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Central Hematocrit Levels in Fetal Malnourished Term Infants
Kerem Ertaş1, Özgül Salihoğlu, Emrah Can
1*Department of Pediatrics, Bakirkoy Dr. Sadi Konuk Training and Research, Hospital †Department of Pediatrics, Bağcilar Training and Research, Hospital, Istanbul, Turkey.
Insights
Fetal malnutrition in newborns is linked to higher central hematocrit levels. Optimal fetal nutrition may prevent adult chronic diseases, highlighting the importance of monitoring neonatal hematocrit in appropriate for gestational age infants.
Area of Science:
- Neonatalogy
- Pediatric Nutrition
- Hematology
Background:
- Fetal malnutrition is a significant risk factor for developing chronic diseases later in life.
- Optimal fetal nutrition is crucial for potentially preventing these adult-onset conditions.
- Understanding neonatal health indicators associated with fetal malnutrition is essential.
Purpose of the Study:
- To investigate the hematocrit levels in term, appropriate for gestational age (AGA) neonates diagnosed with fetal malnutrition.
- To compare hematocrit values between malnourished and well-nourished AGA neonates.
Main Methods:
- The study included 80 term AGA neonates, divided into a fetal malnutrition group and a control group of well-nourished neonates.
- Central venous hematocrit levels were measured 4 hours after birth.
- Maternal risk factors were also analyzed for both groups.
Main Results:
- Fetal malnutrition group had significantly lower Clinical Assessment of Nutritional Status scores.
- Despite no differences in gestational age or maternal factors, hematocrit levels were significantly higher in the fetal malnutrition group (59.53±5.094) compared to the control group (51.33±2.740).
- P-value < 0.0001 indicated statistical significance.
Conclusions:
- Term appropriate for gestational age neonates with fetal malnutrition exhibit significantly higher central hematocrit levels compared to their well-nourished counterparts.
- These findings underscore the importance of assessing hematocrit in neonates with suspected fetal malnutrition.
Backround:
Fetal malnutrition is especially important for common chronic diseases in adult life. They could potentially be prevented by achieving optimal fetal nutrition.
Objective:
The aim of this study was to investigate hematocrit levels of malnourished, term, appropriate for gestational age (AGA) neonates.
Subjects And Methods:
A total of 80 AGA neonates (between 10% and 90% percentiles interval according to birth week), born with spontaneous vaginal delivery between 37 and 42 weeks of gestation, detected by both last menstrual period and ultrasonography measurements, were included in the study. Neonates with fetal malnutrition constituted the study group and the control group consisted of well-nourished neonates. We analyzed central venous hematocrit levels obtained 4 hours after birth and maternal risk factors for both groups.
Results:
Although there were no differences in gestational age, head circumference, maternal factors (gravidity, parity, abortions and curettage counts, maternal tobacco use, preeclampsia, hypertension, diabetes mellitus, gestational diabetes mellitus, and history of urinary tract infections), first minute APGAR scores, and sex, Clinical Assessment of Nutritional Status score was lower (29.91±2.87 vs. 21.25±1.65) and hematocrit levels were higher (51.33±2.740 vs. 59.53±5.094) in the fetal malnutrition group (P<0.0001).
Conclusions:
Central hematocrit levels in malnourished term AGA neonates were found significantly higher than well-nourished term AGA newborns.
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