Obstetric Nutritional Risk Screening in High Risk Pregnancy and its Association with Maternal Morbidity: a Prospective Cohort Study

Anaya-Prado, Roberto; Torres-Mora, L. Vianey; Anaya-Fernandez, Michelle M.; Anaya-Fernandez, Roberto; Izaguirre-Perez, Marian E.; Azcona-Ramirez, Consuelo C.; Anaya-Fernandez, Pablo A.; Robles-Lomelín, Pilar; Azcona-Ramirez, Oscar E.

doi:10.15761/cogrm.1000334

Cited by 4 publications

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“…The importance of screening NR on hospital admission has been shown in different specialties, such as cancer patients and those being treated for heart and lung disease [28][29][30]34,35,40,[41][42][43][44][45]. And, recent evidence demonstrates that ONR has a negative effect in morbidity on HRP patients [36]. The development and outcome of pregnancy can be affected by maternal nutrition [4].…”

Section: Discussionmentioning

confidence: 99%

“…Patients were distributed in two groups (n = 90 p/group) using the Obstetric Nutritional Risk (ONR) Screening criteria reported by Anaya-Prado R et al: no obstetric nutritional risk group (Group A, ONR score < 3) and obstetric nutritional risk group (Group B, ONR score > 3). (36) Groups were then compared to identify possible association between ONR status (on hospital admission), pregravid and gravid NS and maternal morbidity. Study variables included: ONR screening score, pregravid and on admission BMI (nutritional status) and weight, maternal age, gestation weeks, height, hospital length of stay (LOS) and maternal morbidity.…”

Section: Methodsmentioning

confidence: 99%

“…This study included all adult HRP pregnant patients (> 18 y/o) who stayed for a minimum of 3 days in the department of HRP (Figure 1). 1: Study protocol that shows inclusion criteria and two groups of patients: no obstetric nutritional risk group (Group A, ONR score < 3) and obstetric nutritional risk group (Group B, NRS score > 3); and possible association with "Pregravid and on admission" nutritional status in accordance with BMI [28,29,36,38,39]. PG, pregravid; HRP, high risk pregnancy; ONR, obstetric nutritional risk; BMI, Body Mass Index; hrs., hours; y/o, years-old; m 2 , square meters; kg, kilograms.…”

Section: Methodsmentioning

confidence: 99%

“…Accordingly, every patient received an ONR screening score based on two main categories: nutritional status and disease severity. Nutritional Risk Screening methodology, described by Kondrup et al, and adapted for the obstetric patient with HRP by Anaya-Prado R, et al, has previously been described [28,29,36]. Briefly, the ONR score (0 -6) was obtained by adding nutritional status score (0 -3) and disease severity score (0 -3).…”

Section: Methodsmentioning

confidence: 99%

“…But, the lack of evidence about the possible link between obstetric nutritional risk (ONR) and pregravid nutritional status, in the obstetric patient, justified the inclusion of a protocol in patients admitted for HRP. The benefits of NR screening in the obstetric patient with HRP have recently been documented [36]. A higher hospital morbidity was demonstrated in HRP patients who were nutritionally at-risk.…”

Section: Introductionmentioning

confidence: 97%

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Correlation Between Pregravid Nutritional Status, Obstetric Nutritional Risk and Maternal Morbidity in High Risk Pregnancy: A Case Control Study

Anaya-Prado¹

2022

WJGWH

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A high-risk pregnancy (HRP) is one with either an abnormal or pathologic condition, concomitant to gestation or delivery, that threaten the life or health of the mother or fetus [1]. Prevalence of HRP has been reported between 12% and 60%, depending on the country. Some of the risk factors leading to an HRP are woman´s age, nutritional status (diet), diabetes, autoimmune disorders, hypertension, infectious diseases, history of chronic disease and complications in previous pregnancy, multifetal pregnancies and less than 1-year gestational interval [1-3]. A compromised maternal nutrition can result in an adverse outcome of pregnancy and childbirth [4-7]. A clear relationship between maternal malnutrition and adverse pregnancy outcome has been accepted.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

