• Title/Summary/Keyword: LBW

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Antenatal Care Services and Incidence of Low Birth Weight: A Comparison of Demographic and Health Surveys in 4 ASEAN Countries

  • Miftahul, Arsyi;Besral, Besral;Milla, Herdayati;Revati, Phalkey
    • Journal of Preventive Medicine and Public Health
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    • v.55 no.6
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    • pp.559-567
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    • 2022
  • Objectives: This study aimed to assess the effect of complete coverage and content of available antenatal care (ANC) on the incidence of low birth weight (LBW) in 4 countries belonging to the Association of Southeast Asian Nations (ASEAN). Methods: Measures of complete coverage and content of ANC services included the frequency of ANC visits and the seven service components (blood pressure measurement, iron supplementation, tetanus toxoid immunization, explanations of pregnancy complications, urine sample test, blood sample test, and weight measurement). The complete coverage and content of ANC services were assessed as high if more than 4 ANC visits and all seven components were delivered. Multivariable logistic regression with complex survey designs was conducted using Demographic Health Survey data from the 4 ASEAN countries in question from 2014 to 2017. Results: The proportion of LBW infants was higher in the Philippines (13.8%) than in Indonesia (6.7%), Cambodia (6.7%), or Myanmar (7.5%). Poor ANC services were associated with a 1.30 times higher incidence of LBW than a high level of complete coverage and content of ANC services (adjusted odds ratio [aOR], 1.30; 95% confidence interval [CI], 1.11 to 1.52). In addition, the risk of LBW was higher in the Philippines than in other countries (aOR, 2.25; 95% CI, 2.01 to 2.51) after adjusting for mothers' demographic/socioeconomic factors, health behaviors, and other factors. Conclusions: In sum, complete coverage and content of ANC services were significantly associated with the incidence of LBW in Indonesia, Cambodia, and Myanmar. The Philippines did not show statistically significant results for this relationship, but had a higher risk of LBW with poor ANC.

Effect of Calf Birth Weight on the Subsequent Fertility of Holstein Heifers

  • Lim, Hyun-Joo;Son, Jun-Kyu;Yoon, Ho-Beak;Baek, Kwang-Soo;Kwon, Eung-Gi
    • Journal of Embryo Transfer
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    • v.27 no.2
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    • pp.81-85
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    • 2012
  • This study investigated the effect of birth weight on the fertility of Holstein heifers. Growth parameter (body weight) was measured at birth. Calves were analyzed as three subgroups: low (L), average (A) and high (H) birth weight (BW) calves. LBW calves were born 10 kg lighter than HBW calves. Fertility data collected included age at first breeding (AFB), number of services per conception, pregnancy rate to first artificial insemination (AI), and age at first calving (AFC). Primiparous calves in HBW are smaller compared to multiparous cows (18.3% versus 48%). Although not significantly different, LBW offspring appeared to breed faster over the service period compared with the ABW offspring that bred three weeks later on the average. The mean pregnancy rate to first AI for LBW heifers was higher (60%) than ABW (48%) and HBW (45%). HBW cows required more services per conception (2.1) than the LBW (1.7) and ABW (1.9). There were significant differences (p<0.05) in age at first calving among the different calving birth weights. Smaller birth size did not have any subsequent adverse effects on fertility. HBW offspring were more likely or tend to have worse fertility parameters.

Socioeconomic Disparities in Pregnancy Outcome and Infant Mortality: Extremely Low Birth Weight and Very Low Birth Weight Infants in Korea, 1995-2010 (극소 및 초극소 저체중출생아 출생과 사망의 사회적 불평등)

