ANTHROPOMETRIC MEASUREMENTS IN A NEWBORN POPULATION IN WEST AFRICA - A RELIABLE AND SIMPLE TOOL FOR THE IDENTIFICATION OF INFANTS AT RISK FOR EARLY POSTNATAL MORBIDITY

被引:14
作者
GOZAL, D
NDOMBO, PK
MINKANDE, JZ
KAGO, I
TETANYE, E
MBEDE, J
机构
[1] YAOUNDE CENT HOSP, DEPT PEDIAT, YAOUNDE, CAMEROON
[2] CTR UNIV SCI SANTE, YAOUNDE, CAMEROON
[3] MINIST HLTH, YAOUNDE, CAMEROON
关键词
D O I
10.1016/S0022-3476(05)80049-6
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The predictive value of anthropometric measurements in the identification of infants at risk for early postnatal morbidity was assessed in a cohort of 490 neonates born in Yaounde, Cameroon. Mid-arm circumference (MAC), head circumference, weight, and length were measured within 6 hours of birth, and the gestational age, individual MAC/head circumference ratio, and individual ponderal index were calculated. A detailed questionnaire on gestational medical history was also obtained from the mothers. All infants were then closely monitored during the first 72 hours after delivery for the appearance of symptoms requiring medical intervention and treated accordingly. Low birth weight (LBW) was observed in 37.75%, prematurity in 25.5%, and small size for gestational age in 14.1% of the neonates. Gestational medical problems were reported by 44.3% of the mothers; malaria was the most frequent. Early postnatal morbidity was observed in 26% of the infants; infection (53%), respiratory distress (26%), hypoglycemia (26%), and convulsions (11.7%) accounted for most of the problems. The MAC correlated best of all variables with birth weight (r = 0.91); a value of less-than-or-equal-to 9.5 cm had a 93% sensitivity and a 90.5% specificity in the prediction of LBW. An MAC cutoff value of less-than-or-equal-to 9.5 cm was also the best of all variables in the prediction of early postnatal morbidity, and 85.2% sensitivity and 74.3% specificity were achieved. We conclude that in developing countries, where scales are not always available and the overburdened maternity wards cannot allow for medical surveillance of every infant, the MAC can be used in the estimation of birth weight. Moreover, an appropriately calculated cutoff value of MAC may serve as a reliable indicator of LBW and of infants at risk for early postnatal morbidity.
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页码:800 / 805
页数:6
相关论文
共 28 条
[1]  
BARRON SL, 1974, J OBSTET GYN BR COMM, V81, P187
[2]   PREMATURE BIRTHS AMONG BLACK-WOMEN [J].
BEHRMAN, RE .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (12) :763-765
[3]   THE RATIO OF MID-ARM CIRCUMFERENCE TO OCCIPITAL FRONTAL CIRCUMFERENCE IN CHINESE BABIES - A MARKER OF LATE GESTATION GROWTH-RETARDATION [J].
DAVIES, DP ;
LUI, S ;
LO, L ;
LEE, N ;
LEUNG, S .
EARLY HUMAN DEVELOPMENT, 1987, 15 (06) :329-332
[4]   THE RELATIONSHIP BETWEEN ARM CIRCUMFERENCE AT BIRTH AND EARLY MORTALITY [J].
DEVAQUERA, MV ;
TOWNSEND, JW ;
ARROYO, JJ ;
LECHTIG, A .
JOURNAL OF TROPICAL PEDIATRICS, 1983, 29 (03) :167-174
[5]   CLINICAL ASSESSMENT OF GESTATIONAL AGE IN NEWBORN INFANT [J].
DUBOWITZ, LM ;
DUBOWITZ, V ;
GOLDBERG, C .
JOURNAL OF PEDIATRICS, 1970, 77 (01) :1-+
[6]   ANTHROPOMETRIC ASSESSMENT OF NUTRITIONAL-STATUS IN NEWBORN-INFANTS - DISCRIMINATIVE VALUE OF MID ARM CIRCUMFERENCE AND OF SKINFOLD THICKNESS [J].
EXCLER, JL ;
SANN, L ;
LASNE, Y ;
PICARD, J .
EARLY HUMAN DEVELOPMENT, 1985, 11 (02) :169-178
[7]   A COMPARISON OF THE MID-ARM CIRCUMFERENCE HEAD CIRCUMFERENCE RATIO AND PONDERAL INDEX FOR THE EVALUATION OF NEWBORN-INFANTS AFTER ABNORMAL INTRAUTERINE GROWTH [J].
GEORGIEFF, MK ;
SASANOW, SR ;
CHOCKALINGAM, UM ;
PEREIRA, GR .
ACTA PAEDIATRICA SCANDINAVICA, 1988, 77 (02) :214-219
[8]   MIDARM CIRCUMFERENCE HEAD CIRCUMFERENCE RATIOS FOR IDENTIFICATION OF SYMPTOMATIC LGA, AGA, AND SGA NEWBORN-INFANTS [J].
GEORGIEFF, MK ;
SASANOW, SR ;
MAMMEL, MC ;
PEREIRA, GR .
JOURNAL OF PEDIATRICS, 1986, 109 (02) :316-321
[9]   SIMPLE LINEAR-REGRESSION IN MEDICAL-RESEARCH [J].
GODFREY, K .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 313 (26) :1629-1636
[10]   RACIAL-DIFFERENCES IN LOW-BIRTH-WEIGHT - TRENDS AND RISK-FACTORS [J].
KLEINMAN, JC ;
KESSEL, SS .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (12) :749-753