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. 2012 Sep;16(5):754-8.
doi: 10.4103/2230-8210.100669.

Effect of maternal anthropometry and metabolic parameters on fetal growth

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Effect of maternal anthropometry and metabolic parameters on fetal growth

Subarna Mitra et al. Indian J Endocrinol Metab. 2012 Sep.

Abstract

Objective: The aim of this study was to determine the effect of maternal anthropometry and metabolic parameters on neonatal anthropometry.

Materials and methods: This observational cross-sectional study was conducted from January 2008 to June 2009 at a single tertiary care center. Maternal anthropometry and metabolic parameters like fasting serum insulin, lipid profile, and random blood glucose were estimated in 50 pregnant women at term. Detailed anthropometry of the neonates was performed.

Results: Large for gestational age (LGA) babies had higher maternal body mass index (BMI), fasting serum insulin, and cord blood insulin levels, and lower maternal high density lipoprotein (HDL) compared to appropriate for gestational age (AGA) group (P < 0.001). Among the maternal parameters, BMI, gestational age, fasting serum insulin, and random blood sugar (RBS) had significant positive correlation, while HDL had negative correlation with birth weight (P < 0.05). However, only maternal BMI was the significant predictor of neonatal birth weight on multiple regression analysis (ß = 0.340, P = 0.01).

Conclusion: The BMI of glucose-tolerant mother is more important than metabolic parameters in determining the birth weight of term babies.

Keywords: Appropriate for gestational age; anthropometry; body mass index; large for gestational age.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Correlation between maternal serum insulin and cord blood insulin

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