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Correlation Between Pregravid Nutritional Status, Obstetric Nutritional Risk and Maternal Morbidity in High Risk Pregnancy: A Case Control Study

Anaya-Prado¹

2022

WJGWH

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Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

Anaya-Prado¹

2023

MRAJ

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Objective. Malnutrition is among the most relevant problems in pregnant women, which affects nutritional status of the fetus and newborn outcome. The impact of obstetric nutritional risk (ONR) on neonatal morbidity has not been investigated. The purpose of this work was to identify a possible association between ONR, on high-risk pregnancy (HRP) patients and perinatal morbidity. Methods. This Case Control study included 118 neonates of HRP patients who were either (Cases, n =66) or not (Controls, n =52) with ONR. Groups were then compared to identify associated Neonatal Morbidity. Study variables included: neonatal morbidity, one and five-minute APGAR scores, birth weight, gestation weeks, preterm births, newborn gender and neonatal complications. Results. Morbidity and preterm births were identified in 40 (60.6%) and 11 (21.1%) neonates (p <0.001); and 40 (60.6%) and 14 (26.9%) neonates (p <0.001), for cases and controls, respectively. Average one-minute and five-minute APGAR scores was 6 ± 1 and 8 ± 1 (p <0.05); and 8 ± 1 and 9 ± 1 (p >0.05) for cases and controls, respectively. Average birth weight and gestation weeks was 2,272.5 and 2,548.5 grams (p <0.05); and 34 ± 3.7 and 37 ± 3 weeks (p <0.05) for cases and controls, respectively. There were 34 (51.51%) and 24 (46.15%) female neonates (p < 0.05); and 32 (48.48%) and 28 (53.85%) male neonates (p >0.05) for cases and control, respectively. Conclusion. Morbidity was significantly higher in neonates of HRP patients with ONR. Therefore, Obstetric Nutritional Risk had a negative impact on perinatal morbidity and newborn outcome.

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Validation a new malnutrition screening tool for hospitalized pregnant women in Vietnam

Nguyen,

Doan,

et al. 2024

Preprint

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Background The Vietnamese Obstetric Malnutrition Screening Tool (Obstetric MST) is a questionnaire designed to assess the nutrition status of hospitalized pregnant women. The aim of this study was to evaluate the validity and reliability of this questionnaire among inpatients in Vietnam. Methods 200 pregnant women admitted to the National Hospital of Obstetrics and Gynecology, Vietnam from November 2023 to January 2024. Nutritional risk according to Obstetric MST was compared with the FIGO nutrition checklist, the obstetric nutritional risk screening, the composite diagnostic criteria, and the estimated fetal weight. Sensitivity, specificity, Positive Predictive Values (PPV), Negative Predictive Values (NPV), receiver operator characteristics curve, and the best cut-off scores were determined. Interrater reliability was decided to utilize kappa measurements. Results Using Obstetric MST, the optimal cut-off score to identify malnourished pregnant women was one, with 62.5% of patients to be at risk of malnutrition. The percentage agreement between dietitian and nurse was 98.0%, with excellent interrater reliability [kappa value = 0.96 (95% CI 0.94–1.00)]. Obstetric MST had good sensitivity (80.65% − 90.70%), low specificity (40.11% − 45.22%), low PPV (12.80% − 31.20%), and high NPV (92.00% − 97.33%). The area under the curves for Obstetric MST were acceptable (above 0.6). Conclusions The Obstetric MST is a valid and reliable nutrition screening tool for determining malnutrition risk in hospitalized pregnant women.

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Obstetric Nutritional Risk Screening in High Risk Pregnancy and its Association with Maternal Morbidity: a Prospective Cohort Study

Cited by 4 publications

References 0 publications

Correlation Between Pregravid Nutritional Status, Obstetric Nutritional Risk and Maternal Morbidity in High Risk Pregnancy: A Case Control Study

Correlation Between Pregravid Nutritional Status, Obstetric Nutritional Risk and Maternal Morbidity in High Risk Pregnancy: A Case Control Study

Impact of Obstetric Nutritional Risk on Perinatal Morbidity: A Case-Control Study

Validation a new malnutrition screening tool for hospitalized pregnant women in Vietnam

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