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Volume 4 Journal of Pediatric Care
ISSN: 2471-805X
Page 19
JOINT EVENT
Pediatric Critical Care 2018 &
World Pediatrics 2018
October 18- 20 , 2018
October 18- 20, 2018 Warsaw, Poland
&
6th International Conference on
25th World Pediatrics Conference
Pediatric Critical Care and Emergency Medicine
Patel Zeeshan Jameel, J Pediatr Care 2018, Volume 4
DOI: 10.21767/2471-805X-C4-014
Neonatal foot length: An alternative predictor of low birth weight babies in rural India
Patel Zeeshan Jameel
Jawaharlal Nehru Medical College, DMIMS, India
Background: Birth weight is an important parameter and a determinant factor regarding perinatal morbidity and mortality.
However, in rural area of developing countries, weighing facility may not be available for all home deliveries, where an
alternative parameter like foot length may be considered in place of birth weight.
Aim: The present study was undertaken to find out the best simple anthropometric parameter for identifying low birth weight
(LBW) babies.
Methods: This was hospital-based cross-sectional study. Participants were newborn babies born at AVBRH hospital, Sawangi
(Meghe), Wardha. All consecutive full-term, single ton, live born babies were included and anthropometric measurements
carried out within 48 hours after birth.
Results: Out of 520 newborn babies, there were 267male and 253 female babies. Foot length (FL) attained the highest correlation
with birth weight (r=0.715) while mid arm circumference (MAC) attained the lowest (r=0.355). FL had the highest coefficient
of determination (r2 value=0.511). Receiver operating curve (ROC) analysis was done to identify the optimal cut-off points of
these anthropometric measures separately for LBW babies. The best discrimination of LBW, as detected by Area under curve
(AUC), was obtained by FL (AUC=0.909, 95% CI 0.0133-0.93538) followed by length (AUC=0.89, 95% CI 0.87642-0.92969).
Length of 49 cm, head circumference (HC) of 33 cm, MAC of 9.5 cm, and chest circumference (CC) of 30 cm and FL of 8 cm
were the corresponding cut-off values with the best combination of sensitivity and specificity for identifying LBW babies.
Conclusion: FL appears to be better indicators for picking up LBW babies. This parameter can be used at community level by
health workers for early detection of LBW babies.
Biography
Patel Zeeshan Jameel has completed his MBBS at Kasturba Medical College-Manipal University, Manipal. He is pursuing his Post-graduation in the Department of
Pediatrics, in Jawaharlal Nehru Medical College at Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra.