Evaluation of Coronavirus Anxiety in Pregnant Women on Apgar Score and Birth Weight After One Year of Coronavirus Outbreak  (Case Study: Zabol, Iran)

Objective: The aim of this study is to compare the fetal and maternal outcomes in between asymptomatic and symptomatic COVID positive pregnant women. Study Design: Retrospective cohort study Place and Duration: The study was conducted at Gynae and Obs department of Sandeman Provincial Hospital, Quetta for duration of six months from November 2020 to April 2021. Methods: One hundred and ten pregnant women with ages 18-45 years had corona virus disease were presented. Informed written consent was taken from all patients for detailed demographics. COVID -19 was diagnosed by PCR. 55 patients had symptoms of coronavirus were included in group A and 55 patients did not show symptoms were included in group B. Frequency of pre-eclampsia, gestational diabetes mellitus and post-partum haemorrhage were calculated. Maternal adverse outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor, hypertensive disorder) were calculated among both groups. Fetal outcomes perinatal mortality, Low birth weight, Low Apgar score and NICU admission were observed. SPSS 20.0 version was used to analyze all data. Results: Mean age of the patients in group A was 28.47±3.18 years with mean BMI 24.03±5.24 Kg/m2 and in group B mean age was 27.99±4.17 years with mean BMI 24.44±6.41 Kg/m2. Maternal outcomes (cesarean section, instrumental delivery, induction of labor and prolong labor,) in symptomatic group were significantly higher than that of asymptomatic group. Fetal outcomes, perinatal mortality in group A 9 (16.4%) and in group B was 5 (9.1%), low birth weight in group A was among 21 (38.2%) and in group B was 10 (18.2%), low apgar score in group A was 11 (20%) and in group B was 8 (14.4%), 15 (27.3%) in group A went to NICU admission and 3 (5.5%) patient in group II admitted to NICU. Conclusion: In this study we concluded that adverse outcomes among symptomatic COVID pregnant women were higher than that of asymptomatic coronavirus pregnant women in terms maternal and perinatal outcomes. Keywords: Pregnant women, Coronavirus, Symptomatic, Asymptomatic, Adverse Outcomes

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Maternal Dietary Intake During Pregnancy and Its Association with Size of Offspring at Birth and One Year of Age (P11-031-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz048.p11-031-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Sarika Tyagi ◽

G S Toteja ◽

Neena Bhatia

Keyword(s):

Birth Weight ◽

Dietary Intake ◽

Pregnant Women ◽

Pearson Correlation ◽

Leafy Vegetables ◽

Micronutrient Deficiencies ◽

Food Groups ◽

One Year ◽

Maternal Dietary Intake ◽

Slum Population

Abstract Objectives In resource poor countries like India pregnant women are prone to inadequate dietary intake which causes macronutrient and micronutrient deficiencies and consequently leads to low‐birth weight infants with higher risks of morbidity and mortality. Present study was planned with the following objectives: To assess dietary intake of pregnant women during third trimester.To correlate maternal dietary intake with size of infants at birth and at one year of age. Methods This longitudinal study was carried out among slum population of Delhi. Dietary intake data was obtained from 144 pregnant women during pregnancy (gestational age > 28 weeks) using 24 hr recall and Food Frequency Questionnaire (FFQ) method. Pregnant women were followed upto delivery and birth size (weight, length, head circumference and MUAC) of infants was measured within 72 hours of birth. Infants were followed quarterly upto one year of age for anthropometric measurements. For statistical analysis One Way ANOVA and Pearson correlation coefficient methods were used. Results Food consumption data revealed that average consumption of all food groups was lower than the Recommended Dietary Intake (RDI) and percentage adequacy was poor for cereals (96.25%), pulses (51.3%), green leafy vegetables (24.4%), other vegetables (42.5%), fruits (34.8%) and milk and milk products (36.9%).Median intake for all the nutrients was also found lower than Recommended Dietary Allowances (RDA). Percentage adequacy was alsopoor for energy (70.4%), protein (61.0%), thiamine (70.8%), riboflavin (28.6%), niacin (54.9%), B6 (41.6%), folates (35.1%), ascorbic acid (99.4%), retinol (16.2%), calcium (33.6%), iron (28.6%), magnesium (90.1%), and zinc (57.8%).Maternal food group intake and nutrient intake during pregnancy were found significantly correlated with weight, length and MUAC of infants at birth but not at 12 months of age. Even though birth weight and weight at 12 months increased consistently with increase in maternal energy and protein adequacy, this association was not significant at 12 months of age. Conclusions Dietary intake of pregnant women was lower than the recommended dietary intake among slum population of Delhi. Maternal dietary intake was found significantly associated with size of infants at birth. Funding Sources Indian Council Of Medical Research, New Delhi, India.

