Araştırma Makalesi
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Comparison of Anthropometric Measurements of Term and Preterm Infants and Their Mothers

Yıl 2020, Sayı: 10, 19 - 33, 17.04.2020
https://doi.org/10.38079/igusabder.624546

Öz

Aim: This study was planned to compare the anthropometric measurements of term and preterm infants and mothers.
Methods: The study was conducted on 120 mothers and their babies (60 preterms, 60 term births) who delivered in a private hospital in Istanbul between November 2015-December 2015. The demographic characteristics of the participants were collected by face to face interview. Anthropometric measurements (such as height and weight of mothers and height, weight and head circumference of babies) were taken according to the standard protocol. Data were evaluated using the "SPSS 23.00" program.
Results: Mothers who had preterm babies, 41,7% were older than 35 years and 46,7% were graduated from high school, and most of them (66,7%) were housewives. 95% of term mothers and 51,7% of preterm mothers went to prenatal health control (p <0,001). While most of the mothers who had term births (93,3%) did not have any health problems, this rate is 10% in mothers who had preterm births, and the most common health problem was premature birth risk (p <0.001). 36,7% of preterm and 16,7% of term mothers had >12 kg weight gain; body weight of mothers who gave preterm births before pregnancy was 65,0±10,2 kg; 75,7±11,5 kg after pregnancy; the mothers who had term births were 56,2±5,4 kg and 66,4± 6,5 kg, respectively (p <0,001). In addition, the height of preterm boys was 37,3±5,3 cm, body weights were 1.388,8±572,8 g and head circumferences were 27,4±3,5 cm; in female infants, these values were 39,4± 5,1 cm, 1.610,0±576,3 g and 28,4±3,6 cm, respectively. During pregnancy; 73,3% of mothers who had preterm births had morning, 65% had lunch, 83,3% had evening; 100% of mothers who had term births had morning, 96,7% had lunch, 98,3% had eaten meals regularly.
Conclusion: It was seen that 68,3% of mothers who had term births, had 8-12 kg weight gain and during pregnancy, most of them were in normal body mass index (BMI) range before and after pregnancy. Follow-up is important for the healthy birth and babies’ weight gain and nutrition status during pregnancy so nutrition discipline and weight monitoring are very important.

