Gestational Age Specific Postnatal Growth Curves for Singleton Babies in Tertiary Hospital of Western Nepal

  • Santosh Pathak Department of Pediatrics, Chitwan Medical College, Bharatpur, Nepal
  • Nagendra Chaudhary Department of Pediatrics, Universal College of Medical Sciences, Bhairahawa, Nepal
  • Prativa Dhakal Department of Nursing, Chitwan Medical College, Bharatpur, Nepal
  • Shyam Kumar Mahato Department of Pediatrics, Universal College of Medical Sciences, Bhairahawa, Nepal
  • Sandeep Shrestha Department of Pediatrics, Universal College of Medical Sciences, Bhairahawa, Nepal
  • Bal Dev Bhatia Department of Pediatrics, Heritage Institute of Medical Sciences, Varanasi, India
  • Ajay Kumar Bansal University College of Medical Sciences (UCMS-GTBH), Delhi, Shahdara, India
  • Om Prakash Kurmi Nuffield Department of Population Health, Clinical Trial Service Unit & Epidemiological Studies Unit, University of Oxford, United Kingdom
  • Kailash Nath Agarwal Department of Pediatrics, Universal College of Medical Sciences, Bhairahawa, Nepal

Abstract

Introduction: Measurement of birth weight (BW), crown heel length (CHL), head circumference (HC) and chest circumference used to assess the intrauterine growth of a baby vary with altitude, race, gender, socio economic status, maternal size, and maternal diseases. The study aimed to construct centile charts for BW, CHL and HC for new born at different gestational ages in western Nepal.


Methods:  This was a descriptive cross sectional study done over a period of 15 months in a tertiary care hospital of western Nepal. BW, length, HC and CC were measured within 12-24 hours of birth. Gestational age was estimated from first day of last menstrual period, maternal ultrasonology and New Ballard’s scoring system. Microsoft 2007 Excel and SPSS-16 was used for data analysis. Cole’s Lambda Mu Sigma method was used for constructing centile curves.


Results: Out of 2000 babies analysed, 1910 samples were used to construct smoothed intrauterine growth curve of BW, CHL, and HC from 33-42 weeks of gestation. 57.35% (1147) were male, mean gestational age was 38.13 ±2.44 weeks, where 21.5% were preterm and 1.7% post term. The means of BW, CHL, HC and CC were 2744.78 gm, 47.80 cm, 33.18 cm, and 30.20 cm with standard deviations of 528.29, 3.124, 1.78, and 2.35 respectively. These data vary as compared to the Kathmandu data, in case of birth weight for 10th and 90th centiles, and at 90th centile in case of length.


Conclusions: This necessitates the update in the existing growth charts and develop in different geographical regions of a country.

Published
2017-09-30
How to Cite
PATHAK, Santosh et al. Gestational Age Specific Postnatal Growth Curves for Singleton Babies in Tertiary Hospital of Western Nepal. Journal of Nepal Medical Association, [S.l.], v. 56, n. 207, p. 325-330, sep. 2017. ISSN 1815-672X. Available at: <http://jnma.com.np/jnma/index.php/jnma/article/view/3105>. Date accessed: 23 oct. 2017.