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Early registration for antenatal care was associated with improved birth outcomes in a low-income community in Harare

10.21203/rs.3.rs-21962/v1 ◽

2020 ◽

Author(s):

Tonderayi Mathew Matsungo ◽

Shingai Mudzuri ◽

Prosper Chopera

Keyword(s):

Birth Weight ◽

Antenatal Care ◽

Pregnant Women ◽

Birth Outcomes ◽

Head Circumference ◽

Apgar Score ◽

First Trimester ◽

Birth Length ◽

Delivery Mode ◽

Early Registration

Abstract Background : The World Health Organization (WHO) recommends early registration, regular and consistent attendance of antenatal care (ANC) sessions for all pregnant women. Specifically, if ANC services promote evidence-based practices this improves pregnancy outcomes and reduce maternal mortality. Yet there are worrying gaps in knowledge of antenatal care services in Zimbabwe. Objectives: To determine the relationship between early registration and frequency of ANC visits on birth weight, birth length, head circumference, Apgar score, birth complications, delivery mode, preterm birth and duration of labour among women aged 15-49 from Hatcliffe Polyclinic, Harare. Methods: This was a health facility based analytical cross-sectional study. An interviewer administered questionnaire was used to collect data. Data was entered and analysed using SPSS version 20. Descriptive statistics, and associations between dependent and independent variables were determined using Pearson’s Chi-square and Fisher’s exact test. Ethical approval was granted from the Medical Research Council of Zimbabwe (MRCZ/B/1438). Results: A total of 75 mother child pairs were interviewed. Most (77.3%) had more than four ANC visits. Only 36% registered early (during first trimester). Most of the children had normal birth weight ≥2500g (80.3%), birth length ≥47cm, (76%), head circumference ≥33cm (80%), and Apgar score ≥7 (96%). A positive association was observed between number of ANC visits and birth weight [Odds ratio (OR) 7.6; 95% Confidence Interval (CI) 1.6, 36.4 (p=0.013)], birth length [OR 6.1; 95%CI 1.8, 20.1 (p=0.010)], and head circumference [OR 4.3; 95% CI 1.3, 14.8 (p=0.013)]. Positive associations were also observed between timing of registration and birth weight [OR 1.2; 95% 1.05, 1.36 (p=0.045)], birth length [OR 0.16; 95% CI 0.03, 0.76 (p=0.012)]. Conclusions: In this study increased frequency and early registration for ANC visits had a positive relationship with birth weight, birth length and head circumference. These findings show the need for improving the uptake of ANC services, early registration for ANC in the first trimester and adoption of community wide strategies to ensure that pregnant women attend all recommended visits for improved birth outcomes in this and related settings.

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The effect of parity, birth weight babies, pregnancy interval and a history of hemorrhage with the incidence of postpartum hemorrhage (Case Study in the RSUD Ngudi Waluyo Wlingi Blitar on 2014)

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v4i32016.396-407 ◽

2017 ◽

Vol 4 (3) ◽

pp. 396

Author(s):

