Correlation of Maternal Anthropometry with Intrauterine Growth Restricted Neonates’ Birth Weight

Mithun Chandra Konar, Nabanita Kora, Kamirul Islam, Archan Sil, Taraknath Ghosh, Kaustav Nayek

Abstract


Objectives: To determine the correlation between weight, height and body mass index (BMI) of the mothers with their term intra-uterine growth restricted (IUGR) neonates’ birth weight.

Material and methods:  An observational, cross sectional study was conducted involving 322 term IUGR neonates and their mothers, and was compared with 336 term appropriate for gestational age (AGA) neonates matched for that gestational age, and their mothers over a period of one year. The anthropometric measurement was done on birth weight, length, head circumference, ponderal index of neonates, and height and BMI of mothers. The maternal weight was obtained from antenatal cards.

Results: Majority (72.04%) of the mothers having IUGR neonates were primi-gravida, 63.04% were of poor economic status. Mean age, weight, height and BMI of the mothers of IUGR neonates were 20.2±0.8 years, 49.1±2.3 kg, 144.1±37.2 cm, and 17.6±2.1 kg/m2, respectively. These parameters for the mothers of AGA neonates were 22.3±2.5 years, 54.3±2.7 kg, 155.2±42.1 cm, and 19.2±2.3 kg/m2, respectively. Comparison of these maternal parameters between both the groups showed a significantly higher value in the second group (p< 0.01 in all cases). Maternal weight, height and BMI showed a strong negative correlation {Pearson’s correlation coefficient of -0.53, -0.76, and -0.42 respectively; adjusted odds ratio (95% CI) of 0.72 (0.54-0.91), 0.40 (0.28-0.52) and 0.76 (0.54-0.96), respectively with the neonates’ birth weight, but maternal age did not {Pearson’s correlation coefficient of -0.32, adjusted odds ratio (95% CI) of 0.89 (0.10-1.55)}.

Conclusion: There are lesser chances of development of IUGR neonates with increase in maternal weight, height and BMI.


Keywords


intra-uterine growth restricted babies, weight, height, body mass index

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References


. Gopalan C. Low birth weight. In: Nutrition Research in South East Asia. 1st eds. New Delhi: ITBS Publishers and Distributors, 1996; pp. 13-31.

. Mitra S, Misra S, Nayak PK Sahoo JP. Effect of maternal anthropometry and metabolic parameters on fetal growth. Indian J Endocrinol Metab 2012 Sep-Oct; 16(5): 754–758.

. Vayssière C, Sentilhes L, Ego A, Bernard C, Cambourieu D, Flamant C et al. Fetal growth restriction and intra-uterine growth restriction: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians. Eur J Obstet Gynecol Reprod Biol 2015 Oct; 193:10-8.

. Cochran WD, Lee KG. Assessment of the newborn. In: Cloherty JP, Eichenwald EC, Stark AR. Manual of Neonatal Care 5th Ed. Philadelphia: Lippincott Williams & Wilkins. 2004; 49–54.

. Sharma D, Shastri S, Sharma P. Intrauterine Growth Restriction: Antenatal and Postnatal Aspects. Clin Med Insights Pediatr 2016; 10: 67–83.

. Leon DA, Lithell HO, Vagero D, Koupilova I, Mohsen R & Berglund L. Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15000 Swedish men and women born 1915–29. BMJ 1998; 317, 241–244.

. Thame M, Osmond C, Bennett F, Wilks R, Forrester T. Fetal growth is directly related to maternal anthropometry and placental volume. Eur J Clin Nutr 2004; 58, 894–900.

. Sub-Committee on Nutrition / United Nations Administrative Committee on Co-ordination (SCN/ACC), Fourth Report on the World Nutrition Situation. ACC/SCN, Geneva, March 2000.

. Stephenson LS, Latham MC, Ottesen EA. Malnutrition and parasitic helminth infections. Parasitology. Cambridge University Press; 2000; 121(S1):S23–S38.

. Onis M, Blossner, Villar J. Levels and patterns of intrauterine growth retardation in developing countries. Eur J Clin Nutr 1998; 52: S 1-3.

