Comparative Study of CANSCORE with Anthropometry in the Assessment of Fetal Malnutrition
Journal Title: International Journal of Medical and Health Sciences - Year 2014, Vol 3, Issue 3
Abstract
Background: There are various methods to determine nutritional status of newborns at birth like weight for gestational age, Body Mass Index (BMI) Ponderal index, mid arm/head circumference ratio, etc., but each has its own drawbacks. Fetal malnutrition (FM) and the terms „small for gestational age are not synonymous and one may occur without the other. Since neonatal morbidity and mortality is more closely related to nutritional status of newborn at birth, a Clinical Assessment of Nutritional status score (CANSCORE) was developed by Metcoff to differentiate malnourished from appropriately nourished babies. This score has been tested and approved by various other authors also. Objectives: Detection of fetal malnutrition by Clinical Assessment of Nutritional Status Score (CANSCORE) of term neonates at birth and its comparison with other commonly used anthropometric measures for defining nutritional status of newborn babies. Methods: Prospective study of 400 term healthy newborns born in a teaching hospital were assessed using CANSCORE. Complete anthropometric measurements like weight, length, head circumference (HC), mid arm circumference (MAC), mid arm circumference/ head circumference (MAC/HC) ratio and ponderal index (PI) were determined, and compared to CANSCORE. Results: With a cut off value of 25, CANSCORE identified 98 (24.5%) malnourished neonates. 19.5% of the Appropriate for Gestational Age (AGA) neonates were malnourished whereas 93.8% of small for gestational age (SGA) neonates were malnourished. Conclusion: CANSCORE is a simple, clinical method for identifying Fetal Malnutrition (FM) in term babies which can even detect malnourished newborns who are missed by other anthropometric methods.
Authors and Affiliations
Faheem. M, Saifuddeen AA, Prakash
Keywords
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