Is canscore a good indicator of fetal malnutrition in preterm newborn

Ezenwa, Beatrice Nkolika; Ezeaka, Chinyere

doi:10.1016/j.ajme.2017.01.004

Cited by 5 publications

(6 citation statements)

References 22 publications

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“…Even though different experts identified fetal malnutrition at birth by using various assessment methods, clinical assessment of nutritional status (CAN) score, a simple clinical index for identifying the term fetal malnutrition, is a good indicator than other anthropometric approaches [ 5 , 9 , 16 , 17 ]. But for a preterm infant, body mass index (BMI) and ponderal index (PI) are simple and easy tools to use in assessing fetal malnutrition [ 18 ]. Clinical assessment of nutritional status is also important for the prediction of neonatal mortality associated with fetal malnutrition [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Fetal Malnutrition and Associated Factors among Term Newborn Babies at Birth in South Gondar Zone Hospitals, Northwest Ethiopia

Tesfa

Dagnaw

Ambaw

2021

International Journal of Pediatrics

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Background. Undernutrition contributes to almost half of all under-five deaths. Fetal malnutrition (FM) has been implicated in both short- and long-term consequences among fetal, neonatal, and adult life. Currently, Ethiopia lacks information on the prevalence of fetal malnutrition and its associated factors. This study, therefore, is aimed at assessing the prevalence of FM at birth and its associated factors in South Gondar zone hospitals, northwest Ethiopia. Methods. A cross-sectional study was carried out from November 1, 2019, to April 30, 2020, among four hospitals of South Gondar zone. All women with their live newborns who met the eligibility criteria were included. Clinical assessment of nutritional status including other anthropometric measurements was done immediately after delivery. The newborn was declared as fetal malnourished if the clinical assessment of nutritional status cut-off point is less than 25. Data were collected by trained clinical midwives. Besides bivariate regression analysis, a multivariable logistic regression analysis was done to identify associations. Results. A total of 1592 mothers with their live newborns participated in this study. The prevalence of fetal malnutrition was 21.7% (95% CI: 19.7-23.9). Intimate partner violence (AOR: 1.97, 95% CI: 1.52-2.56), placental weight less than 512 grams (AOR: 2.76, 95% CI: 2.13-3.57), and small for gestational age (AOR: 1.96, 95% CI: 1.46-2.62) were significantly associated with fetal malnutrition. Conclusions. The prevalence of fetal malnutrition was a public health problem in this study. Intimate partner violence, placental weight, and small for gestational age were found the most significant variables. To avert fetal malnutrition, positive family relation and additional or balanced nutritional supplementation during pregnancy are critical. We recommend researchers do clinical follow-up research which comprises a detailed investigation of placental, maternal, and fetal factors including genes.

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Section: Introductionmentioning

confidence: 99%

Fetal Malnutrition and Associated Factors among Term Newborn Babies at Birth in South Gondar Zone Hospitals, Northwest Ethiopia

Tesfa

Dagnaw

Ambaw

2021

International Journal of Pediatrics

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“…The nutritional status of reproductive women is one of the determinants of maternal mortality and uneventful pregnancies; however, in 2011 a relatively high ratio (22%) of Senegalese women were below the critical body mass index (BMI) threshold of 18.5 [13]. Many studies have shown that BMI is preferred as an indicator of malnutrition [15–17], as it corresponds to a general lack of energy and nutrition.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing nutritional practices among mothers in Dakar, Senegal