Izfa Rifdiani

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Postpartum Hemorrhage ◽

Health Workers ◽

Sampling Technique ◽

Simple Random Sampling ◽

Care Workers ◽

History Of ◽

Make Health Care

Postpartum hemorrhage is one of the problems was the cause of maternal deaths in Indonesia. The maternal mortality rate is one indicator for the degree of health specially of a woman. Postpartum hemorrhage is bleeding or blood loss of 500 cc or more that occurred after the child is born. The research objective was to analyze the effect of parity, birth weight babies, pregnancy interval and a history of postpartum hemorrhage in the mother after giving birth to the incidence of postpartum hemorrhage in Ngudi Waluyo Hospital Wlingi Blitar 2014. This study used a case-control design. The populations in this study are all mothers who gave birth in Ngudi Waluyo Hospital Wlingi Blitar 2014. The sampling technique was simple random sampling. The results were obtained no effect of parity on the incidence of postpartum hemorrhage (OR=0,810, CI 95% 0,329<OR<1,995 , OR=0,895, CI 95% 0,260<OR<3,077), there was no effect of birth weight babies on the incidence of postpartum hemorrhage (OR=0,651, CI 95% 0,104<OR<4,096), there was effect of pregnancy interval on the incidence of postpartum hemorrhage (OR = 17.953, 95% CI 3.550 <OR <90.785) and there was effect of a history of bleeding on the incidence of postpartum hemorrhage postpartum (OR = 18.104, 95% CI 3.559 <OR <92.097). Health workers are expected to provide advice to the mother who gave birth to not be pregnant again during the next 2 years, and then advise the mother to join the family planning program in order to distance the pregnancy can be arranged. Examination of the precision of pregnant women visit each semester will make health care workers, pregnant women and families more aware of the possibility of postpartum hemorrhage after childbirth.Key words: parity, birth weight babies, pregnancy interval, a history of postpartum hemorrhage, the incidence of postpartum hemorrhage

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Karakteristik Ibu Hamil dengan Covid-19 dan Luaran Persalinannya di Rumah Sakit Kasih Ibu Surakarta

Jurnal Kesehatan Reproduksi ◽

10.22146/jkr.63936 ◽

2021 ◽

Vol 8 (1) ◽

pp. 31

Author(s):

Nabila Arnest Amorita ◽

Ira Syahriarti

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Apgar Score ◽

Medical Records ◽

Maternal Age ◽

Central Java ◽

Weight One ◽

Referral Hospitals ◽

Maternal And Neonatal Outcomes ◽

Maternal Fetal Transmission

Background: Kasih Ibu Hospital as one of the referral hospitals for COVID-19 in Surakarta City, Central Java, had treated 1333 confirmed cases of COVID-19, including among them obstetric patients with COVID-19. Pregnant women are considered to be more susceptible to COVID-19 infection than those who are not pregnant and it is feared that it will result in unfavorable conditions for both mother and fetus. Until now, research on pregnant women with COVID-19 in Indonesia is still very few and limited.Objective: To provide an overview of the characteristics of maternal and neonatal outcomes at the Kasih Ibu Hospital Surakarta.Method: Data were collected from medical records of pregnant women confirmed with COVID-19 who gave birth at the Kasih Ibu Hospital, Surakarta. Data was presented in the form of a distribution based on maternal age, parity, gestational age, complication of delivery, typical complaints of COVID-19 in mothers, birth weight of infant, infant APGAR score, and infant COVID-19 status.Results and Discussion: A total of 62 pregnant women confirmed with COVID-19 gave birth at the Kasih Ibu Hospital Surakarta by sectio caesarean procedure. Of all pregnant women, most were asymptomatic and had mild symptoms, only 3.2% had moderate symptoms and no severe or critical symptoms were found. Out of 20 out of 62 babies born (32%) confirmed with COVID-19. All babies were born with good APGAR score and 4 babies were found with low birth weight, one of whom also had hypospadias.Conclusions: Further research is needed regarding the maternal-fetal transmission of COVID-19. Keywords: COVID-19; neonates; pregnancy

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The Influence of Oxidative Stress-Related Factors on Pregnancy and Neonatal Outcomes

Journal of Interdisciplinary Medicine ◽

10.2478/jim-2020-0033 ◽

2020 ◽

Vol 5 (4) ◽

pp. 146-151

Author(s):

Zsuzsánna Simon-Szabó ◽

Enikő Nemes-Nagy ◽

Lóránd Dénes ◽

Béla Szabó

Keyword(s):

