Salunkhe, Jyoti A.; Mohite, Vaishali R.; Bhosale, Trupti

doi:10.22159/ajpcr.2018.v11i8.22992

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…This has been reported by other studies and systematic reviews [ 49 , 50 ]. However, contrasting evidence has suggested beneficial effects of increased calcium intake in reducing the likelihood of LBW [ 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Adverse maternofoetal outcomes associated with ionised calcaemia, total calcaemia, albuminaemia, and calcium supplementation in pregnancy: Analysis from a resource-limited setting

et al. 2022

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Introduction Disorders of total calcium (tCa) in pregnancy have been associated with adverse maternofoetal outcomes. However, studies evaluating this from the viewpoint of ionised calcaemia are practically inexistent. This study estimates the prevalence of some adverse maternal and foetal outcomes and the potential effect of ionised calcium (iCa), tCa, albumin and calcium supplementation on some maternofoetal outcomes. Methods A cross-sectional study was conducted among 1074 pregnant women in late pregnancy from four health facilities in the Nkongsamba Health District. Data were collected by interview, analysis of maternal blood samples and measurement of maternal and foetal parameters. Total calcaemia and albuminaemia were measured by atomic absorption spectrophotometry, while iCa and pH were measured using ion-selective potentiometry. Associations were measured using the odds ratio in simple and multiple logistic regression. Results The prevalence of low birth weight, macrosomia, and hypertension in pregnancy was 6.27 [4.97–7.89]%, 4.78 [3.65–7.89]%, 10.24 [8.57–12.20]%, respectively. Following multiple logistic regression, women with iCa levels ≤ 1.31mmol/L had significantly increased odds of hypertension in pregnancy (AOR = 2.47 [1.63–3.74], p-value = 0.000), having babies with low birth weight (AOR = 2.02[1.33–3.61], p-value = 0.002), low birth length (AOR = 2.00 [1.34–2.99], p-value = 0.001), low brachial circumference (AOR = 1.41[1.10–1.81], p-value = 0.007), first minute Apgar score < 7 (AOR = 3.08[1.70–5.59], p-value = 0.000) and fifth minute Apgar score < 7 (AOR = 2.86[1.32–6.16], p-value = 0.007). Ionised calcaemia had no significant association with maternal body mass index immediately after birth and the head circumference of the baby. Total calcaemia was found to have no significant association with any of the selected outcomes, while women with total albuminaemia ≤ 30mg/L had significantly higher odds of having babies with low birth weight (AOR = 3.40[1.96–5.91], p-value = 0.000), and Apgar scores < 7 at the first (AOR = 2.07[1.16–3.70], p-value = 0.013). Calcium supplementation showed no significant association with any of the selected outcomes except for the first (OR = 0.42[0.24–0.72], p-value = 0.002) and fifth minute Apgar score (OR = 0.25[0.12–0.50], p-value = 0.000). Conclusion The prevalence of low birth weight, macrosomia, and hypertension in pregnancy was 6.27 [4.97–7.89]%, 4.78 [3.65–7.89]%, 10.24 [8.57–12.20]%, respectively. Maternal iCa levels ≤ 1.31mmol/L significantly increase the odds of having babies with low birth weight, low birth length, low brachial circumference at birth, low Apgar scores at the first and fifth minutes and maternal hypertension in pregnancy. Low maternal albuminaemia is significantly associated with low birth weight, and Apgar score < 7 at the first minute. None f the selected maternofoetal outcomes directly depend on total calcaemia, given that none of the associations was statistically significant. Even though iCa levels remain relatively normal in normal pregnancies, it remains the strongest predictor of foetal outcomes. Calcium supplementation significantly improves the Apgar scores at the first and fifth minute. Routine pregnancy follow-up should include evaluating maternal calcaemic states, particularly the ionised fraction, to detect the low-normal concentrations likely to impact maternal and foetal outcomes. Normal iCa levels for pregnant women need revisiting.

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Section: Discussionmentioning

confidence: 99%

Adverse maternofoetal outcomes associated with ionised calcaemia, total calcaemia, albuminaemia, and calcium supplementation in pregnancy: Analysis from a resource-limited setting

et al. 2022

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“…It is, therefore, necessary to set strategies that can improve nutritional status of women during pregnancy and their offspring before, during and after the birth of newborns. Thus, Oumarou et al (2019), Salunkhe et al (2018) and Sharma and Mishra, (2014) carried out work for this purpose and the results indicated that, the nutritional status of the mother before and during pregnancy determines the nutritional status of the newborn. In Côte d'Ivoire, some studies have focused on the nutritional status of women during pregnancy (Amani et al, 2018;Bléyéré et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Haematological and Biochemical Parameters of Women at Childbirth and their Newborn in Abidjan, Côte d’ Ivoire

Bleyere

Oussou

Amani

et al. 2020

JSRMBS

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Purpose: The objective of this study is to compare the hematological and biochemical parameters in women with those of their newborns in order to assess the impact of the nutritional status of the former on the latter. Study Design: A cross sectional and prospective study. Subjects and Methods: The study was conducted on 83 women who came to give birth in the hospitals of Abobo Sud (from April 3 to 20, 2017) and Yopougon Attié (from December 19, 2017 to January 18, 2018). The recruitment was based on their consent and according to specific inclusion and exclusion criteria. The blood, taken from the elbow’s vein of the women in labor and in the umbilical cord after childbirth, is put in suitable tubes for the assays of the blood parameters. Results: The results showed that 29% of women in childbirth and 41% of newborns were anemic with the occurrence of almost all forms of anemia such as Normochromic Normocytic Anaemia (ANN), Normochromic Microcytic Anaemia (ANm) and Hypochromic Normocytic Anaemia (AHN), in both groups. The glycemia and lipid parameters studied as well as the atherogenicity indices were increased in women during childbirth, unlike newborns. Regarding hepatic and renal parameters, no significant differences were observed in total proteins, Alanine aminotransferase (ALT) and total bilirubin between women and newborns. However, the other parameters such as creatinine, Aspartate aminotransferase (AST) and conjugated bilirubin were elevated in newborns. As for the blood ion levels, the results showed high levels of calcium and potassium in newborns and high levels of chlorine in women. Conclusion: Women nutritional status significantly influences that of their newborn babies.

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Correlation of Nutritional Status of Mother and the Birth Weight of the Baby

Cited by 2 publications

References 22 publications

Adverse maternofoetal outcomes associated with ionised calcaemia, total calcaemia, albuminaemia, and calcium supplementation in pregnancy: Analysis from a resource-limited setting

Adverse maternofoetal outcomes associated with ionised calcaemia, total calcaemia, albuminaemia, and calcium supplementation in pregnancy: Analysis from a resource-limited setting

Assessment of Haematological and Biochemical Parameters of Women at Childbirth and their Newborn in Abidjan, Côte d’ Ivoire

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