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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 16, Issue 2, Sept 2015 pp 289-291

Research Article

Clinical assessment of nutritional status at birth by canscore and morbidity and mortality pattern in them

Nivedita B Patil1, Balasaheb C Patil2, Vishal Gupta3, Pradeep Singh4

{1Associate Professor, 3,4Resident, Department of Paediatric} {2Associate Professor, Department of ENT}

DY Patil University Medical College, Kolhapur, Maharashtra, 416006 INDIA.

Context: Fetal malnutrition indicates a clinical state that may be present at all most any birth weight. Small for Gestation (SGA), Intrauterine Growth Retardation (IUGR) and fetal malnutrition (FM) are not synonyms. Each condition can occur independently without the other .A simple clinical method can be used to detect FM. Aim: To assess the nutritional status by CANSCORE at birth.  To observe the morbidity and mortality pattern, in them. Study design: Simple random ampling, prospective study. Setting: This study was carried out in tertiary care, medical college hospital Kolhapur, Maharashtra, India over the period of 2 years. Subjects and Method: 500 consecutive live born neonates with gestation age >35 weeks. Clinical assessment of nutritional status was done within 48hrs of birth as described by METCOFF. The score is obtaining by the sum total of 9 signs. Score <25, were consider to have fetal malnutrition. Statistical analysis used- the entire data was entered in master chart. Graphpad Instat software is used for calculating chi-square & p-value. Result: Out of the 500 neonates, 142 neonates had Fetal Malnutrition as detected by CANSCORE.  Out of 84 SGA babies 69 (82.19%) babies had FM and 15 (17.81%) babies were well nourished by CANSCORE. Among 409 AGA babies, 73 had FM.124(24.8%) out of total 500 neonates had one or more neonatal morbidity, 81(57.04%) malnourished babies and 43(12.01%) well-nourished babies developed neonatal morbidity. Conclusion: 17.85% OF AGA babies had evidence of FM by CANSCORE on the other hand 17.81% of SGA babies were well nourished. This observation suggest that SGA and FM are synonymous. Neonatal morbidity was significantly higher in babies with FM [65.32%] as Compared to well-nourishedbabies.