Oxidative Stress ◽

Birth Weight ◽

Pregnant Women ◽

Gestational Age ◽

Apgar Score ◽

Premature Delivery ◽

Control Group ◽

Related Factors ◽

Supplement Use ◽

Cardiac Group

AbstractBackground: Pregnancy is a physiological process associated with an excessive oxidative stress for both the mother and the neonate. Oxidative stress was extensively studied and is still in focus as a factor of maternal pathologies during pregnancy, with consequences on the outcome of the neonate.Aim: The aim of our study was to determine whether oxidative stress-related factors can influence the outcome of pregnancy, delivery, and the neonate’s wellbeing.Material and methods: The study was conducted using a questionnaire among pregnant women with voluntary enrollment. Exclusion criteria were preeclampsia or other cardiovascular diseases, gestational diabetes, and hypothyroidism at admission. Patients were enrolled in a control group of 60 pregnant women without preexisting pathology and pregnancy with physiological course, a premature group of 21 pregnant women with premature delivery, and a cardiac group of 8 pregnant women with fetal heart disease known before birth. The study population was separated into subgroups based on dietary supplement use within the three main groups, and other subgroups for smoking/non-smoking mothers in the control group and one for smoking/non-smoking mothers in the premature and cardiac groups together.Results: The mean Apgar score at 1 minute was significantly higher in the control group compared to the cardiac group (p = 0.0023). The 1-minute Apgar score was significantly lower in infants that were born premature, from smoking mothers, compared to babies that were delivered at term (p = 0.0191). Although we did not obtain significant differences in birth weight corrected by gestational age between the control (mature) group and premature group, there was a good correlation in gestational age and birth weight of the preterm born infants (r = 0.8517, p <0.0001).Conclusions: Smoking can aggravate oxidative stress in pregnancy, which will contribute to a difficult postnatal adaptation of newborns from smoking mothers and will increase the risk of premature delivery.

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Seroprevalence of Chlamydia trachomatis infection among pregnant women and their outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170576 ◽

2017 ◽

Vol 6 (3) ◽

pp. 1016

Author(s):

Vibha Rani Pipal ◽

Rajendra Pipal ◽

Dharmendra Pipal ◽

Seema Yadav ◽

Manoj Kamal ◽

...

Keyword(s):

Birth Weight ◽

Chlamydia Trachomatis ◽

Low Birth Weight ◽

Pregnant Women ◽

Apgar Score ◽

Very Low Birth Weight ◽

Previous History ◽

Uttar Pradesh ◽

Chlamydia Trachomatis Infection ◽

Igm Antibody

Background: Genitourinary infections either sexually transmitted or by other means are a major concern among women, particularly young adults and teens. The objective was to find out seroprevalence of Chlamydia trachomatis infection in pregnant women and its effect on pregnancy outcome.Methods: the present study was carried out in the department of obstetrics and gynaecology, King George Medical University of Lucknow, Uttar Pradesh, India, over a period of September 2003 to July 2004. Total 120 pregnant women were included in the study, these pregnant women were selected according to their will in taking part in the study irrespective of age and parity. 2 ml of blood sample was collected and determination of antichlamydial IgM antibody was done by VIRCELL SL IgM ELISA Kit in microbiology department. Prevalence of chlamydia trachomatis in pregnant women were assessed and correlated with age group, parity, socioeconomic status, previous obstetric outcome, anaemia, PROM, mode of termination according to gestational age, perinatal outcome regards birthweight, and adverse neonatal outcome.Results: Out of 120 cases, total 70 (58.33%) were positive while the remaining 50 cases were negative. 80 cases were followed till delivery in which 66.25% were positive for antichlamydial IgM antibody. There was significant association of previous history of 2-3 abortion and preterm delivery with IgM positive cases. Low birth weight deliveries were 78% and very low birth weight was 100% in positive cases. Caesarean section at <37 weeks of gestation, IUGR and low APGAR score were significantly high in IgM positive group. 100% PROM cases were IgM positive.Conclusions: The prevalence of chlamydia trachomatis infection among pregnant women in our population is high and is strongly associated with premature rupture of membranes, IUGR, LBW, and low APGAR score deliveries.

