Original Articles
Diagnostic Accuracy of Physical Assessment Techniques for Estimation of Gestational Age of Neonates- A Cross-sectional Study | |
Dr. Mohini Malhotra, Dr. Saurabh Kumar, Dr. Surendra Kumar | |
Background: Gestational Age (GA)estimation is one of the top priorities to improve clinical care for neonates and determine the burden due to prematurity. In Low and Middle Countries- lack of access of ultrasound during first trimester, late registration of pregnancy, and maternal illiteracy makes accurate estimation of neonate’sGA difficult. Aim: To estimate the gestational age of neonates using the New Ballard System and Parkin scoring system. Material and Methods: This was a single-centre, hospital-based, cross-sectional, observational study conducted over a period of 18 months by enrolling a total of 221 neonates born at Chirayu Medical College, Bhopal. The GA of all neonate was assessed using the New Ballard and Parkin scoring system. Results:Among 221 neonates enrolled in study, 149 (67.4%) were born full-term and remaining 72 (32.5%) neonates were born preterm.The mean gestational age calculated using LMP method was 37.6 weeks and New Ballard scoring system was 36.5 weeks and by Parkin system was 36.8 weeks. The sensitivity of NBS in identifying ‘very pre-term’ neonates was 75% (3 out of 4).The correlation co-efficient between the gestational age by LMP method, Sonography, and New Ballard scoring system was +0.81 and +0.75.The correlation co-efficient between the gestational age by LMP method, Sonography, and Parkin scoring system was +0.72 and +0.67.Conclusion: Parkin system can be used as a screening tool for all new-borns and NBS reserved for preterm or sick neonates. |
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