  • Park, Hye-Jeong;Son, Mia
    • Health Policy and Management
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    • v.25 no.4
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    • pp.277-284
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    • 2015
  • Background: This study investigates the relationship of socioeconomic status with adverse birth outcomes (low birth weight, preterm birth) and the relationship of socioeconomic status with infant mortality, using the birth cohort in Korea, 1995-2010. Methods: 8,648,035 births from National Statistics Offics, 1995-2010 were studied with respect to social variation in adverse birth outcomes and infant mortality in Korea. The effect of social inequality was examined against adverse birth outcomes and infant mortality using multivariate logistic regression after controlling for other covariates. Results: Social inequality were observed in adverse birth outcomes: low birth weight (LBW, 1,500-2,499 g), very LBW (1,000-1,499 g), and extremely LBW (500-999 g) as well as moderately preterm birth (PTB, 33-36 weeks), very PTB (28-32 weeks), extremely PTB (22-27 weeks), and infant mortality. The effect of social inequality was higher among moderately LBW (1,500-2,499 g) and PTB (33-36 weeks) than very or extremely LBW and PTB. Conclusion: The social inequality in adverse birth outcomes (low birth weight and preterm) and infant mortality existed and increased in Korea from 1995 to 2010. The effect of maternal education on adverse birth outcomes as well as infant mortality was apparent in the study results. Especially, social inequailiy in infant mortality was greater among the sub-normal births (low birth weight [1,500-2,499 g] or preterm birth [33-36 weeks]), which suggests, social interventions should aim at more among the subnormal births. This study suggest that tackling inequality in births as well as infant mortality should be focused on the social inequality itself.

The Educational Needs of the Mothers of LBW infant and Normal Neonate (저출생체중아 어머니와 정상신생아 어머니의 간호교육요구도 조사)

  • Cho Kyoul Ja;Yun Jung;Lee Kun Ja
    • Child Health Nursing Research
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    • v.3 no.1
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    • pp.5-18
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    • 1997
  • This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.

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Substituting Bakery Waste for Barley Grains in Fattening Diets for Awassi Lambs

  • Hindiyeh, M.Y.;Haddad, S.G.;Haddad, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.24 no.11
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    • pp.1547-1551
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    • 2011
  • Bakery waste (BW) is much cheaper than barley (20 to 40% the price of barley). Bakery waste and barley grain have similar chemical composition; they contain 99 and 97% organic matter (OM), 1.1 and 1.8% fat, 18 and 15% neutral detergent fibre (NDF) and 14.0 and 14.5% crude protein (CP), respectively (DM basis). The objectives of this study were to determine the effect of substituting BW for barley grain in high concentrate fattening diets for lambs on nutrient intake, growth and carcass characteristics. Forty Awassi lambs (21.75${\pm}$1 kg) weaned at the age of 65 days were assigned randomly to four experimental fattening diets differing in BW ratio in a completely randomized design. The control diet (CON) contained 20, 60, 11, 7, and 2% (DM basis) wheat straw, barley grain, soybean meal, corn grain, and minerals and vitamin mix, respectively. Bakery waste substituted barley grain by 10, 20 and 30% of the diet DM in the LBW, MBW and HBW diets, respectively. The experiment lasted for 56 days. Dry matter intake (DMI) decreased (p<0.05) in LBW diet compared to the CON diet by approximately 10%. No further reduction in DMI was observed with the higher substitution levels. Metabolizable energy intake for the CON diet (3.6 Mcal/d) was also reduced (p<0.05) compared with LBW, MBW and HBW diets (3.4, 3.4 and 3.3 Mcal/d, respectively). Final body weight for lambs fed the CON diet (34.8 kg) was higher (p<0.05) compared with lambs fed the LBW, MBW and HBW diets (30.6, 32.0 and 31.1 kg, respectively). Growth rate for lambs fed the CON diet (232 g/d) was also higher (p<0.05) compared to lambs fed the LBW, MBW and HBW diets (170, 189, and 167 g/d, respectively). Feed to gain ratio was higher (p<0.05) for lambs fed the LBW, MBW and HBW diets (7.2, 6.6 and 7.3, respectively) compared with lambs that consumed the CON diet (5.7). Body weight gain cost was reduced by approximately 8% by the MBW and HBW diets as compared with the CON diet. Dressing percentage, full gut weight, empty gut weight and liver weights were all unaffected by the BW addition to the diets and averaged 48.9%, 6.8 kg, 2.8 kg and 0.444 kg, respectively. However, fat tail weight was increased (p<0.05) with the higher levels of the BW inclusion. In conclusion, substituting BW for barley grain reduced DMI and growth performance. However, when BW substituted barley grain at the 20 and 30% of the diet DM, body weight gain cost was reduced by approximately 8%.

