Maternal nutrition and pregnancy outcomes : anthropometric assessment / edited by Katherine Krasovec & Mary Ann Anderson.
Material type: TextSeries: Scientific publication (Pan American Health Organization) ; no. 529Publication details: Washington, D.C. : Pan American Health Organization, 1991.Description: 214 pISBN:- 927511529X
- WQ 175
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Results of the meeting "Maternal Anthropometry for Prediction of Pregnancy Outcomes", 23-25 April, Washington, D. C., under the joint sponsorship of the United States Agency for International Development, MotherCare, Pan American Health Organization, and World Health Organization.
A state-of-the-art report on the use of simple, inexpensive anthropometric indicators to measure the nutritional status of pregnant women, predict pregnancy outcome for the woman as well as the child, and identify women at risk. Emphasis is placed on measurements and reference values that are simple and sensitive, have high predictive value, require inexpensive equipment, and are suitable for immediate use in settings where resources, equipment, and staff are limited. Tools evaluated range from charts for recording weight gain during pregnancy to a simple band, made from used X-ray film, for measuring arm circumference. Recommendations and conclusions reflect the consensus reached during a meeting attended by more than 50 investigators. The book contains 17 chapters presented in five main parts, each devoted to an individual anthropometric indicator. These include weight gain in pregnancy, prepregnancy weight, height, arm circumference, and weight-for-height and body mass index. Each part opens with a fully referenced discussion of basic issues, including the uses of the indicator and the existence of any universal standards or values for determining normal nutritional status, linking status to pregnancy outcome, and detecting women at risk. The discussion, which is presented in a question-and-answer format, serves to summarize both scientific knowledge and practical experiences while also defining the strengths and weaknesses of the indicator, particularly when used under primitive conditions and at different times during a woman's reproductive life. Each part also includes a detailed evaluation of research findings and methodological problems, followed by a concise list of recommendations and conclusions concerning field application of the monitoring tool. Among the many conclusions reached is the identification of arm circumference as the most promising tool for screening nutritional status during pregnancy and detecting women at risk.
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