Growth pattern of the Indian fetus

Mathai, Matthews; Thomas, Simmy; Peedicayil, Abraham; Regi, Annie; Jasper, P.; Joseph, Robert M.

doi:10.1016/0020-7292(94)02237-2

Cited by 36 publications

(31 citation statements)

References 7 publications

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“…Nonetheless, technique may influence the results if our ultrasonographers systematically measured longer femur length than the reference. Femur lengths similar to reference populations were reported in other populations with low average birth lengths (39,40). This apparent inconsistency could be explained by shorter trunk length in infants who were stunted at birth.…”

Section: Tablementioning

confidence: 61%

Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth

Neufeld

Haas

Grajeda

et al. 2004

The American Journal of Clinical Nutrition

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Background: Despite our knowledge of the negative consequences of stunting during early childhood and the important role that maternal nutritional status plays in the development of intrauterine growth retardation, we do not know the extent to which maternal nutritional status influences the growth in length of the fetus or whether a sensitive period for fetal linear growth exists during gestation. Objective: Our objective was to explore the relation between maternal weight gain during different stages of pregnancy and linear growth of the fetus. Design: Ultrasound examinations were conducted at 15-24 (x : 17.5) and 28 -32 (x : 29.9) wk of gestation in 200 women from 4 rural Guatemalan villages. The associations between maternal weight gain from Ȃ10 to 20 and 20 to 30 wk of pregnancy (from the first to the second and from the second to the third trimester, respectively) and fetal linear growth were tested with the use of ordinary leastsquares regression. Results: Maternal weight gain from the first to the second trimester was associated with fetal femur and tibia lengths measured at both means of 17 and 30 wk (P 0.05) and infant length at birth (P 0.001). Weight gain from the second to the third trimester of pregnancy did not predict fetal linear growth or infant length at birth. Conclusions: Maternal weight change from the first to the second trimester of pregnancy is strongly associated with fetal growth. Midgestation may be a sensitive period for fetal linear growth.Am J Clin Nutr 2004;79:646 -52.

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Section: Tablementioning

confidence: 61%

Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth

Neufeld

Haas

Grajeda

et al. 2004

The American Journal of Clinical Nutrition

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“…In the present study fundal height measurement showed more positive diagnostic value than abdominal girth, this finding is in accordance with the findings of Mathai and Indira. 33,34 USG is a very important investigation in diagnosis and monitoring of IUGR. BPD was found to lag behind in IUGR group than that of control group from 28 weeks onwards in the present study.…”

Section: Discussionmentioning

confidence: 99%

Analysis of fetal growth restriction in pregnancy in subjects attending in an obstetric clinic of a tertiary care teaching hospital

Seal

Dasgupta

Sengupta

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Intrauterine growth restriction (IUGR) is defined as fetal growth less than the normal growth potential of a specific infant because of genetic or environmental factors. Fetal growth restriction or intrauterine growth restriction is one of the leading causes of perinatal mortality and morbidity in newborns. Fetal growth restriction is a complex multifactorial condition resulting from several fetal and maternal disorders. Objective of present study was to find out incidence of IUGR and assessment and evaluation of different important changes in IUGR.Methods: Women who attended the Obstetric OPD in their 1st trimester of pregnancy and those who were thought would be able to visit the antenatal clinic for their fortnightly check-up regularly were screened for intrauterine foetal growth retardation. Women with irregular and uncertain menstrual history and where the 1st trimester USG foetal crown rump length did not corroborate with the menstrual gestational age were excluded from this study.Results: Incidence of IUGR was 18.2% and 84% were found to be asymmetrical. IUGR was found to be double among primigravids and women above 30 years. It had been observed that IUGR was associated with certain conditions like short stature (52%), pregnancy induced hypertension (24%) and anaemia (12%).Conclusions: Thus, early USG screening along with robust screening for maternal BMI, nutritional status, and anaemia can assist the obstetric team in providing early diagnosis, prompt intervention, and better outcome in pregnancy with fetal growth restriction.

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“…R. Soc. B 370: 20140067 relative to European women [76][77][78][79]. This might indicate a modest fetal co-adaptation to smaller birth canal in hot-adapted populations, but although acute heat stress has been linked with preterm delivery [80], robust support for a link between mean gestation duration and climate remains lacking.…”

Section: Why Cannot the Offspring Be Smaller?mentioning

confidence: 99%

Between Scylla and Charybdis: renegotiating resolution of the ‘obstetric dilemma’ in response to ecological change

Wells¹

2015

Phil. Trans. R. Soc. B

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Hominin evolution saw the emergence of two traits-bipedality and encephalization-that are fundamentally linked because the fetal head must pass through the maternal pelvis at birth, a scenario termed the 'obstetric dilemma'. While adaptive explanations for bipedality and large brains address adult phenotype, it is brain and pelvic growth that are subject to the obstetric dilemma. Many contemporary populations experience substantial maternal and perinatal morbidity/mortality from obstructed labour, yet there is increasing recognition that the obstetric dilemma is not fixed and is affected by ecological change. Ecological trends may affect growth of the pelvis and offspring brain to different extents, while the two traits also differ by a generation in the timing of their exposure. Two key questions arise: how can the fit between the maternal pelvis and the offspring brain be 'renegotiated' as the environment changes, and what nutritional signals regulate this process? I argue that the potential for maternal size to change across generations precludes birthweight being under strong genetic influence. Instead, fetal growth tracks maternal phenotype, which buffers short-term ecological perturbations. Nevertheless, rapid changes in nutritional supply between generations can generate antagonistic influences on maternal and offspring traits, increasing the risk of obstructed labour.

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Growth pattern of the Indian fetus

Abstract: Slowing of growth of the fetal AC after 28 weeks and a shorter length of gestation result in the birth of smaller babies in this ethnic group. The implications of these findings are discussed.

Cited by 36 publications

References 7 publications

Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth

Changes in maternal weight from the first to second trimester of pregnancy are associated with fetal growth and infant length at birth

Analysis of fetal growth restriction in pregnancy in subjects attending in an obstetric clinic of a tertiary care teaching hospital

Between Scylla and Charybdis: renegotiating resolution of the ‘obstetric dilemma’ in response to ecological change

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