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Assessment of malnutrition within 48 hours of birth through anthropometric indices as Weight, Length and Head circumference, Proportionality indices as MAC/HC ratio, Ponderal index and Body mass index, Clinical assessment of nutritional status (CANS) score. Detection of early neonatal morbidities within the first week of life including Hypoglycemia ,Polycythemia, Respiratory Distress Syndrome, Neonatal sepsis, Hyperbilirubinemia and Feeding intolerance
Within the 1st 48 hours of birth, all live born, singleton neonates with gestational ages between 28-40 weeks will be included in the study after obtaining an informed consent from their legal guardians.
Assessment of malnutrition within 48 hours of birth:
Anthropometric indices:
Weight (using the infant weighing scale). Length (using the infant measuring board). Head circumference (using non-metallic non-stretchable tape).
Proportionality indices:
MAC/HC ratio (Calculation for each infant and value will be plotted on and compared with a standard curve). Ponderal index Body mass index
Clinical assessment of nutritional status (CANS) score:
A total score <25 is considered as fetal malnutrition. 3. Detection of early neonatal morbidities within the first week of life (for those who will require NICU admission):
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clinical assessment of nutritional status (CANS) score | Diagnostic Test | Systematized inspection and estimation of loss of SC tissues and muscles of nine superficial physical parameters including hair and buccal fat in the cheeks, chin and neck, arms, back, inter or subscapular skin, buttocks, legs, chest, and abdominal wall skin. These signs will be rated from 1 (worst, severe FM) to 4 (best, well nourished), and the highest and lowest total scores are 36 and 9, 3respectively. A total score of <25 is considered as fetal malnutrition. | ||
| Anthropometric indices | Diagnostic Test | weight, length and head circumference | ||
| Proportionality indices | Diagnostic Test | MAC/HC ratio (Calculation for each infant and value will be plotted on and compared with a standard curve). Ponderal index . A PI <2.2 is considered as malnutrition). Body mass index (BMI= weight (kg) / length2 (m). A BMI <11.2 kg/m2 is considered as malnutrition) |
| Measure | Description | Time Frame |
|---|---|---|
| infant nutritional status | To compare the assessment of infant nutritional status using the CANS score against anthropometric and proportionality indices | Within the 1st 48 hours of birth |
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Inclusion Criteria:
Neonates of both genders. Gestational age between 28-40 weeks. Singleton pregnancies.
Exclusion Criteria:
Presence of congenital anomalies. Infants of diabetic mothers
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All neonates delivered at Kasr Al-Ainy Gynecology and Obstetrics department, Faculty of Medicine, Cairo University within the proposed study duration Within the 1st 48 hours of birth, all live born, singleton neonates with gestational ages between 28-40 weeks will be included in the study after obtaining an informed consent from their legal guardians
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Maged, MD | Contact | +2001005227404 | prof.ahmedmaged@gmail.com | |
| Sherif Anwary, MD | Contact | sherif_elanwary@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Ahmed Maged, MD | professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kasr Alainy medical school | Recruiting | Cairo | 12151 | Egypt |
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| ID | Term |
|---|---|
| D048070 | Fetal Nutrition Disorders |
| ID | Term |
|---|---|
| D005315 | Fetal Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| D044342 | Malnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |