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Comparative study between Clinical Assessment of Nutritional status score (CAN Score) and Anthropometry in the assessment of Fetal malnutrition

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Author Affiliations

  • 1 Department of Pediatrics, Babylon Medical College, Babylon University, IRAQ

Int. Res. J. Medical Sci., Volume 3, Issue (7), Pages 8-12, July,28 (2015)

Abstract

Fetal malnutrition is failure to obtain enough quantum of fat and muscle mass during intrauterine growth with significant postnatal outcome and unwholesomeness. A clinical assessment of nutritional status score (CAN score) was sophisticated to differentiate neonates with fetal malnutrition from those with suitable nourishment. The current study was done to reveal fetal malnutrition of term babies at birth by CAN score and to compare it with other anthropometric measures for realizing nutritional status of newborn babies. Two hundred and three term healthy newborns were assessed using CAN score. Weight, length, mid arm circumference/ head circumference ratio, ponderal index and body mass index were determined, and compared to CAN score during the period from 1st of January 2014 till the 30th of August 2014 at Babylon teaching hospital for gynecology and pediatrics. The results showed that the incidence of fetal malnutrition by (CAN score, ponderal index, body mass index, mid arm circumference/head circumference ratio) was (31%, 21.20%, 48.90%, 28.10%) respectively. The sensitivity of (CAN score, ponderal index, body mass index, mid arm circumference/head circumference ratio) was (53.1%, 31.7%, 69.8%, 34.9%) respectively and the specificity of (CAN score, ponderal index, body mass index, mid arm circumference/head circumference ratio) was (84.2%, 83.6%, 72.1%, 75.0%) respectively. There was direct mild significant correlation between CAN score with mid arm circumference/ head circumference ratio and ponderal index. Direct moderate significant correlation was observed between body mass index with CAN score.

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