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Influence of Dietary Behaviors on Dyslipidemia in Pregnant Women and Its Effects on Physical Development of Fetuses and Infants: A Bidirectional Cohort Study

Nutrients ◽

10.3390/nu13103398 ◽

2021 ◽

Vol 13 (10) ◽

pp. 3398

Author(s):

Chenyang Li ◽

Xuening Li ◽

Dan Wu ◽

Qi Chen ◽

Zhe Xiao ◽

...

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Density Lipoprotein ◽

Physical Development ◽

Dietary Behaviors ◽

Large For Gestational Age ◽

Independent Risk Factors ◽

Questionnaire Surveys ◽

One Year ◽

Abnormal Lipid Metabolism

Background: Gestational diabetes can alter the trajectory of fetal development, but there are few studies on the effects of abnormal lipid metabolism on physical development of infants. We aimed to explore the prevalence of maternal dyslipidemia, its influencing factors and effects on the physical development of fetuses and infants, as well as the role of leptin in this process. Methods: Questionnaire surveys and main outcome measures were administered among 338 pairs of pregnant women and newborns. Results: The detection rate of maternal dyslipidemia was 31.5%. The median levels of TG (triglyceride) and TG/HDL (high-density lipoprotein) ratio were higher in large-for-gestational-age (LGA) newborns. Birth weight was positively related to infants’ height and weight at six months and one year old (p < 0.05). Leptin was positively related to TG levels of pregnant women and newborns’ birth weight (p < 0.05). Logistic regression analysis showed that having greater than or equal to four meals a day (OR = 6.552, 95%CI = 1.014–42.338) and liking to eat lightly flavored food during pregnancy (OR = 1.887, 95%CI = 1.048–3.395) were independent risk factors of maternal dyslipidemia. Conclusions: The prevalence of dyslipidemia was relatively high in pregnant women and was affected by dietary behaviors. Abnormal lipid levels during pregnancy could affect weight and length at birth, which might be associated with increasing leptin levels in cord blood, and then the weight of infants would be influenced by birth weight.

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The effect of parity, birth weight babies, pregnancy interval and a history of hemorrhage with the incidence of postpartum hemorrhage (Case Study in the RSUD Ngudi Waluyo Wlingi Blitar on 2014)

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v4i3.2016.396-407 ◽

2017 ◽

Vol 4 (3) ◽

pp. 396

Author(s):

Izfa Rifdiani

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Postpartum Hemorrhage ◽

Health Workers ◽

Sampling Technique ◽

Simple Random Sampling ◽

Care Workers ◽

History Of ◽

Make Health Care

Postpartum hemorrhage is one of the problems was the cause of maternal deaths in Indonesia. The maternal mortality rate is one indicator for the degree of health specially of a woman. Postpartum hemorrhage is bleeding or blood loss of 500 cc or more that occurred after the child is born. The research objective was to analyze the effect of parity, birth weight babies, pregnancy interval and a history of postpartum hemorrhage in the mother after giving birth to the incidence of postpartum hemorrhage in Ngudi Waluyo Hospital Wlingi Blitar 2014. This study used a case-control design. The populations in this study are all mothers who gave birth in Ngudi Waluyo Hospital Wlingi Blitar 2014. The sampling technique was simple random sampling. The results were obtained no effect of parity on the incidence of postpartum hemorrhage (OR=0,810, CI 95% 0,329<OR<1,995 , OR=0,895, CI 95% 0,260<OR<3,077), there was no effect of birth weight babies on the incidence of postpartum hemorrhage (OR=0,651, CI 95% 0,104<OR<4,096), there was effect of pregnancy interval on the incidence of postpartum hemorrhage (OR = 17.953, 95% CI 3.550 <OR <90.785) and there was effect of a history of bleeding on the incidence of postpartum hemorrhage postpartum (OR = 18.104, 95% CI 3.559 <OR <92.097). Health workers are expected to provide advice to the mother who gave birth to not be pregnant again during the next 2 years, and then advise the mother to join the family planning program in order to distance the pregnancy can be arranged. Examination of the precision of pregnant women visit each semester will make health care workers, pregnant women and families more aware of the possibility of postpartum hemorrhage after childbirth.Key words: parity, birth weight babies, pregnancy interval, a history of postpartum hemorrhage, the incidence of postpartum hemorrhage

