Detection of fetal malnutrition using “CAN score”

Abstract

CAN score identifies malnourished neonates which can be missed by other methods and identifies well nourished neonates classified as growth retarded by other methods.

Frequency and risk factors of fetal malnutrition among liveborn singleton term neonates using a computerised perinatal database, 2000–2006

“…In our previous study reported in 2001 about FM, 488 singleton term neonates among 3116 liveborn singleton term neonates were found to be malnourished, with an incidence of FM of 15.66% 17 . When compared with reports from Nigeria and India, the incidence of malnourished neonates in our current study is found to be strikingly lower than Nigeria (18.8%) and India (27.9–60%) 15,19,20 …”

“…Studies of FM in Turkey and other countries are scarce 15–20 . Our study is one of the few studies concerning FM in liveborn singleton term neonates.…”

“…Our study is one of the few studies concerning FM in liveborn singleton term neonates. Although neonatal BW, BL and HC measurements were recorded in other studies, data were not exclusively collected in the delivery room 19,21 . In the studies by Sankhyan et al .…”

Is body fat percentage a better measure of undernutrition in newborns than birth weight percentiles?

“…Other research has investigated perinatal outcomes using the CANSCORE to identify undernourished preterm neonates, and found that early neonatal morbidities including hypoglycemia, feeding intolerance and infection were higher in undernourished neonates compared with those appropriately grown (32). The CANSCORE is a purely clinical assessment requiring determination of physical characteristics of the newborn, thus heavily dependent on clinician or health worker skills for assessment (8). Neither the clinical assessment nor Ponderal Index methods have used a highly accurate tool to assess nutritional status such as ADP to determine sensitivity and specificity.…”

“…Worldwide, the majority of neonatal deaths occur on the first day and within the first week after birth. Furthermore, undernourished neonates who survive are at risk of long-term health outcomes, including hypertension, stroke, type 2 diabetes, obesity, and cardiovascular disease (5)(6)(7)(8). Neonatal undernutrition, or "wasting", is a clinical diagnosis often characterized by diminished subcutaneous tissues and underlying muscles with loose wrinkled skin of the arms, legs, elbows, and knees (1,8).…”