Sole print area as a parameter for assessing the gestational age of the neonate – A prospective cross-sectional study
Journal Title: MedPulse -International Medical Journal - Year 2018, Vol 5, Issue 4
Abstract
Background: Simple parameters other than birth weight such as sole print area, head circumference, chest circumference, mid-arm circumference will be useful to quantitate fetal and neonatal growth and to identify at risk babies at rural community level. Aim: To know whether the Sole print area corresponds to Gestational age in Newborn so as to be used as a parameter for estimating Gestational age. Objectives: Neonates will be categorized as Term, Preterm, SGA/ IUGR. The estimated sole print area in the term, Preterm and SGA/ IUGR will be compared and correlated with the Gestational Age estimated by New Ballard Score. Materials and Methods: A prospective cross sectional study was done in the department of paediatrics and included 1000 first day neonates born in Labour room, OT and present in Post Natal ward. Data was collected from newborn clinical examination after taking a written consent from the caretaker. The gestational age of infants will be calculated from the first day of LMP and confirmed by clinical assessment using New Ballard Score. Sole print was obtained using a stamp pad and the sole print area was estimated by placing the print on a transparent grid, each square measuring ¼ cm x ¼ cm. Based on each value by correlating with NBS each value is assigned for Term, Preterm, SGA/ IUGR. Results: Of the total 1000 deliveries, 360 were from LSCS and 640 were SPVD. Of the 1000 deliveries, 530 were term, 300 were preterm and 170 were IUGR/SGA. The mean New Ballots Score (NBS) of the babies was 36.41 falling within the range of NBS from 26 to 45. Analysis using pearson correlation coefficient indicates a significant linear relationship between sole print area and gestational age, r = 0.347 and correlation is highly significant (p<0.001). Conclusion: there is a linear relationship between sole print areas with gestational age assessed by NBS and this is useful to quantitate fetal and neonatal growth and to identify at risk babies at rural community level.
Authors and Affiliations
Ananth T, Shruti Vedala, M R Imran
Keywords
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