Welcome Welcome I I Birth weight, length, h h, head - - PowerPoint PPT Presentation

I

Welcome

I

Welcome

Birth weight, length, h at term in Bangladeshi a small scale stu

Dr Sadeka Assistan Department BS

h, head circumference eshi Neonates: e study

Choudhury Moni istant Professor ent of Neonatology BSMMU

Introdu

Body weight, length and head circumfere postnatal growth and health of newborn Neonatal assessment is currently based o Neonatal assessment is currently based o In 1966, Lubchenco et al produced the fi reference charts WHO Child Growth Standards (2006) & I

duction

ference at birth reflect peri- and

• rn

ed on standards growth curves ed on standards growth curves he first intrauterine growth & INTERGROWTH-21st standard

……………Introduction

Growth curves for use in neonatal asse geographic areas (race, ethnicity etc) Comparable differences in newborn ass between countries between countries In Bangladesh newborn are classified charts No local reference charts are available

ion

assessment must be related to specific assessment has been demonstrated fied according to international standard ble for neonates born in Bangladesh

Objective of

• To observe weight, length

circumference of term ne birth circumference of term ne birth

• To compare measured val

chart currently in use

• f the Study

ngth and head newborns ( ≥37weeks) at newborns ( ≥37weeks) at values with standard

Materials & M

Type of Study: Cross sectiona Place of study: BSMMU & Ma Period of Study: one year July Study population: Newborns thereafter Sampling Technique: Purposi Sample size: 386

Methods:

nal observational study Maternity hospital at Dhaka City uly 2016 to June 2017 s Born at 37 completed weeks

• sive

Inclusion

• All liveborn singleton new

All liveborn singleton new

• Delivered by healthy moth
• f gestation)
• n Criteria

newborns newborns mother at term (≥37 weeks

Exclusion

. Newborn Infants born by m

• With hypertensive dise
• With gestational or pre
• Having chronic diseas
• Having chronic diseas
• Identified as smokers

. Newborns with congeni

ion Criteria

by mothers

isease of pregnancy pregestational diabetes ases ases ers

enital malformations

Data Collection and

Informed consent obtained A group of trained doctors and nurses w length and head circumference at birth length and head circumference at birth section room Weight of the baby was recorded befo Length and head circumference were

nd analysis:

es were engaged to take weight, birth in the delivery room / Caesarean birth in the delivery room / Caesarean before initiation of breast feeding re measured by 48 hours of age

…………..Data Colle

• Weight was measured using electro

gram

• Length was measured in centimeter
• The head circumference was measu
• The head circumference was measu

plastic tape

• Maternal informations were explore

interviewing

• After collection data statistical anal

llection and analysis

ctronic weighing scale using unit in eter using a infantometer asured in centimeter using a firm asured in centimeter using a firm lored from hospital records and by analysis was done

Resu

A total of 386 newborns were inc Male were 198(51.3%)and femal Considering birth weight most (8 weight 12.8% had low birth weight

sults:

e included male were 188 (48.7%) st (87.2%) had normal birth

Variables Numb Maternal Age (Years) <20 22

Table I: Demographic ch

20-30 304 30-39 60 Maternal Age (Mean Years ±SD) 24.56± umber % 22 5.7%

characters of the mothers

304 78.8% 60 15.5% ±4.75

Variables Num Working Mothers 68 House Wife 31

………Table I:Demogra moth

House Wife 31 Primigravida 14 Multigravida 24 Regular ANC 28 mber % 68 17.6% 318 82.4%

raphic characters of the thers

318 82.4% 146 37.8% 240 622% 280 72.8%

udy Group No(%) Birth Wei (gram) ale 198(51.3%)

2900

Table :II Mean Anthropometric

ale 198(51.3%) male 188 (48.7%) 2860±390 Weight Length (cm) Head Circumferenc (cm)

00±400 49.6±2.3 34.2±1.7

ic Measures of the Study grou

390 49.6±4.21 34.1±1.9

estational age (weeks) Birth weight (gram) Mean ±SD 50th centile(Ref Chart) Mea

Table III: Gestational age specific weight, babies and 50th centile value (r

Chart) 37 2830±420 2800 48. 38 3120.9±37 9.4 2950 49. 39 3260.9±35 1.6 3160 50. 40 3420.6±38 8.7 3200 50. Length (cm) Head Circumference (cm) ean ±SD 50th centile(Ref Chart) Mean ±SD 50th centile( ef Char

ght, length & head circumference in male ue (reference standards chart )

Chart) ef Char 8.2±1.9 47.8 34.2±1.2 33.0 9.3±2.0 48.2 34.6±1.3 33.4 0.0±1.3 49 34.9±1.1 33.5 0.4±1.6 49.2 35.0±1.2 33.8

estational age (weeks) Birth weight (gram) Mean ±SD 50th centile(R ble IV: Gestational age specific weight, length & centile value (referenc centile(R ef Chart) 37 2860.1±380.2 2800 38 3020±402.1 2950 39 3234.6±365.2 3160 40 3350.7±360.9 3200 Length (cm) Head Circumferenc (cm) Mean ±SD 50th centile(R Mean ±SD 50t centile th & head circumference in female babies and 5 rence standards chart ) ±SD centile(R ef Chart) ±SD centile ef Cha 48.0±1.6 47.8 33.7±1.2 33.0 49.1±2.1 48.2 34.1±1.3 33.4 48.6±1.3 49 34.6±1.1 33.5 49.9±1.8 49.2 34.7±1.3 33.8

Conclu

• Mean birth weight, length a

male newborn delivered at 49.6±2.3, 34.2±1.7

• Mean birth weight, length a
• Mean birth weight, length a

female newborn delivered a 49.6±4.21, 34.1±1.9

• The mean values showed d

centile values of standards

clusion:

and head circumference of at term are 2900±400, and head circumference of and head circumference of d at term are 2860±390, d difference with the 5th ds now in use

Recomme

Large scale population bas Large scale population bas percentile curves for Bangl

mendation

based study to develop based study to develop angladeshi newborn

Thank Thank ank You ank You