Kaynakça

  • Köksal G. Çocuk Hastalıklarında Beslenme. Ankara: Hatiboğlu Yayınları; 2013.
  • McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. New England Journal of Medicine. 1985;312(2):82-90.
  • Spellacy WN, Miller S, Peterson PQ. Macrosomia-maternal characteristics and infant complications. Obstetrics & Gynecology. 1985;66(2):158-161.
  • Institute of Medicine (US) Committee on Nutritional Status During Pregnancy and Lactation, Total amount and pattern of weight gain: physiologic and maternal determinants. In: Nutrition During Pregnancy. Washington DC: National Academy Press; 1990.
  • Viswanathan M, Siega-Riz AM, Moos MK, et al. Outcomes of maternal weight gain. Evid Rep Technol Assess (Full Rep). 2008;168:1-223.
  • Irfan A, Dan N, Alon E, et al. Body composition and its components in preterm and term newborns: A cross‐sectional, multimodal investigation. American Journal of Human Biology. 2010;22(1):69-75.
  • Wells JC, Chomtho S, Fewtrell MS. Programming of body composition by early growth and nutrition. Proceedings of the Nutrition Societ. 2007;66(3):423-434.
  • Hofman P, Regan F, Cutfield W. Prematurity–another example of perinatal metabolic programming? Hormone Research in Paediatrics. 2006;66(1):33-39.
  • Joglekar CV, Fall CH, Deshpande VU, et al. Newborn size, infant and childhood growth, and body composition and cardiovascular disease risk factors at the age of 6 years: the Pune Maternal Nutrition Study. Int J Obes (Lond). 2007;31(10):1534-44.
  • Farooqi A, Hägglöf B, Sedin G, Gothefors L, Serenius F. Growth in 10-to 12-year-old children born at 23 to 25 weeks' gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics. 2006;118(5):1452-1465.
  • Rustico SE, Calabria AC, Garber SJ. Metabolic bone disease of prematurity. Journal of Clinical & Translational Endocrinology. 2014;1(3):85-91.
  • World Health Organization. Physical status: The use of and interpretation of anthropometry, Report of a WHO Expert Committee. 1995.
  • Alia RA, Mannan MA, Fatema K, Begum F, Siddique R. Correlation of birth weight with other anthropometric variables in detection of low birth weight (LBW) babies. Journal of Dhaka National Medical College & Hospital. 2011;17(1):29-32.
  • Mahalingam S, Achappa B, Kamila R, Baliga BS, Shivanagaraja BSV. Comparative assessment of fetal malnutrition by anthropometry and CAN score. Iranian Journal of Pediatrics. 2012;22(1):70.
  • World Health Organization. An evaluation of infant growth: the use and interpretation of anthropometry in infants. WHO Working Group on Infant Growth. Bull World Health Organ. 1995;73(2):165-74.
  • Vásquez-Garibay EM, Larios Del Toro YE, Larrosa-Haro A, Troyo-Sanromán R. Anthropometric indicators of nutritional status and growth in very low birth-weight premature infants hospitalized in a neonatal intensive care unit. Nutricion Hospitalaria. 2014;30(2):410-416.
  • Gibson RS. Principles of Nutritional Assessment. New York, United States: Oxford University Press Inc; 2005.
  • Pekcan G, Diyet El Kitabı. Beslenme Durumunun Saptanması. Ankara: Hatipoğlu Yayınları; 2008.
  • Yildirim M, Şahin K, Elevli M, Selçuk Duru HN, Çivilibal M. Effects of nutrition types on growth in infants. Haseki Tıp Bülteni. 2015;53(3):199-203.
  • Demir L., Kadın Sağlığı Hastalıkları ve Bakımı. Ankara: İnşirah Sahaf ve Kitabevi Yayınları; 2009. Hacettepe Sağlık Bilimleri Enstitüsü. Ankara: 2013 Türkiye Nüfus ve Sağlık Araştırması;2014;http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf. Erişim Tarihi 20 Aralık 2018.
  • National Research Council. Weight gain during pregnancy: reexamining the guidelines. National Academies Press, Ankara; 2010.
  • Marsoosi V, Jamal A, Eslamian L. Pre‐pregnancy weight, low pregnancy weight gain, and preterm delivery. International Journal of Gynecology & Obstetrics. 2004;87(1):36-37.
  • Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J. Obesity, gestational weight gain and preterm birth: a study within the Danish National Birth Cohort. Paediatr Perinat Epidemiol. 2007;21(1):5-14.
  • Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira, Ethiopia. SAGE open med. 2019;7:2050312119827096.
  • Yilgwan CS, Utoo TB, Hyacinth HI. Maternal characteristics influencing birth weight and infant weight gain in the first 6 weeks post-partum: A cross-sectional study of a post-natal clinic population. Nigerian Medical Journal: Journal of The Nigeria Medical Association. 2012;53(4):200.
  • Tela FG, Bezabih AM, Adhanu AK. Effect of pregnancy weight gain on infant birth weight among mothers attending antenatal care from private clinics in Mekelle City, Northern Ethiopia: A facility based follow-up study. PloS one. 2019;14(3):e0212424.
  • Johnson MJ, Wootton SA, Leaf AA, Jackson AA. Preterm birth and body composition at term equivalent age: a systematic review and meta-analysis. Pediatrics. 2012;130(3):640-649.
  • Neyzi O, Günöz H, Furman A ve ark. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008;51(1):1-14.
  • Bhavadharini B, Anjana RM, Deepa M, et al. Gestational weight gain and pregnancy outcomes in relation to body mass index in Asian Indian women. Indian Journal of Endocrinology and Metabolism. 2017;21(4):588.
  • Marsoosi V, Jamal A, Eslamian L. Pre‐pregnancy weight, low pregnancy weight gain, and preterm delivery. BMC Pregnancy and Childbirth. 2004;87(1):36-37.
  • Crane JM, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can. 2009;31(1):28-35.
  • Kangalgil M, Acar AN, Yardımcı H. Gebelikte kazanılan vücut ağırlığı ile yenidoğanın bazı özellikleri arasındaki ilişkiyi inceleyen bir araştırma. Sted. 2018;27(1):20-26.
  • Kadanalı S, Önvural A, Erten O. Doğum kilosunu etkileyen faktörler. Perinatoloji Dergisi. 1994;2:89-93.

