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ABSTRACT: To study the incidence and types of morbidity in the first year of life in a birth cohort, a longitudinal study. This study
was undertaken in northern part of Karnataka state in India. Birth cohort consisted of all the children born during first
six months of the study period. They were assessed at the time of enrollment and monthly follow up was done till they attained
one yr of age. Out of the 194 newborns, 46.4% were boys and 53.6% were girls. 24.8% of newborns were of low birth weight and
5.1% were preterm. Four (2.1%) had congenital anomalies and 2.5% developed birth asphyxia. Diarrhea (10.8%) and skin diseases
(8.2%) were the commonest morbidities in the neonatal period. The incidence of morbidity was 3.28 per infant per yr. It was
more among boys and in the second half of infancy. Commonest morbidities during infancy were respiratory tract infection (62.4%),
diarrhea 42.8% and skin diseases (21.6%). Incidence of disease in infancy highlights the need to improve and plan health programmes.
Key wordsInfants-Incidence-Morbidity
The Indian Journal of Pediatrics 04/2012; 77(4):456-458. · 0.52 Impact Factor
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M B Bellad,
S S Goudar,
S A Edlavitch, N S Mahantshetti,
V Naik,
J J Hemingway-Foday,
M Gupta,
H R Nalina,
R Derman,
N Moss,
B S Kodkany
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ABSTRACT: To determine whether consanguinity adversely influences pregnancy outcome in South India, where consanguinity is a common means of family property retention.
Data were collected from a prospective cohort of 647 consenting women, consecutively registered for antenatal care between 14 and 18 weeks gestation, in Belgaum district, Karnataka in 2005. Three-generation pedigree charts were drawn for consanguineous participants. χ (2)-Test and Student's t-test were used to assess categorical and continuous data, respectively, using SPSS version 14. Multivariate logistic regression adjusted for confounding variables.
Overall, 24.1% of 601 women with singleton births and outcome data were consanguineous. Demographic characteristics between study groups were similar. Non-consanguineous couples had fewer stillbirths (2.6 vs 6.9% P=0.017; adjusted P=0.050), miscarriages (1.8 vs 4.1%, P=0.097; adjusted P=0.052) and lower incidence of birth weight <2500 g (21.8 vs 29.5%, P=0.071, adjusted P=0.044). Gestation <37 weeks was 6.2% in both the groups. Adjusted for consanguinity and other potential confounders, age <20 years was protective of stillbirth (P=0.01), pregnancy loss (P=0.023) and preterm birth (P=0.013), whereas smoking (P=0.015) and poverty (P=0.003) were associated with higher rates of low birth weight.
Consanguinity significantly increases pregnancy loss and birth weight <2500 g.
Journal of perinatology: official journal of the California Perinatal Association 08/2011; 32(6):431-7. · 1.59 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: To study the incidence and types of morbidity in the first year of life in a birth cohort, a longitudinal study. This study was undertaken in northern part of Karnataka state in India. Birth cohort consisted of all the children born during first six months of the study period. They were assessed at the time of enrollment and monthly follow up was done till they attained one yr of age. Out of the 194 newborns, 46.4% were boys and 53.6% were girls. 24.8% of newborns were of low birth weight and 5.1% were preterm. Four (2.1%) had congenital anomalies and 2.5% developed birth asphyxia. Diarrhea (10.8%) and skin diseases (8.2%) were the commonest morbidities in the neonatal period. The incidence of morbidity was 3.28 per infant per yr. It was more among boys and in the second half of infancy. Commonest morbidities during infancy were respiratory tract infection (62.4%), diarrhea 42.8% and skin diseases (21.6%). Incidence of disease in infancy highlights the need to improve and plan health programmes.
The Indian Journal of Pediatrics 02/2010; 77(4):456-8. · 0.52 Impact Factor
