Is canscore a good indicator of fetal malnutrition in preterm newborn

Publication date: Available online 16 February 2017
Source:Alexandria Journal of Medicine
Author(s): B.N. Ezenwa, V.C. Ezeaka
BackgroundFetal malnutrition is a risk factor for increased neonatal morbidities and mortalities worldwide. BMI and CANScore had been used for determining fetal malnutrition in term newborns.ObjectiveTo assess the nutritional status of preterm newborns at birth using BMI, PI and CANscore and determine the better indicator for FM.MethodsThe study was carried out on consecutive, live-born babies between 28 completed weeks through 36weeks gestation. Birth weights and lengths were recorded as per protocol. BMI was calculated and BMI <10th centile using Brock's chart is considered as FM and a PI <2.2 was considered as malnutrition. Using Metcoff's CANscore, score <25 is FM. Data was analyzed using the SPSS version 22.0.ResultsOne hundred and forty preterm newborns were assessed and 108 (77%) were of LBW. BMI, CANscore and PI identified 40.0%, 34.3% and 30.0% of the preterm newborns as FM. Using BMI as standard for detecting FM, CANscore and PI identified 33.9% and 51.8% of the babies as FM. PI had a better sensitivity for detecting FM in preterm infants compared to CANScore and this was statistically significant, p<0.00.ConclusionFM is common in preterm babies. BMI and PI are simple and easy tools to use in assessing FM in preterm babies. They are also better identifiers of FM in preterm newborns compared to CANScore.



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