Assessment of fetal nutrition status at birth using the clinical assessment of nutritional status score
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Assessment of fetal malnutrition (FM) among neonates has been a major concern to health personnel due to the potentially serious sequelae of malnutrition on multiple organ systems. There is a dearth of research in the use of a clinical assessment of nutritional (CAN) status score as a method of assessing FM in term newborns regarding the Indian context. Objective: This study was conducted to assess the FM by CAN score and to verify the validity of CAN score in relation to other anthropometric variables. Materials and Methods: A hospital-based observational study was carried out at a tertiary care hospital, Chamarajanagar, for a period of 3 months from March 2018 to May 2018. All liveborn, singleton term infants >37 weeks of gestation were included in the study. All measurements were carried out between 24 and 48 h of newborn age and data were collected using a structured questionnaire. Results: In this study, out of 250 neonates included, 52.8% of newborns were female and 47.2% were males. Total 8% of the study population was low birth weight, and 92% had normal birth weight. The CAN score of <25 was found in 21.2% while the rest of 78.8% of cases had CAN score of >25. CAN score had a sensitivity of 90%, specificity of 84.78%, and diagnostic accuracy of 85.2%. Conclusion: CAN score, a simple clinical index for identifying FM, is a good indicator than other anthropometric methods of determining intrauterine growth restriction like ponderal index.
Authors and Affiliations
Lakshmi Lakkappa, Suguna Somasundara
Keywords
Related Articles
- EP ID EP474393
- DOI -
- Views 103
- Downloads 0
Study of echocardiography in thalassemia (major/intermedia) patients at tertiary care center
Objective: The objective of this study is to study the cardiovascular complications and to establish the role of echocardiography (ECHO) screening in beta thalassemia major (TM) and intermedia patients, aged 2–12 years,...
Comparing the effectiveness of intranasal Midazolam and intravenous Lorazepam for the treatment of acute seizures in children
Objective: The objective of this study was to compare the safety and efficacy of intranasal midazolam with intravenous lorazepam in acute seizures in children. Methods: Children aged 6 months–12 years with active tonic/c...
Diffuse neonatal hemangiomatosis presenting as congestive cardiac failure - A case report
Infantile hepatic hemangioma has substantial arteriovenous shunting which may lead to cardiovascular compromise and hydrops fetalis. It may present as hepatomegaly since the entire liver is involved in most cases. As mor...
Antibiogram resistance pattern of extended-spectrum beta-lactamase-positive bacterial isolates
Objectives: To identify the antibiogram resistance pattern of extended-spectrum beta-lactamase (ESBL)-positive bacterial isolates. Materials and Methods: This prospective, observational study was conducted in Rajarajeswa...
Myocardial ischemia in neonate with perinatal asphyxia: Electrocardiographic, echocardiographic and enzymatic correlation
Objective: The objective of this study is to evaluate the presence and severity of cardiac involvement in asphyxiated neonates and to established which clinical and laboratory parameters (electrocardiogram [ECG], echocar...