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Fetal Outcome pada Kehamilan Aterm Anemia dan Tidak Anemia di RS Achmad Mochtar Bukittinggi

Jurnal Kesehatan Andalas ◽

10.25077/jka.v5i1.462 ◽

2016 ◽

Vol 5 (1) ◽

Author(s):

Daulat Azhari ◽

Yusrawati Yusrawati ◽

Zelly Dia Rofinda

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Perinatal Mortality ◽

Apgar Score ◽

Total Sample ◽

Fetal Outcome ◽

P Value ◽

Cross Sectional ◽

Consecutive Sampling ◽

The Mean

AbstrakAnemia pada kehamilan merupakan faktor resiko gangguan pada fetal outcome dan memiliki komplikasi yang meningkatkan maternal dan perinatal mortality. Tujuan penelitian ini adalah menentukan perbedaan fetal outcome pada kehamilan aterm dengan anemia dan tidak anemia..Penelitian ini menggunakan data sekunder dengan rancangan cross sectional. Total sampel adalah 110 yang terdiri dari 55 ibu hamil aterm dengan anemia dan 55 ibu hamil aterm tidak anemia. Tekhnik pengambilan sampel adalah consecutive sampling dan analisis data menggunakan tes Mann- Whitney. Hasil uji diperoleh rerata berat badan lahir bayi pada ibu hamil aterm anemia adalah 3097,27 gr± 366,93 gr, yang sedikit lebh rendah dibandingkan pada ibu hamil aterm tidak anemia 3200,55 gr± 343,02 gr dengan nilai p= 0,214. Rerata APGAR skor pada menit pertama pada kelompok anemia adalah 7,04± 1,39, yang sedikit lebih rendah jika dibandingkan pada ibu hamil aterm tidak anemia 7.36± 0,65 dengan nilai p= 0,480. Rerata APGAR skor pada menit kelima pada kelompok anemia 8,11± 1,20 sedikit lebih rendah dibandingkan ibu hamil aterm tidak anemia 8,40± 0,62 dengan nilai p= 0,483. Rerata panjang badan lahir pada kelompok anemia adalah 48,58 cm± 1,52 cm hampir tidak memiliki perbedaan dibandingkan ibu hamil aterm tidak anemia 48,89 cm± 1,56 cm dengan nilai p=0,310. Disimpulkan bahwa tidak ada perbedaan berat badan lahir, APGAR skor menit pertama dan kelima, dan panjang badan lahir pada kehamilan aterm dengan anemia dan tidak anemia.Kata kunci: berat badan lahir, APGAR skor, panjang badan lahir, wanita hamil aterm dengan anemia AbstractAnemia in pregnancy is a risk factor of fetal outcome disorder and it have complication that increase of matenal and perinatal mortality. The objective of this study was to determine the differences of fetal outcome between aterm pregnant women with anemia and non anemia.This research uses secondary data by using cross sectional study design. Total sample is 110 patient consisting of 55 aterm pregnant women with anemia and 55 are non anemia. Sampling techniques used a consecutive sampling and for analysis used Mann Whitney test.The analysis test result obtained mean birth weight babies in aterm pregnant women with anemia was 3097.27 gr± 366.93 gr abit lower compared to non anemia aterm pregnant women 3200.55 gr± 343.02 gr with p value= 0.214. The mean of APGAR score in the first minute in pregnant women with anemia was 7.04± 1.39 abit lower compared to non anemia aterm pregnant women 7.36± 0.65 with p value= 0.480 and the mean of APGAR score in the fifth minute in pregnant women with anemia was 8.11± 1.20 a bit lower compared to non anemia aterm pregnant women 8.40± 0.62 with p value= 0.483. The mean of birth lenght in aterm pregnant women with anemia was 48,58 cm± 1.52 cm almost not have differences compared to non anemia aterm pregnant women 48.89 cm± 1.56 cm with p value= 0.310. The values of p value indicated there are no significantly diferences of birth weight, APGAR score in the first and fifth minute, and birth lenght betwen pregnant women with anemia compared to non anemia aterm pregnant women.Keywords: birth weigh, APGAR score, birth lenght, aterm pregnant women with anemia

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