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Newborn's arm circumference as a screening tool of low birth weight in Temeke District, Dar es Salaam, Tanzania.
Trop Geogr Med. 1994; 46(5):318-21.TG

Abstract

To determine the extent to which newborn's mid-upper-arm circumference (MUAC) could be used as a screening tool for low birth weight (LBW), we examined a total of 601 full-term singleton babies delivered at Temeke District Hospital in Dar es Salaam, Tanzania, between January and April 1992. The mean birth weight and standard deviation (SD) was 2826 (+/- 436) g and the MUAC (SD) 9.9 (+/- 0.8) cm with a correlation coefficient of 0.88 between MUAC and birth weight (p = 0.0001). The percentage of LBW (< 2500 g) and an arm circumference below 9.5 cm were 18.8% and 11.8%, respectively. Use of 9.5 cm measurement as a cut-off point in MUAC was found to be a significant predictor of low birth weight. The sensitivity, specificity and positive predictive value were 57.5%, 98.8% and 91.6%, respectively. Newborns with a mid-upper-arm circumference < 9.5 cm were 10 times more likely to have a LBW compared with an arm circumference > or = 9.5 cm (p = 0.0001). In places where the conventional scales are not readily available MUAC of 9.5 cm could be used as a method to screen LBW babies in Tanzania. Significant maternal factors associated with LBW at the first antenatal clinic (ANC) booking included: weight < 43.5 kg, height < 150 cm, age of 14 to 19 years, positive malaria parasitemia and previous history of LBW. It is recommended that subjects with the above risk factors at ANC booking should be advised to deliver in hospital.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

7855921

Citation

Ramaiya, C, et al. "Newborn's Arm Circumference as a Screening Tool of Low Birth Weight in Temeke District, Dar Es Salaam, Tanzania." Tropical and Geographical Medicine, vol. 46, no. 5, 1994, pp. 318-21.
Ramaiya C, Msamanga G, Massawe S, et al. Newborn's arm circumference as a screening tool of low birth weight in Temeke District, Dar es Salaam, Tanzania. Trop Geogr Med. 1994;46(5):318-21.
Ramaiya, C., Msamanga, G., Massawe, S., Mpanju, W., & Ngwalle, E. (1994). Newborn's arm circumference as a screening tool of low birth weight in Temeke District, Dar es Salaam, Tanzania. Tropical and Geographical Medicine, 46(5), 318-21.
Ramaiya C, et al. Newborn's Arm Circumference as a Screening Tool of Low Birth Weight in Temeke District, Dar Es Salaam, Tanzania. Trop Geogr Med. 1994;46(5):318-21. PubMed PMID: 7855921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Newborn's arm circumference as a screening tool of low birth weight in Temeke District, Dar es Salaam, Tanzania. AU - Ramaiya,C, AU - Msamanga,G, AU - Massawe,S, AU - Mpanju,W, AU - Ngwalle,E, PY - 1994/1/1/pubmed PY - 1994/1/1/medline PY - 1994/1/1/entrez KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Anthropometry KW - Biology KW - Birth Weight KW - Body Weight KW - Comparative Studies KW - Demographic Factors KW - Developing Countries KW - Eastern Africa KW - English Speaking Africa KW - Examinations And Diagnoses KW - Infant KW - Low Birth Weight KW - Measurement KW - Physiology KW - Population KW - Population Characteristics KW - Research Report KW - Screening KW - Studies KW - Tanzania KW - Youth SP - 318 EP - 21 JF - Tropical and geographical medicine JO - Trop Geogr Med VL - 46 IS - 5 N2 - To determine the extent to which newborn's mid-upper-arm circumference (MUAC) could be used as a screening tool for low birth weight (LBW), we examined a total of 601 full-term singleton babies delivered at Temeke District Hospital in Dar es Salaam, Tanzania, between January and April 1992. The mean birth weight and standard deviation (SD) was 2826 (+/- 436) g and the MUAC (SD) 9.9 (+/- 0.8) cm with a correlation coefficient of 0.88 between MUAC and birth weight (p = 0.0001). The percentage of LBW (< 2500 g) and an arm circumference below 9.5 cm were 18.8% and 11.8%, respectively. Use of 9.5 cm measurement as a cut-off point in MUAC was found to be a significant predictor of low birth weight. The sensitivity, specificity and positive predictive value were 57.5%, 98.8% and 91.6%, respectively. Newborns with a mid-upper-arm circumference < 9.5 cm were 10 times more likely to have a LBW compared with an arm circumference > or = 9.5 cm (p = 0.0001). In places where the conventional scales are not readily available MUAC of 9.5 cm could be used as a method to screen LBW babies in Tanzania. Significant maternal factors associated with LBW at the first antenatal clinic (ANC) booking included: weight < 43.5 kg, height < 150 cm, age of 14 to 19 years, positive malaria parasitemia and previous history of LBW. It is recommended that subjects with the above risk factors at ANC booking should be advised to deliver in hospital. SN - 0041-3232 UR - https://www.unboundmedicine.com/medline/citation/7855921/Newborn's_arm_circumference_as_a_screening_tool_of_low_birth_weight_in_Temeke_District_Dar_es_Salaam_Tanzania_ DB - PRIME DP - Unbound Medicine ER -