. Devi R, Agarwal KN. Maternal nutrition and fetal growth. Indian Jr. Pediatric 1984; 51: 443-449.

. Gogate S. Intra-Uterine Growth Restriction-Obstetrician's Perspective. Int J Diab Dev Ctries 2001; 21:51-6.

. Report of a WHO Expert Committee. Physical status: the use of and interpretation of anthropometry, Technical Report Series No. 854. Geneva, WHO.1995: 121-60.

. Merchant SS, Momin IA, Sewani AA, Zuberi NF. Effect of pre-pregnancy body mass index and gestational weight gain on birth weight. J Pak Med Assoc 1999; 49:23–5.

. Elshibly EM, Schmalisch G. The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants. BMC Public Health 2008; 8:244.

. Ballard JL, Novak KK, Driver M. A simplified score for assessment of fetal maturation of newly born infants. J Pediatr 1979; 95:769–774.

. Prasad BG. Social classification of Indian families. J Indian Med Assoc 1961; 37:250-1.

. Aggarwal OP, Bhasin SK, Sharma AK, Chhabra P, Aggarwal K, Rajoura OP. A new instrument (scale) for measuring the socioeconomic status of a family: Preliminary study. Indian J Community Med 2005; 30:111-4.

. Sharma R. Revision of Prasad's social classification and provision of an online tool for real-time updating. South Asian J Cancer 2013 Jul-Sep; 2(3): 157.

. Bisai S. Relationship of maternal anthropometry and birth outcome among Bengalis of Kolkata, India. IDSK Research Report. Kolkata: Institute of Development Studies.2004; 9: 87-92.

. Muhammad T, Khattak AA, ur-Rehman S, Khan MA, Khan A, Khan MA. Maternal factors associated with intrauterine growth restriction. J Ayub Med Coll Abbottabad 2010; 22(4):64-69.

. Kumar A, Chaudhary K, Prasad S. Maternal indicators and obstetric outcome in the north Indian population: a hospital-based study. J Postgrad Med 2010 Jul-Sep;56(3):192-5.

. Rao RSP, Prakash KP, Nair NS. Influence of Pre-Pregnancy Weight, Maternal Height and Weight Gain During Pregnancy on Birth Weight. Bahrain Med Bull 2001; 23(1):22-26.

. Bhadra M, Mukhopadhyay A, Bose K. Adiposity, central body fat distribution and blood pressure among young Bengalee adults of Kolkata, India: sexual dimorphism. J Physiol Anthropol Appl Human Sci 2002 Nov; 21(6):273-6.

. Dennedy MC, Avalos G, O’Reilly MW, O’Sullivan EP, Gaffney G, Dunne F. ATLANTIC-DIP: Raised Maternal Body Mass Index (BMI) Adversely Affects Maternal and Fetal Outcomes in Glucose-Tolerant Women according to International Association of Diabetes and Pregnancy Study Groups (IADPSG) Criteria. J Clin Endocrinol Metab 2012; 97:E608–12. [Epub ahead of print].

. Acharya D, Nagraj K, Nair NS, Bhat HV. Maternal determinants of Intrauterine Growth Retardation- a case control study in Udupi district, Karnatka. Indian J Community Med 2004, 29(4):181-2.

. Goyal RC, Mudey A, Banginwar A, Khanam N. Intra-uterine growth restriction (IUGR) among teenage and elderly pregnant women in Vidharba region of Maharashtra, India. Int J Cur Bio Med Sci 2012; 2(1):199-202.

. Mavlankar DV, Gray RH, Trivedi CR. Risk factors for preterm and term low birth weight in Ahmedabad, India. Int J Epidemiol 1992; 21:263-72.

. Fikree FF, Berenes HW. Risk factors for term intrauterine growth retardation: a community-based study in Karachi. Bull World Health Organ 1994; 72(4):581–587.

. Ferraz EM, Gray RH, Cunha TM. Determinants of preterm delivery and intrauterine growth retardation in north-east Brazil. Int J Epidomiol 1990; 19:101-08.




DOI: http://dx.doi.org/10.7439/ijbr.v8i7.4222

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