NOMOGRAM OF MALAY PREGNANT WOMEN WITH HEALTH PROBLEMS IN KELANTAN
Loading...
Date
2014-09
Authors
KARUDIN, IZYANI
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
The Malaysian population is composed of a variety of race groups. Some studies suggest that ethnic variation may influence dating. The aim of this study was to establish reference values for fetal age assessment in Malaysia using Malay race groups with health problems. The parameters of antenatal check-up (ANC), fetal ultrasound biometry and summary of labour for Malay pregnant women with health problems were compared with Malay pregnant women without health problems. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 19. Differences in fetal biometry were assessed by t-test. The data of the study were collected from Department of Obstetrics and Gynaecology, Hospital Raja Perempuan Zainab II (HRPZII), Kota Bharu, Kelantan. A total of 1660 data of ANC, 1844 data of fetal ultrasound biometry, 1375 data of summary of labour and 5718 data of ratios between parameters were reported. It was found that, GDM has significant impact on patient’s blood pressure before and after delivery, weight, AC, EFW, AFI, LB, PW, patient’s pulse after delivery, BPD/AC, BPD/FL, HC/AC, AC/FL, BW/PW, LB/HCB, EFW/PW, EFW/BW, AFI/LB and AFI/HCB. Hypertension has significant impact on patient’s blood pressure before and after delivery, Hb, weight, BPD, EFW, AFI, LH, BPD/HC, AFI/LB and AFI/HCB. Anaemia has significant impact on patient’s blood pressure before and after delivery, Hb, CRL, HC, AC, EFW, AFI, LH, BW, LB, patient’s pulse after delivery, BPD/HC, BPD/AC, BPD/FL, AC/FL, BW/PW and AFI/HCB while, asthma has significant impact on systolic blood pressure before and after delivery, Hb, weight, HC, AC,
EFW, LH, PW, patient’s pulse after delivery, BPD/HC, BPD/AC, HC/AC, AC/FL, BW/PW, AFI/LB and AFI/HCB. The ratios of BPD/HC, BPD/AC, BPD/FL, HC/AC, HC/FL and AC/FL of healthy and unhealthy pregnant women with GDM, hypertension, anaemia and asthma were not constant from 12 until 40 weeks and therefore dependent of both GA and health conditions of pregnant women. Meanwhile, the ratios of BW/PW, LB/HCB, EFW/PW, EFW/BW, AFI/LB and AFI/HCB of healthy and unhealthy pregnant women with GDM, hypertension and asthma were not constant from 35 until 40 weeks and therefore dependent of both GA and health conditions of pregnant women. On the contrary, the BW/PW ratio for anaemia was constant from 35-40 weeks and therefore independent of GA and health conditions of pregnant women.
Description
Keywords
NOMOGRAM , HEALTH PROBLEMS