CORRELATION OF FETAL WEIGHT AT DIFFERENT GESTATION AGE AND OTHER MATERNAL FACTORS.

Authors

  • Amin Jan

Abstract

INTRODUCTION: Birth weight has been shown to correlate with survival in all animals. Low birth weight alone is a better predictor of perinatal morbidity and mortality than gestational age alone. But for a given birth weight greater gestational age is associated with decreased risks.
OBJECTIVE: The main objective of this study was to find out the correlation of fetal weight at different gestational age.
METHODOLOGY: It was across sectional study conducted on 2000 babies and their mothers at Obstetric &Gynae unit of Lady Reading Hospital Peshawar from 1st June 2015 to 30th May 2016. Non probability sampling technique was used to select the study subjects. All babies who were born after 28 weeks of pregnancy and their mothers were included in the study. A semi structured questionnaire was designed to take the history and other information from the mothers. Mothers were properly examined and their vitals were recorded using standard protocols. Different variables like age of the mother, gestational age, parity of mother, socioeconomic status, Height, weight and sex of the babies were determined. Weight of the babies was measured with a standard digital scale. Gestational age of babies was measured by various means available. Abnormal babies, still born babies and babies of the mothers with medical and Obstetrical complications were excluded from the study. Data was presented in the form of tables and analysis was made.
RESULTS: Results of the study shows a positive correlation of fetal weight with increasing gestational age, parity of the mother, age of the mothers, male gender of the babies, low socioeconomic status of the families and height of the mothers.
CONCLUSION: Fetal weight is directly correlated with different gestational ages. Other factors like sex of the baby, maternal height and weight, socioeconomic status and weight of the mother also affect the weight of the fetus.
KEY WORDS: Gestational age, parity, fetus, pregnancy, still born

References

M.A. Willox. Individualized birth weight ratio: A more logical outcome measure of pregnancy than the birth weight; British Journal of Obst. &Gynae Vol-I00, No. 4. April, 1993

Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet 2008;371:75–84.

Micheal W, Warner. Disproportionate fetal growth, current Obst. &Gynae Diag. & Treatment.

Judith L. Chervenak, Natalive B. Kardow. Advancing maternal age, the actual risk. (The female patient 4th quarter). 1992: 47-51.

Roemer VM, Kieback DG, Buckler. Gestational age and birth weight, the placenta and co-factor. Geburtshilfe-perinatology, 145(5), Sep-Oct, 1991: 195—208.

Doris Campbell, John Lemon, Colin Pritchand. Clinical birth weight standards for a total population in 1980x. B.J.O.G., Vol-100: May 1993: 436-445.

Doris Campbell, John Lemon and Colin Pritchand. Clinical birth weight standards for a total population in 1980x. B.J.O.G., Vol-100, May 1993: 436-445.

Lenore J. Launer, Jose Villar, Edgar Kestler and Mercedes Deonis. The effect of maternal work on fetal growth and duration of pregnancy. B.J. of Obst. Gynae Vol-97, Jan, 1990: 62-70

Jaddoe VW, Troe EJ, Hofman A, et al. Active and passive maternal smoking during pregnancy and the risks of low birthweight and preterm birth: the Generation R Study. PaediatrPerinatEpidemiol 2008;22:162-71.

Jaddoe VW, de Jonge LL, Hofman A, Franco OH, Steegers EA and Gaillard R. First trimester fetal growth restriction and cardiovascular risk factors in school age children: population based cohort study. BMJ 2014:348-352.

Annoakley, Lyndonajan, Adrian Grant. Social Support and pregnancy outcome. British journal of Obstetrics & Gynae Feb., 1990 Vol-97: 155-162.

Khoshnood B, Wall S, Lee KS. Risk of low birth weight associated with advanced maternal age among four ethnic groups in the United States. Maternal and Child Health Journal. 2005; 9:3–9.

MacLeod S, Kiely JL. The effects of maternal age and parity on birth weight: a population-based study in New York City. Int J Gynaecol Obstet 1988;26:11-9.

Li YM, Chang TK. Maternal demographic and psychosocial factors associated with low birth weight in eastern Taiwan. Kaohsiung J Med Sci 2005;21:502-10.

Albouy-Llaty M, Thiebaugeorges O, Goua V, et al. Influence of fetal and parental factors on intrauterine growth measurements: results of the EDEN mother-child cohort. Ultrasound Obstet Gynecol 2011;38:673–80.

K.M. Godfrey C.W.G. Redman, D.J.P. Barker. C. Osmond, Sept. 1991.The effects of maternal anemia and irondeficiency on the ratio of fetal weight to theplacental weight. British Journal of obst. &Gynae, Vol-98:886-891.

K. Krasvec& M.A Anderson. Materna1 nutrition. Monitoring pregnancy.. Nutrition training for pregnancy health care workers. Vol-10, 1991:14-16.

Larsen, Serderlla& Sullivan. Macrosomia-Influence of over weight on low income population, American Journal of Obst&Gynae. 1990:21-24.

Yilgwan CS, Abok II, Yinnang WD, Vajime BA. Prevalence and risk factors of low birth weight in Jos. Jos J Med. 2009;4:12–5.

Elshibly EM, Schmalisch G. The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants. BMC Public Health. 2008 Jul 18; 8: 244.

Micheal S. Kramer, Frances H. Mclean BSCN, Mark E. Boyd, Robert H, Usher, April 1989. Validity of gestational ageestimation by menstrual dating in term, pre-term and post-term infants. JAMA Vol-I No.2: 21-23.

Zhang X, Cnattingius S, Platt RW, Joseph KS, Kramer MS. Are babies born to short, primiparous, or thin mothers “normally†or “abnormally†small? J Pediatr. 2007; 150: 603–7.

M-Lawrence F.M Mckillop, JVGA, Durinin,. Women who gain more fat during pregnancy may not have biggerbabies. Implication for recommended weight gain during pregnancy. British journal of Obst. &Gynae,Vol-98; March, 1991: 254-259.

Huang RC, Burke V, Newnham JP, Stanley FJ, Kendall GE, Landau LI, et al. Perinatal and childhood origins of cardiovascular disease. Int J Obes.2007;31:236–44.

Salomon LJ, Hourrier S, Fanchin R, Ville Y, Rozenberg P. Is first-trimester crown rump length associated with birthweight? BJOG 2011;118:1223–28.

Jaddoe VW, van Duijn CM, Franco OH, et al. The Generation R Study: design and cohort update 2012. Eur J Epidemiol 2012;27:739–56.

Downloads

Published

07/19/2018