Term ve Preterm Doğan Bebekler ile Annelerinin Antropometrik Ölçümlerinin Karşılaştırılması

Yıl 2020, Sayı: 10, 19 - 33, 17.04.2020
https://doi.org/10.38079/igusabder.624546

Öz

Amaç: Bu çalışma term ve preterm bebekler ile annelerinin antropometrik ölçümlerinin karşılaştırılması amacıyla planlanmış ve yürütülmüştür.
Yöntem: Araştırma Kasım 2015- Aralık 2015 tarihleri arasında İstanbul’da özel bir hastanede doğum yapan 120 (60 preterm, 60 term doğum) anne ve bebek ile yapılmıştır. Katılımcıların demografik özellikleri anket formu ile yüz yüze toplanmıştır. Annelerin boy ve ağırlıkları ile bebeklerin boy, ağırlık ve baş çevresi gibi antropometrik ölçümleri standartlara uygun olarak alınmıştır. Veriler, "SPSS 23.00" programı kullanılarak değerlendirilmiştir.
Bulgular: Preterm doğum yapan annelerin %41,7’si 35 yaşından büyük ve %46,7’si lise mezunu olup; çoğu (%66,7) ev hanımıdır. Term doğum yapan annelerin %95’inin, preterm doğum yapan annelerin ise %51,7’sinin doğum öncesi sağlık kontrolüne gittikleri görülmüştür (p<0,001). Term doğum yapan annelerin çoğu (%93,3) bir sağlık problemi yaşamamışken, bu oran preterm doğum yapan annelerde %10’dur ve en sık rastlanan sağlık problemi erken doğum riskidir (p<0,001). Preterm doğum yapan annelerin %36,7’sinin ve term doğum yapan annelerin %16,7’sinin >12 kg ağırlık artışı olduğu; preterm doğum yapan annelerin gebelik öncesi vücut ağırlıkları 65,0±10,2 kg; gebelik sonrası 75,7±11,5 kg; term doğum yapan annelerin ise sırasıyla 56,2±5,4 kg ve 66,4±6,5 kg olarak bulunmuştur (p<0,001). Ayrıca preterm erkek bebeklerin boy uzunlukları 37,3±5,3 cm, vücut ağırlıkları 1.388,±572,82 g ve baş çevresi 27,4±3,5 cm olup; kız bebeklerde bu değerler sırasıyla 39,4±5,1 cm, 1.610,0±576,3 g ve 28,4±3,6 cm’dir. Gebelikte; preterm doğum yapanların %73,3’ü sabah, %65’i öğle, %83,3’ü akşam, term doğum yapanların sırasıyla %100’ü sabah, %96,7’si öğle, %98,3’ü akşam öğününü düzenli tüketmiştir.
Sonuç: Term doğum yapanların %68,3’ünün gebelikte 8-12 kg ağırlık artışı olduğu, gebelik öncesi ve sonrası Beden Kütle İndeksi (BKİ) sınıflamasında çoğunun normal aralıkta olduğu görülmüştür. Gebelikte vücut ağırlığı kazanımı ve beslenme düzeni açısından takip bebeğin sağlıklı doğması için önemli olup; düzenli olarak beslenme eğitimi ve ağırlık takibi önemlidir.

