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Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants

Year 2015, Volume: 1 Issue: 1, 10 - 15, 04.04.2015
https://doi.org/10.5455/umj.2015.1.3

Abstract

Background: Birth weight is an important indicator of neonatal health. Incidence of low birth weight infants in developing country like Bangladesh is high. Deliveries as 75% are conducted in rural community mainly by Traditional Birth Attendants or by relatives. Facility of birth weight recording is not existent. To overcome the problem of weight recording, it was justified to find out other simple measurements that could be used as substitute of weighing babies. Aim of the study was to examine the validity of anthropometric measurements as a screening method of low birth weight babies.
Material & Methods: A cross sectional analytical study was conducted on 560 newborns over a period of 18 months in 2000-2001 in Dhaka city. Mid-arm circumference, length, head circumference, chest circumference, abdominal girth and calf circumference were considered.
Results: A significant correlation was observed for birth weight with all other anthropometrical parameters (P<0.001). However, there was a higher correlation (r=0.946) between birth weight and mid-arm circumference. The study showed that in identifying newborns of <2500 gm a mid-arm circumference of <9 cm had the best sensitivity (96.2%) and specificity (97.3%). A value of <8 cm and <6.8 cm for mid-arm circumference showed highest validity for picking up newborns weighing <2000 gm and <1500 gm respectively. Cut-off values for all other parameters to screen neonates categorically were observed. Regression analysis of birth weight on all other parameters was seen.
Conclusion: The work concluded that anthropometric parameters might be a valid alternative method in screening low birth weight infants.

References

  • Barid SD. The epidemiology of prematurity. J Pediatr 1965; 65:909-923.
  • Das JC, Khanam ST. Correlation of anthropometric measurements of mothers and their newborns. Bangladesh Med. Res. Counc. Bull 1997; 23(1):10-15.
  • Ali MM, Kawser CA, Talukder MQK. Very low birth weight infants; clinical course in the hospital. Bangladesh J Child Health1989; 13(2/3):90-95.
  • Arifeen SE et al. Infant growth pattern in the slums of Dhaka in relation to birth weight, intrauterine growth retardation and prematurity. Am J Clin Nutr 2000;72(4):1010-1017.
  • Hossain ST.1999 statistical year book of Bangladesh 12th ed.
  • Dhaka, B.B.S Ministry of Planning, Government of the Peoples’ Republic of Bangladesh, 2001; 38:24,144-146.
  • World Health Organization. Expert committees on maternal and child health. Public health aspect of low birth weight, third report. WHO, Geneva, 1961.
  • Pratindhi AK, Shrotri AN, Shah U and Bodhani ND. Domiciliary care of low birth weight neonate. Indian J Pediatr 1986; 53:87-92.
  • Kumar V and Datta N. Birth weight as an indicator of health. Indian J Pediatr 1984;21:113-118.
  • Development of indicators for monitoring progress towards ‘Health for all by year 2000’: Health for all series No.4.WHO, Geneva, 1981.
  • Vaquera MVD, Townsend JW, Arroyo JJ, Lechtig A. The relationship between arm circumference at birth and early mortality. J. Trop Pediatr 1983; 29:167-174.
  • Bhatia B.D and Tyagi N.K. Birth weight: Relationship with other fetal anthropometrical parameters. Indian Pediatr 1984; 21:833-838.
  • Prasad S.R.S, Mohan M, Kumar A and Kapani V. Intrauterine growth curves for mid-arm and thigh circumferences. Indian Pediatr 1989; 26:343-347.
  • Mohan M, Chellani H.K, Prasad S.R.S. and Kapani V. Intrauterine growth predictor. Indian Pediatr 1991; 28:1299-1304.
  • Khanam ST and Shahidullah M. A study of correlation of thigh and mid-arm circumference of newborns and birth weight. Bangladesh Med J 1990; 19:45-50.
  • Bhargava SK, Ramji S, Kumar A, Mohan M, Marwah J. and Sachdev HPS. Mid-arm and chest circumferences at birth as predictors of low-birth weight and neonatal mortality in the community. Br Med J 1985; 291:1617-1619.
  • Ramji S, Marwah J, Satyanarayana L, Kapani V, Mohan M and Bhargava S.K. Neonatal thigh circumference as an alternative indicator of low birth weight. Indian J Med Res 1986; 83:653-654.
  • Gupta V, Hatwal S.K, Mathur S, Tripathi VN, Sharma S. N, Saxena S.C et al. Calf circumference as a predictor of low birth weight babies. Indian Pediatr 1996; 33:119-121.
  • Sharma J.N, Sharma B.S, Gupta M.L, Saxena S and Sharma. Mid arm circumference at birth as a predictor of low birth weight babies and early neonatal mortality. Indian Pediatr 1986; 23:915- 9
  • Samal G.C and Swain A.K. Calf circumference as an alternative to birth weight for identification of low birth weight babies. Indian Pediatr 2001; 38:275-277.
  • Kulkarni M.L Rehman M. Neonatal assessment beyond birth weight. Indian Pediatr 1991; 28:929-931.
  • Neela J, Raman L, Balakrisna N and Rao K.V. Usefulness of calf circumference as a measure for screening low birth weight infants. Indian Pediatr1991; 28:881-884.
  • Raman L, Neela J and Balakrishna N. Comparative evaluation of calf, thigh and arm circumferences in detecting low birth weight infants-Part II. Indian Pediatr 1992;29:481-484.
  • Michelsson K, Lindahl E, Parre M, Helenius M. Nine year follow up of infants weighing 1500g or less at births. Acta Paediatr Scand 1984; 73:835-841. How to Cite ?
  • Submit your next manuscript to The Ulutas Medical Journal and take full advantage of; • Convenient online submission • Thorough peer review, Fast Response • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in Scopemed and Google Scholar • Research which is freely available for redistribution Submit your manuscript at: http://ulutasmedicaljournal.com
Year 2015, Volume: 1 Issue: 1, 10 - 15, 04.04.2015
https://doi.org/10.5455/umj.2015.1.3