Muscle Fiber, Connective Tissue and Meat Quality Characteristics of Pork from Low Birth Weight Pigs as Affected by Diet-Induced Increased Fat Absorption and Preferential Muscle Marbling

  • Bimol C. Roy;Patience Coleman;Meghan Markowsky;Kun Wang;Yongbo She;Caroline Richard;Spencer D. Proctor;Heather L. Bruce
    • Food Science of Animal Resources
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    • v.44 no.1
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    • pp.51-73
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    • 2024
  • This study investigated how birth weight differences in piglets affected carcass and muscle fiber properties as well as meat quality at slaughter. Within litters, piglets were grouped according to their birth weight as either normal (NBW; 1.62-1.73 kg) or low (LBW; 1.18-1.29 kg). At 5 weeks of age, NBW piglets were randomly transitioned to control (C) or isocaloric high fat diets derived from non-dairy (HF), while LBW piglets were randomly transitioned to high fat diets derived from non-dairy (HF) or dairy sources (HFHD). Piglets were reared in individual pens under standardized housing and feeding conditions. Live weight was recorded weekly, and pigs were slaughtered at 12 weeks of age. Hot carcass weights, dressing percentages, lean meat yield, and primal cut proportions were determined. The m. longissimus thoracis was collected from the right side of the carcass for measurement of physical and chemical properties of meat and muscle fiber characteristics. Results indicated that LBW pigs compensated for their live weight compared to NBW pigs at 6 weeks of age. The mean muscle fiber diameter of LBW-HFHD group is significantly higher than NBW-C and NBW-HF group, and the type I muscle fiber diameter is significantly higher than NBW-C group. Dairy fat inclusion in LBW pig diet reduced carcass back fat thickness. This increased the calculated lean meat yield to be comparable to that of NBW pigs fed a commercial diet. Incorporating dairy-sourced high-fat into LBW pigs' diets appears to be an effective strategy for producing carcasses equivalent to NBW pigs.

Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants

  • Hwang, Sun-Kyung;Ju, Hyun-Ok;Kim, Young-Soon;Lee, Hwa-Za;Kim, Young-Hae
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.488-494
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    • 2003
  • Purpose. To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW). Methods. A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding. Results. In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F=5.038, p=0.001; F=429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (p < 0.05) and the differences across time periods were significant (p < 0.001). Conclusions. The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.

Determination of Net Energy and Protein Requirements for Growth in Hanwoo Steers by Comparative Slaughter Experiment (비교도체법에 의한 한우 거세우의 증체에너지 및 단백질 요구량)

  • Kim, K.H.;Oh, Y.G.;Lee, S.C.;Shin, K.J.;Chung, W.T.;Kang, S.W.;Hong, S.K.;Ju, J.C.;Baek, B.H.
    • Journal of Animal Science and Technology
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    • v.49 no.1
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    • pp.41-50
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    • 2007
  • Data from a comparative slaughter experiment with two hundreds of Korean native (Hanwoo) beef steers were utilized to determine net energy and protein requirements for growth (NEg and NPg). Eight randomly selected steers were used in the initial slaughter group of 6 month of age and the remaining steers allocated to treatments within two groups. The restricted groups were fed 1.2 to 1.5% concentrate per kg body weight (BW) in the growing period (6~12 month of age), 1.7 to 1.8% concentrate per kg BW in the early fattening period (13~18 month of age), and concentrate feed ad libitum in the late fattening period (19~30 month of age). Ad libitum groups were fed concentrate ad libitum through the whole period. Rice straw was offered ad libitum for 24 month of two feeding systems. The steers were slaughtered when animals reached every 2 month from 8 to 30 month of age. For all body composition determinations, whole empty body components were weighed, taken each proportional subsample was ground for chemical analysis. Equations developed with the pooled data to predicted NEg and NPg were similar to the equations of Japanese Feeding Standard for Beef Cattle (2000). First equations were developed to predicted NEg; NEg = 0.05332×LBW0.75×DG for restricted treatment and NEg = 0.04912×LBW0.75×DG for ad libitum treatment. Second equations were developed to predicted NPg; NPg = DG × (224.7-0.251×LBW) for restricted treatment and NPg=DG×(210.1-0.214×LBW) for ad libitum treatment.

