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International Journal of Clinical Biochemistry and Research


Influence of maternal nutrition status during pregnancy on developmental outcome in first 30 days of independent neonatal life


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Author Details: Dhiraj J. Trivedi, Vijayalaxmi Shindhe, Chandramati J. Rokhade

Volume : 3

Issue : 4

Online ISSN : 2394-6377

Print ISSN : 2394-6369

Article First Page : 371

Article End Page : 375


Abstract

Introduction: Birth weight is an important determinant of infant mortality. Two third of all deaths occurring in first twenty eight days of life happen due to low birth weight. LBW infants suffer higher risk of health complications at adult life. Maternal nutrition maybe the major intrauterine environmental, non-genetic, controllable factor which influences the growth of the fetus.
Aim: To evaluate the influence of maternal nutritional status on developmental achievement of neonates in the first thirty days of independent life.
Objective: 1. To study the nutritional status of mothers during pregnancy. 2. To evaluate birth weight, 5 min Apgar score, developmental outcome of newborn. 3. To correlate birth weight with health and developmental achievement of neonates in the first 30 days of independent life.
Materials and Method:  121 mother-neonate pairs formed study population.  Serum total protein, Albumin and Hemoglobin were evaluated for mother’s nutritional status. Gestational age, Birth weight, APGAR score and Cord blood Albumin were analyzed for neonates. The overall developmental outcomes were observed for the first 30 days of neonatal life.
Results: Mean Birth weight of neonates was in the acceptable range, 39.67% LBW was observed at our hospital. LBW frequency was higher among female infants and small for gestational age. 5min Apgar score was good among ABW, but poor among LBW infants.  LBW deliveries were high among mothers having poor nutritional status. LBW babies had low cord albumin levels & had higher frequency of health related problems. Overall developmental growth was poor amongst LBW, low cord albumin level and infants having a low Apgar score.
Conclusion: Nutritional status of the mother during pregnancy influences the health and overall development of the newborn observed during first 30days of independent life. Promotion of optimal nutrition may ensure optimal fetal development and reduces the risk of chronic diseases in adulthood.

Keywords:
Maternal nutrition, Pregnancy, Low birth weight, Cord Albumin