Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Does emigration by itself improve birth weight? Study in European newborns of Indo-Pakistan origin(Elsevier Ltd, 2023) Morales-Roselló, J.; Buongiorno, S.; Loscalzo, G.; Scarinci, E.; Dias, T.; Rosati, P.; Lanzone, A.; Marín, A.P.OBJECTIVE: Our aim was to evaluate the effect of emigration on fetal birth weight (BW) in a group of pregnant women coming from the Indian subcontinent. METHODS: This was a retrospective study in a mixed population of pregnant women from the Indian subcontinent that either moved to Europe or stayed in their original countries. The influence of emigration along with several pregnancy characteristics: GA at delivery, fetal gender, maternal age, height, weight, body mass index (BMI) and parity on BW was evaluated by means of multivariable linear regression analysis. RESULTS: According to European standards, babies born to Indo-Pakistan emigrants and babies born to women staying in the Indian subcontinent were similarly small (BW centile 30± 29 and 30.1 ± 28, p<0.68). Multivariable regression demonstrated that emigration by itself did not exert a direct influence on BW (p = 0.27), being BMI and gestational age at delivery the true determinants of BW (p<0.0001). Conclusions: Maternal BMI is the most relevant parameter affecting fetal growth regardless of the place of residence. © 2023Item A Preliminary study on neonatal septicaemia in a tertiary referral hospital paediatric unit(Sri Lanka Medical Association, 1999) Karunasekera, K. A. W.; Pathirana, D.Item Comparison of maternal anthropometry and a single symphysis fundal height measurement as a screening test for low birth weight babies(Sri Lanka College of Obstetricians and Gynaecologists, 1997) Gunasekera, P.C.; Wijesinghe, P.S.; Pathmeswaran, A.Objective To compare a single pre-delivery symphysis fundal height (SFH) measurement and maternal anthropometric measurements as screening methods for low birth weight (LBW). Material and methods SFH, weight, height and mid. upper arm circumference (MUAC) were measured in 525 consecutive pregnant women carrying singleton pregnancies admitted for delivery. Birthweight was recorded. Results 46 percent of the observed variation in birthweight of babies from singleton pregnancies is explained by the SFH. The predelivery height, weight, body mass index (BMl) and MUAC had less influence on birthweight. A SFH measurement of 34 cm or less detected 75 of 93 LBW babies. The sensitivity and specificity were 80.6 percent and 74.8 percent respectively. The negative predictive value at SFH of 34 cm or less was 94.7 percent. Conclusion A single pre-delivery SFH is a better screening test for LBW than pre-delivery maternal height, weight, BMI or MUAC and 95 percent of mothers with a SFH measurement of more than 34 cm delivered a baby weighing more than 2500g.Item Birthweight and sociobiological factors in Ilorin, Nigeria(Cambridge University Press, 1991) Ebomoyi, E.; Adetoro, O.O.; Wickremasinghe, A.R.Social and biological factors influencing birthweight of 3053 Ilorin babies were studied. The mean birth weights were 2.998 kg +/- 0.133 (SD) for males and 2.932 kg +/- 0.154 (SD) for females. Multiple regression analysis showed that maternal weight, height, age, education and ethnicity, and child's sex, significantly affected birthweight of infants. Some quadratic and interaction terms also contributed significantly to the prediction of birthweight. The strategies to control the incidence of low birth weight are discussed.