Kaynakça

  • Köksal G. Çocuk Hastalıklarında Beslenme. Ankara: Hatiboğlu Yayınları; 2013.
  • McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. New England Journal of Medicine. 1985;312(2):82-90.
  • Spellacy WN, Miller S, Peterson PQ. Macrosomia-maternal characteristics and infant complications. Obstetrics & Gynecology. 1985;66(2):158-161.
  • Institute of Medicine (US) Committee on Nutritional Status During Pregnancy and Lactation, Total amount and pattern of weight gain: physiologic and maternal determinants. In: Nutrition During Pregnancy. Washington DC: National Academy Press; 1990.
  • Viswanathan M, Siega-Riz AM, Moos MK, et al. Outcomes of maternal weight gain. Evid Rep Technol Assess (Full Rep). 2008;168:1-223.
  • Irfan A, Dan N, Alon E, et al. Body composition and its components in preterm and term newborns: A cross‐sectional, multimodal investigation. American Journal of Human Biology. 2010;22(1):69-75.
  • Wells JC, Chomtho S, Fewtrell MS. Programming of body composition by early growth and nutrition. Proceedings of the Nutrition Societ. 2007;66(3):423-434.
  • Hofman P, Regan F, Cutfield W. Prematurity–another example of perinatal metabolic programming? Hormone Research in Paediatrics. 2006;66(1):33-39.
  • Joglekar CV, Fall CH, Deshpande VU, et al. Newborn size, infant and childhood growth, and body composition and cardiovascular disease risk factors at the age of 6 years: the Pune Maternal Nutrition Study. Int J Obes (Lond). 2007;31(10):1534-44.
  • Farooqi A, Hägglöf B, Sedin G, Gothefors L, Serenius F. Growth in 10-to 12-year-old children born at 23 to 25 weeks' gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics. 2006;118(5):1452-1465.
  • Rustico SE, Calabria AC, Garber SJ. Metabolic bone disease of prematurity. Journal of Clinical & Translational Endocrinology. 2014;1(3):85-91.
  • World Health Organization. Physical status: The use of and interpretation of anthropometry, Report of a WHO Expert Committee. 1995.
  • Alia RA, Mannan MA, Fatema K, Begum F, Siddique R. Correlation of birth weight with other anthropometric variables in detection of low birth weight (LBW) babies. Journal of Dhaka National Medical College & Hospital. 2011;17(1):29-32.
  • Mahalingam S, Achappa B, Kamila R, Baliga BS, Shivanagaraja BSV. Comparative assessment of fetal malnutrition by anthropometry and CAN score. Iranian Journal of Pediatrics. 2012;22(1):70.
  • World Health Organization. An evaluation of infant growth: the use and interpretation of anthropometry in infants. WHO Working Group on Infant Growth. Bull World Health Organ. 1995;73(2):165-74.
  • Vásquez-Garibay EM, Larios Del Toro YE, Larrosa-Haro A, Troyo-Sanromán R. Anthropometric indicators of nutritional status and growth in very low birth-weight premature infants hospitalized in a neonatal intensive care unit. Nutricion Hospitalaria. 2014;30(2):410-416.
  • Gibson RS. Principles of Nutritional Assessment. New York, United States: Oxford University Press Inc; 2005.
  • Pekcan G, Diyet El Kitabı. Beslenme Durumunun Saptanması. Ankara: Hatipoğlu Yayınları; 2008.
  • Yildirim M, Şahin K, Elevli M, Selçuk Duru HN, Çivilibal M. Effects of nutrition types on growth in infants. Haseki Tıp Bülteni. 2015;53(3):199-203.
