Anthropometry and neonatal aspects of newborns with gestational age of 41 to 42 weeks

Authors

  • Letícia de Arruda Camargo PUC-SP
  • Caroline Rosa Pellicciari PUC-SP
  • Joe Luiz Vieira Garcia Novo PUC-SP
  • Neil Ferreira Novo PUC-SP

Keywords:

prolonged pregnancy, anthropometry, newborn

Abstract

Introduction: it is considered that the duration of a pregnancy is around 280 days (40 weeks) counted from the first day of the last menstrual period. Objective: to compare the 41 to 42 weeks of pregnancy with pregnancies of 37-40 weeks in a secondary care maternity, in relation to neonatal and anthropometric aspects of the newborns. Methodology: a total of 137 mothers and their newborns were studied, resulting in a sample of 37 for pregnancies of 41-42 weeks and 100 for pregnancies of 37-40 weeks. The dependent variable of the newborns were the anthropometric values, the neonatal outcomes were analysed by Apgar score (1 and 5 minutes), Capurro and its complications. Results: it was observed that for females, the comparison between the two groups in those aspects: anthropometric variables, Apgar scores and Capurro, not reach significance. For males, there were significance only for Capurro (p = 0.0015) parameter in the study group. Was significant the presence of fetal distress in the study group (p = 0,0188). Conclusions: the presence of fetal distress in the study group was significant, allowing to conclude that there must be caution in care practices in relation to pregnancies 41-42 weeks. Furthermore, with the increase of gestational age, there was no statistically significant increase in anthropometric parameters.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Letícia de Arruda Camargo, PUC-SP

Acadêmica do Curso de Medicina FCMS/PUC-SP

Caroline Rosa Pellicciari, PUC-SP

Acadêmica do Curso de Medicina FCMS/PUC-SP

Joe Luiz Vieira Garcia Novo, PUC-SP

Professor do Depto. de Cirurgia FCMS/PUC-SP

Neil Ferreira Novo, PUC-SP

Professor do Depto. de Morfologia e Patologia FCMS/PUC-SP

References

Galleta MA. Duração da gravidez e evolução cronológica. In: Neme B, editor. Obstetrícia básica. 3ª ed. São Paulo: Sarvier; 2006. p. 63-71.

Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap LC III, Hankins GDV, et al. Williams obstetrícia. 20ª ed. Rio de Janeiro: Guanabara-Koogan; 2000. p. 80-104.

Coelho KS, Souza AI, Batista Filho M. Avaliação antropométrica do estado gestacional da gestante: visão retrospectiva e prospectiva. Rev Bras Saúde Mater Infant. 2002;2:57-61.

Rudge MVC. Avaliação do peso dos recém-nascidos: o que é normal ou anormal. Rev Bras Ginecol Obstet. 2005;27:299-300.

Serruya SJ, Cecatti JG, Lago TG. O Programa de humanização no pré-natal e nascimento do Ministério da Saúde no Brasil: resultados iniciais. Cad Saúde Pública. 2004;20:1281-9.

Roos N, Sahlin L, Ekman-Ordeberg G, Kieller H, Stephansson O. Maternal risks factors for posterior pregnancy and cesarean delivery following labor induction. Acta Obstet Gynaecol. 2010;89:1003-10.

Silva JLP, Cecatti JG, Serruya SJ. A qualidade do pré-natal no Brasil. Rev Bras Ginecol Obstet 2005;27:103-5.

World Health Organization. Maternal anthropometry for prediction of pregnancy outcomes: memorandum from USAID/WHO/PAHO/Mother Care meeting. Bull World Health Org. 1991;69:523-32.

Falcão MC. Avaliação nutricional do recém-nascido. Pediatria (São Paulo) 2000;22(3):233-9.

Brock RS, Falcão MC. Avaliação nutricional do recém-nascido: limitações dos métodos atuais e novas perspectivas. Rev Paul Pediatr. 2008;26:70-6.

Figueira BBD, Segre CAM. Mid-arm circumference and mid-arm/head circumference ratio in term newborns. São Paulo Med J. 2004;122:53-9.

Capurro H, Konichezky S, Fonseca D, Caldeyro-Barcia R. A simplified method for diagnosis of gestational age in the newborn infant. J Pediatr. 1978;93:120-2.

Battaglia FC, Lubchenko LO. A practical classification of newborn infants by weight and gestational age. J Pediatr 1967;71:159-63.

Apgar V. A proposal for a new method of evaluation of newborn infant. Rev Anesth Analg. 1953;32:260-7.

Zar JH. Bioestatiscal analysis. Englewood Cliffs: Prentice Hall; 1986.

Siegel S, Castelani Jr NJ. Estatística não paramétrica para ciências do comportamento. 2ª ed. Porto Alegre: Artmed; 2006.

Moraes CL, Reichenhein, ME. Validade do exame clínico do recém-nascido para a estimação da idade gestacional: uma comparação do escore New Ballard com a data da última menstruação e ultra-sonografia. Cad Saúde Pública. 2000;16(1):83-94.

Caughey AB, Bishop JT. Maternal complications of pregnancy increase beyond 40 weeks of gestation in low-risk woman. J Perinatol 2006; 26: 540-5.

Caughey AB, Stotland NE, Washington E, Escobar GJ. Who is at risk prolonged and post-term pregnancy? Am J Obstet Gynecol. 2009;200(6):683.e1-5.

Allen VM, O'Connell CM, Farrell SA, Baskett TF. Economic implications of method of delivery. Am J Obstet Gynecol. 2005;193:192-7.

Marroun H, Zeegers M, Steegers EAP, van der Ende J, Schenk JJ, Hofman A, Jaddoe VWV, Verhulst FC, Tiemeier H. Post-term birth and the risk of behavioural and emotional problems in early childhood. Int J Epidemiol. 2012;41:773-81.

Pereira-da-Silva L, Virella D, Videira-Amaral J, Guerra A. Antropometria no recém-nascido e perspectiva atual. Lisboa: Nestlé Nutrition Portugal; 2007 [acesso em 12 out. 2013]. Disponível em: http://repositorio.chlc.min-saude.pt/handle/10400.17/121

Miranda M, Bernardes OC, Melo TVC, Silva TA, Rinaldi AEM, Crispim CA. Avaliação antropométrica na infância: uma revisão. Braz J Sports Nutr. 2012;1:37-45.

Margotto PR. Curvas de crescimento intra-uterino: estudo de 4413 recém-nascidos únicos de gestações normais. J Pediatr (R. Jan.). 1995;71:11-21.

Carrascosa A, Yeste D, Copil A, Almar J, Salcedo S, Gussinyé M. Patrones antropométricos de los recién nacidos pre término y a término (24-42 semanas de edad gestacional) en el Hospital Materno-Infantil Vall d'Hebron (Barcelona) (1997-2002). An Pediatr. 2004;60:406-16.

Cunha M, Marques A, Carreiro H, Machado MC. Percentis do peso de nascimento para a idade gestacional, numa população de recém-nascidos. Acta Pediatr Port. 2007;38(5):187-93.

Osava RH, et al. Fatores maternos e neonatais asociados ao meconio no líquido amniótico em um centro de parto normal Rev Saúde Pública. 2012;46(6):1023-9.

Published

2014-12-23

How to Cite

1.
Camargo L de A, Pellicciari CR, Novo JLVG, Novo NF. Anthropometry and neonatal aspects of newborns with gestational age of 41 to 42 weeks. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2014Dec.23 [cited 2025Dec.23];16(4):182-7. Available from: https://revistas-anterior.pucsp.br/index.php/RFCMS/article/view/17019

Issue

Section

Original Article