Browsing by Author "N.P. Jain"

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Developmental assessment of intrauterine growth retarded babies of varying maternal etiology
(Springer India, 1990) B.D. Bhatia; K.N. Agarwal; N.P. Jain
Head circumference was measured serially and developmental performance assessed at the age of 9 months in 41 full-term intrauterine growth retarded babies of varying maternal etiologies. 18 full term and 12 preterm babies who were appropriate for gestational age (AGA) served as controls. The IUGR babies of undernourished mothers had maximum retardation in head circumference.The IUGR babies of small sized mothers had head circumference equal to that of fullterm AGA babies. The IUGR babies of mothers with toxemia of pregnancy and idiopathic group also reached very close to that of fullterm AGA babies for head circumference demonstrating catch up growth. 19.5 per cent of IUGR (as homogenous group) babies were found to have delayed development compared to 16.7 per cent of preterm and 5.6 per cent of fullterm AGA babies. Amongst IUGR groups, babies of undernourished mothers were found to suffer most, followed by babies of mothers with toxemia of pregnancy. None of the babies in the idiopathic group and only one out of 12 in small maternal size group were found to have delayed development. © 1990 Department of Pediatrics All India Institute Of Medical Science.
Studies on fetal growth patterns: Intrauterine growth percentiles for singleton live born babies
(1981) B.D. Bhatia; V. Bhargava; M. Chatterjee; V.L. Kota; L.I. Singh; N.P. Jain
5321 singleton live born babies were studied for their intra-uterine growth (IUG) pattern from 26-44 weeks of gestation and the measurements for birth weight (BW), crown-heel length (CHL) and head circumference (HC) at each gestation were expressed as smoothed percentiles. All three parameters showed a uniform increase until 35-37 weeks after which the increments gradually reduced and the IUG curves started flattening out. The birth weights after 41 weeks showed an appreciable decrease for the lower percentiles but not so much for the higher percentiles. This declining trend beyond 41 weeks was less marked for the crown-heel length and head circumference. In comparison with two other Indian studies the weights and the head circumferences in the present study were smaller whereas the crown-heel lengths were slightly greater. The identification limits for small-for-date infants were, however, very much similar in all three studies.