Kang

Cho

et al. 2019

PLoS ONE

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BackgroundMaternal undernutrition is a leading cause of maternal mortality. Furthermore, health statuses and habits of mothers influence health statuses of newborns as well as healthy habits and mortality of children. The Senegal government is aware of the severity of these issues and has devised a national policy goal of reducing maternal, infant, and adolescent mortality rates by the end of 2018. This study aimed to identify nutritional knowledge, attitudes, and practices of lactating women in Senegal, and determine factors related to nutritional practices to obtain basic data for developing a maternal and child nutrition project.MethodThis study used a mixed–method approach, collecting data via structured questionnaires administered to lactating women in Senegal and semistructured interviews with seven stake–holders. Questions for stuctured questionnaires were about nutritional knowledge, attitudes, and practices. For the quantitative analysis of the structured questionnaires, data from 171 participants analyzed using independent t-tests, Pearson’s correlation coefficients, and multiple linear regression analysis. Interview data were analyzed using an inductive thematic analysis approach. The questions for the interviews concerned maternal and child nutritional status, causes of undernutrition, and restrictions.ResultsFactors significantly related to healthy nutritional practices(explaining 27.1% of variance) included having a household (B = 1.03, p = .015) and a mother (B = 0.96, p = .017) with an above primary school education, and being in the 5th quintile of income level (B = 1.24, p = .014). The interviews with seven stakeholders revealed obstructive factors of nutritional management were insufficient nutritional programs within health centers, incomplete national policy on nutrition, lack of general interest in undernutrition-related topics, inadequate economic environment, and the absence of partnerships to produce sustainable solutions.ConclusionEducation and income levels, rather than knowledge and attitudes, had a strong relationship with healthy nutritional practices. Therefore, economic factors and educational background must be considered to succeed in Senegalese nutrition projects.

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“…Adebami OJ et al [19] recently reported an incidence of 18.8% of preterm newborns to have FM and significant risk factors for FM included lack of adequate antenatal care, young maternal age (<18yrs), primiparity, maternal undernutrition (BMT<18.5kg/m 2 and MAC<23.5cm), low socio economic status, pregnancy induced hypertension, antepartum hemorrhage and maternal infections especially malaria, urinary tract infections. Prevalence of FM in Preterm neonates (40%) was documented by B.N.Ezenwa [20] and 48.9% as reported by Almarzoki et al [21] from Iraq. It is however, higher than the 26.59 % documented from India by Kamath et al [22] .…”

Section: Discussionmentioning

confidence: 78%

Study of Maternal Risk Factors in Small for Gestational Age (SGA) Babies with Fetal Malnutrition

Yelam¹

2020

jmscr

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Introduction: Maternal risk factors for fetal malnutrition (FM) included adverse age, primiparity, low pre-pregnancy weight and height, a bad obstetric history and pregnancy induced hypertension. Malnutrition in the newborn might be missed if intrauterine growth curves only are used for assessment. The CAN Score is a simple and rapid clinical scoring system for diagnosing fetal malnutrition in Small for Gestational Age (SGA) babies. Aim: The aim of the study is to assess association of high risk factors in mother like anemia, malnutrition low BMI, pre-eclampsia, multiple pregnancy, maternal age (<18yrs),maternal weight (<40kg) and height, socioeconomic status and prevalence of FM in SGA babies. Subjects and Methods: This is a prospective hospital based study carried out at the Neonatology unit of Tertiary Care Institute in Government Medical College, Nagpur. Baby-Mother pairs who met the inclusion criteria for the study were recruited consecutively. Relevant biodata is recorded and babies nutritional status were assessed using the Clinical Assessment of Nutritional Status Score chart. Data were entered into a Microsoft Excel sheet and analyzed using standard statistical tools. Results: In present study 903 term SGA neonates and mothers, 477(52.8%) (weight <2.5 kg) were males and 426(47.2%) were females. The prevalence of FM in SGA babies is 34.21%. Analysis of maternal risk factors showed maternal age <18 yrs and >30 yrs, BMI <18, Anemia and PIH were associated with high occurrence of FM and statistically significant (P<0.006). Conclusion:The prevalence of FM is high in high risk mothers and highlights the need for evolving appropriate interventions and strategies for its Prevention. Screening Programmes to identify the high risk mothers in early pregnancy so that medical and nutritional interventions can be started early to overcome the damaging effects of these risk factors. These interventions will have great long term impact on improving child survival.

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Is canscore a good indicator of fetal malnutrition in preterm newborn

Cited by 5 publications

References 22 publications

Fetal Malnutrition and Associated Factors among Term Newborn Babies at Birth in South Gondar Zone Hospitals, Northwest Ethiopia

Fetal Malnutrition and Associated Factors among Term Newborn Babies at Birth in South Gondar Zone Hospitals, Northwest Ethiopia

Factors influencing nutritional practices among mothers in Dakar, Senegal

Study of Maternal Risk Factors in Small for Gestational Age (SGA) Babies with Fetal Malnutrition

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