The Association of Growth Rate with Body Weight or Shank Length at Birth in Broiler Chickens (육용계의 부하시 체중 혹은 정강이 길이와 성장률과의 상관관계에 관한 연구)

  • Suk Y. O.
    • Korean Journal of Poultry Science
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    • v.31 no.3
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    • pp.157-164
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    • 2004
  • The objective of this study was to investigate the association of growth rate with body weight or shank length at birth in broiler chickens. Cobb and Ross breeds were used as experimental stocks and four groups were assigned in each breed; thirteen-male and twelve-female chicks(25 birds) were allocated in each group. The heavier body weight group(HBW) and the lighter body weight group(LBW) were established by birth weight. Whereas, the longer shank length group(LSL) and the shorter shank length group(SSL) were established by shank length at birth. The heavier group chicks in birth weight were significantly(P < 0.05) the longer in shank length at birth. The differences between HBW and LSL or between LBW and SSL in the mean 5-wk body weight of Cobb were not significantly different in each other; however, HBW and LSL were significantly(P < 0.05) heavier than LBW or SSL. Whereas, there were no significant differences in the mean 5-wk body weight of Ross although HBW was heavier by 13.1 g than LBW and LSL was heavier by 68.0 g than SSL. In the mean 5-wk shank length, the LSL of Cobb and Ross was longer by 2.9 mm and 1.3 mm than SSL, respectively; however, the significant(P < 0.05) difference was showed in Cobb only. In both breeds, the differences in the mean 5-wk shank length between HBW and LBW were not great. By the results of correlation analysis, the associations of the overall mean birth weights with the overall mean shank length at birth or the association of the 0~5 wk growth rate with the change of shank length during 0~5 wk showed highly significant(P < 0.01~0.001) in both breeds. The present study suggested that the selection based on birth weight could be at advantage due to easier and more accurate tool in using for the improvement growth rate in broiler chickens because the measurement of shank length takes individually longer and less accurate than the measurement of body weight.

The Effects of Neonatal Massage on Weight Gain, Vital Signs and Stress Hormone of low Birth Weight (신생아마사지가 저체중아의 체중, 활력징후 및 스트레스호르몬에 미치는 영향)

  • Kim, Y.H.;Choi, S.Y.;Jeong, G.S.;Park, H.K.;Lee, D.W.
    • Korean Parent-Child Health Journal
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    • v.2
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    • pp.30-52
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    • 1999
  • The purpose of this study is to clarify that neonatal massage is a nursing intervention which is desirable to LBW by making nurses provide such massage service to LBW hospitalized at NICU and confirming effects of the service on weight gain, vital signs and stress hormones(cortisol, norepinephrine, epinephrine). The data were collected from Dec. 14, 1998 to Oct. 4, 1999. The subjects were 28 LBW infants. The data were analyzed with the SAS program with T-test, Chi-square test and ANOVA. 1. The Experimental group that received neonatal massage showed a higher daily gain of weight than the comparative group. Weight gain for 10 days and weight gain of seven days after the massage were also higher in the former group than in the latter, indicating that there are statistically significant differences between the two groups.

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