Abstract

References

  • Barid SD. The epidemiology of prematurity. J Pediatr 1965; 65:909-923.
  • Das JC, Khanam ST. Correlation of anthropometric measurements of mothers and their newborns. Bangladesh Med. Res. Counc. Bull 1997; 23(1):10-15.
  • Ali MM, Kawser CA, Talukder MQK. Very low birth weight infants; clinical course in the hospital. Bangladesh J Child Health1989; 13(2/3):90-95.
  • Arifeen SE et al. Infant growth pattern in the slums of Dhaka in relation to birth weight, intrauterine growth retardation and prematurity. Am J Clin Nutr 2000;72(4):1010-1017.
  • Hossain ST.1999 statistical year book of Bangladesh 12th ed.
  • Dhaka, B.B.S Ministry of Planning, Government of the Peoples’ Republic of Bangladesh, 2001; 38:24,144-146.
  • World Health Organization. Expert committees on maternal and child health. Public health aspect of low birth weight, third report. WHO, Geneva, 1961.
  • Pratindhi AK, Shrotri AN, Shah U and Bodhani ND. Domiciliary care of low birth weight neonate. Indian J Pediatr 1986; 53:87-92.
  • Kumar V and Datta N. Birth weight as an indicator of health. Indian J Pediatr 1984;21:113-118.
  • Development of indicators for monitoring progress towards ‘Health for all by year 2000’: Health for all series No.4.WHO, Geneva, 1981.
  • Vaquera MVD, Townsend JW, Arroyo JJ, Lechtig A. The relationship between arm circumference at birth and early mortality. J. Trop Pediatr 1983; 29:167-174.
  • Bhatia B.D and Tyagi N.K. Birth weight: Relationship with other fetal anthropometrical parameters. Indian Pediatr 1984; 21:833-838.
  • Prasad S.R.S, Mohan M, Kumar A and Kapani V. Intrauterine growth curves for mid-arm and thigh circumferences. Indian Pediatr 1989; 26:343-347.
  • Mohan M, Chellani H.K, Prasad S.R.S. and Kapani V. Intrauterine growth predictor. Indian Pediatr 1991; 28:1299-1304.
  • Khanam ST and Shahidullah M. A study of correlation of thigh and mid-arm circumference of newborns and birth weight. Bangladesh Med J 1990; 19:45-50.
  • Bhargava SK, Ramji S, Kumar A, Mohan M, Marwah J. and Sachdev HPS. Mid-arm and chest circumferences at birth as predictors of low-birth weight and neonatal mortality in the community. Br Med J 1985; 291:1617-1619.
  • Ramji S, Marwah J, Satyanarayana L, Kapani V, Mohan M and Bhargava S.K. Neonatal thigh circumference as an alternative indicator of low birth weight. Indian J Med Res 1986; 83:653-654.
  • Gupta V, Hatwal S.K, Mathur S, Tripathi VN, Sharma S. N, Saxena S.C et al. Calf circumference as a predictor of low birth weight babies. Indian Pediatr 1996; 33:119-121.
  • Sharma J.N, Sharma B.S, Gupta M.L, Saxena S and Sharma. Mid arm circumference at birth as a predictor of low birth weight babies and early neonatal mortality. Indian Pediatr 1986; 23:915- 9
  • Samal G.C and Swain A.K. Calf circumference as an alternative to birth weight for identification of low birth weight babies. Indian Pediatr 2001; 38:275-277.
  • Kulkarni M.L Rehman M. Neonatal assessment beyond birth weight. Indian Pediatr 1991; 28:929-931.
  • Neela J, Raman L, Balakrisna N and Rao K.V. Usefulness of calf circumference as a measure for screening low birth weight infants. Indian Pediatr1991; 28:881-884.
  • Raman L, Neela J and Balakrishna N. Comparative evaluation of calf, thigh and arm circumferences in detecting low birth weight infants-Part II. Indian Pediatr 1992;29:481-484.
  • Michelsson K, Lindahl E, Parre M, Helenius M. Nine year follow up of infants weighing 1500g or less at births. Acta Paediatr Scand 1984; 73:835-841. How to Cite ?
  • Submit your next manuscript to The Ulutas Medical Journal and take full advantage of; • Convenient online submission • Thorough peer review, Fast Response • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in Scopemed and Google Scholar • Research which is freely available for redistribution Submit your manuscript at: http://ulutasmedicaljournal.com
There are 25 citations in total.

Details

Primary Language English
Journal Section Original Articles
Authors

Jagadish C Das This is me

Sadiqa Tahera Khanam This is me

Ainun Afroze This is me

Nibedita Paul This is me

Publication Date April 4, 2015
Submission Date April 4, 2015
Published in Issue Year 2015 Volume: 1 Issue: 1

Cite

Vancouver Das JC, Khanam ST, Afroze A, Paul N. Comparative Evaluation of Anthropometric Parameters in Detecting Low Birth Weight Infants. ULUTAS MED J. 2015;1(1):10-5.