  • Demir L., Kadın Sağlığı Hastalıkları ve Bakımı. Ankara: İnşirah Sahaf ve Kitabevi Yayınları; 2009. Hacettepe Sağlık Bilimleri Enstitüsü. Ankara: 2013 Türkiye Nüfus ve Sağlık Araştırması;2014;http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf. Erişim Tarihi 20 Aralık 2018.
  • National Research Council. Weight gain during pregnancy: reexamining the guidelines. National Academies Press, Ankara; 2010.
  • Marsoosi V, Jamal A, Eslamian L. Pre‐pregnancy weight, low pregnancy weight gain, and preterm delivery. International Journal of Gynecology & Obstetrics. 2004;87(1):36-37.
  • Nohr EA, Bech BH, Vaeth M, Rasmussen KM, Henriksen TB, Olsen J. Obesity, gestational weight gain and preterm birth: a study within the Danish National Birth Cohort. Paediatr Perinat Epidemiol. 2007;21(1):5-14.
  • Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira, Ethiopia. SAGE open med. 2019;7:2050312119827096.
  • Yilgwan CS, Utoo TB, Hyacinth HI. Maternal characteristics influencing birth weight and infant weight gain in the first 6 weeks post-partum: A cross-sectional study of a post-natal clinic population. Nigerian Medical Journal: Journal of The Nigeria Medical Association. 2012;53(4):200.
  • Tela FG, Bezabih AM, Adhanu AK. Effect of pregnancy weight gain on infant birth weight among mothers attending antenatal care from private clinics in Mekelle City, Northern Ethiopia: A facility based follow-up study. PloS one. 2019;14(3):e0212424.
  • Johnson MJ, Wootton SA, Leaf AA, Jackson AA. Preterm birth and body composition at term equivalent age: a systematic review and meta-analysis. Pediatrics. 2012;130(3):640-649.
  • Neyzi O, Günöz H, Furman A ve ark. Türk çocuklarında vücut ağırlığı, boy uzunluğu, baş çevresi ve vücut kitle indeksi referans değerleri. Çocuk Sağlığı ve Hastalıkları Dergisi. 2008;51(1):1-14.
  • Bhavadharini B, Anjana RM, Deepa M, et al. Gestational weight gain and pregnancy outcomes in relation to body mass index in Asian Indian women. Indian Journal of Endocrinology and Metabolism. 2017;21(4):588.
  • Marsoosi V, Jamal A, Eslamian L. Pre‐pregnancy weight, low pregnancy weight gain, and preterm delivery. BMC Pregnancy and Childbirth. 2004;87(1):36-37.
  • Crane JM, White J, Murphy P, Burrage L, Hutchens D. The effect of gestational weight gain by body mass index on maternal and neonatal outcomes. J Obstet Gynaecol Can. 2009;31(1):28-35.
  • Kangalgil M, Acar AN, Yardımcı H. Gebelikte kazanılan vücut ağırlığı ile yenidoğanın bazı özellikleri arasındaki ilişkiyi inceleyen bir araştırma. Sted. 2018;27(1):20-26.
  • Kadanalı S, Önvural A, Erten O. Doğum kilosunu etkileyen faktörler. Perinatoloji Dergisi. 1994;2:89-93.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Makaleler
Yazarlar

Halime Pulat Demir 0000-0001-9509-4473

Hatice Merve Bayram 0000-0002-7073-2907

Hasan Fatih Akgöz Bu kişi benim 0000-0002-8076-9965

Yayımlanma Tarihi 17 Nisan 2020
Kabul Tarihi 30 Ocak 2020
Yayımlandığı Sayı Yıl 2020 Sayı: 10

Kaynak Göster

JAMA Pulat Demir H, Bayram HM, Akgöz HF. Term ve Preterm Doğan Bebekler ile Annelerinin Antropometrik Ölçümlerinin Karşılaştırılması. IGUSABDER. 2020;:19–33.

 Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)