DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194156

Calf circumference to detect low birth weight babies: a comparative study

Pradheep Kumar Kokku, Himabindu Singh, Rakesh Kotha, Arjun Jadhavo, Alimelu Maddireddi, Nirmala Cherukuri, Sadiqua Anjum, Apoorva Tadury

Abstract


Background: In developing countries 15 per cent of infants weigh less than 2,500 grams at birth .It is not possible to provide expensive weighing scales to the community members and families due to logistic (carrying a heavy scale) and operational (inability of Trained Birth Attenders to read) problems. Therefore it is essential to find out an alternative method for the estimation of birth weight. Almost 60 per cent of newborns in developing countries are not weighed. Which can lead to an underestimation of the incidence of low birth weight. That’s why  we done  present study  to know the simple indicators to detect low birth weight babies. Aim of this study to compare calf circumference with other Low birth weight indicators as a reliable predictor of low birth weight babies.

Methods: It is a cross-sectional study done during period 2018 January to 2018 October done at Niloufer Hospital Hyderabad. Statistical analysis is done using SPSS (version 17) statistical software. For comparison Pearson's Correlation coefficients used.

Results: The best correlation was observed with both calf circumference (r=0.818) and head circumference (r=0.744) for identifying babies with birth weight <2 kg. For babies with birth weight <2.5 kg, calf circumference had the highest order of correlation (r = 0.986) followed closely by head circumference (r=0.886).

Conclusion: In the absence of a weighing machine, simple measurements like calf circumference is the best indicator in identifying low birth weight babies (<2.5kg) at birth.


Keywords


Calf circumference, Community health, Head circumference, Low birth weight, Neonate, Trained birth attendants

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References


Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin of the world health organization. 1987;65(5):663-737.

Wilcox AJ. On the importance - and the unimportance - of birthweight. International journal of epidemiology. 2001 Dec 1;30(6):1233-41.

World Health Organization, Low Birth Weight: A tabulation of available information, WHO/MCH/92.2, World Health Organization, Geneva, and UNICEF, New York, 1992.

Huque F, Hussain Z. Detection of low birth-weight newborn babies by anthropometric measurements in Bangladesh. Ind J Pediatr. 1991 Mar 1;58(2):223-31.

Kapoor SK, Kumar G, Pandav CS, Anand K. Performance of surrogate markers of low birth weight at community level in rural India. J Epidemiology and Community Health. 2001 May 1;55(5):366-7.

Raman L, Neela J, Balakrishna N. Comparative evaluation of Calf, thigh and arm circumference in detecting low birth weight infants: Part II, Indian Paediatr – 1992;29(4):481-4.

Ezeaka VC, Egsi – Okwaji MT, Renner JK, Grange AO. Anthropometric measurements in the detection of low birth weight infants in Lagos, Nigerian Postgraduate Medical J. - 2003;10(3):168-72.

Samal GC, Swain AK. Calf circumference as an alternative to Birth weight for identification of low birth weight infant s, Indian Pediatr. 2001;38:275-7.

Sharma JN, Saxena S, Sharma V. Thigh circumference at birth as the best predictor of low birth weight babies, Indian Paediatr. 1989;26(1):18-20.

Neela J, Raman L, Balakrishna N, Rao KV. Usefulness of Calf circumference as a measure for screening low birth weight infants, Indian Pediatr. 1991;28(8):881-4.

Dhar B, Mowlah G, Nahar S, Islam N. Birth-weight status of newborns and its relationship with other anthropometric parameters in a public maternity. Hospital in Dhaka Bangladesh, Journal of Health, Population and Nutrition. 2002;20(1):36-41.

Bhatia BD, Tyagi NK. Birth weight: relationship with other fetal anthropometric parameters. Indian pediatrics. 1984 Nov;21(11):833-8.

Gupta V, Hatwal SK, Mathur S, Tripathi VN, Sharma SN, Saxena SC, et al. Calf circumference as a predictor of low birth weight babies. Indian pediatrics. 1996 Feb 1;33(2):119-21.

Virdi VS, Jain BK, Singh H. Calf circumference for identification of low birth weight babies. Indian pediatrics. 2001 Aug;38(8):934-5.

Bhat IA, Dhar GM, Shah GN, Neelofar K, Shehzada A. Efficiency of various anthropometric measurements in determining low birth weight babies. Indian Journal of Maternal and child Health. 1995;6(2):40-2.

Bhargava SK, Ramji S, Kumar A, Mohan MA, Marwah J, Sachdev HP. Mid-arm and chest circumferences at birth as predictors of low birth weight and neonatal mortality in the community. Br Med J (Clin Res Ed). 1985 Dec 7;291(6509):1617-9.

Sharma JN, Sharma BS, Gupta ML, Saxena S, Sharma V. Mid –arm Circumference at birth as a predictor of low birth weight babies and early Neonatal mortality, Indian Paediatr. 1986;23(11):915-9.

Ramji S, Marwah J, Satyanarayana L, Kapani V, Mohan M, Bhargava SK. Neonatal thigh circumference as an alternative indicator of low birth weight. The Indian J Medical Research. 1986 Jun;83:653.

Biswas AB, Sengupta B, Manna A, Mondal NC, Palodhi PK, Sarkar S. Comparative usefulness of arm thigh and calf circumference for screening low birth weight infants. J Tropical pediatrics. 1994 Oct 1;40(5):312.