M. Bhuvaneswari, G. S. Ramaprasad, P. Brahmaji Master
BACKGROUND Gestational age estimation at birth can be done by clinical estimation through careful history of LMP, ultrasonic estimation of gestational age, date of first recorded foetal activity “quickening” first felt at approximately 16-18 weeks, Date of first recorded foetal heart sounds. MATERIALS AND METHODS A study sample of 800 live newborns were selected by simple random sampling technique born at GVR hospital and Government General Hospital, Kurnool from April 2015 to May 2016. Data was collected using standard proforma meeting the objectives of the study. a) Gestational age assessment was done using modified Bellard’s score and b) Foot length was measured using sliding calipers which is having an accuracy of a millimeter. Following instruments are used: 1) Sliding calipers for measuring foot length, 2) Flexible, non-stretchable measuring tape for head circumference, 3) Infantometer for measuring crown heel length, 4) Electronic weighing scale for measuring weight. RESULTS The foot length of preterm neonates ranged from 4.5-7.8 cm with the mean foot length of 6.1571 cm and 6.6964 cm for preterm SGA and AGA, respectively. The foot length of term neonates ranged from 5.4-8.7 cm with a mean foot length of 7.0471 cm, 7.5703 cm, 8.0391 cm for term SGA, AGA, LGA respectively. The foot length for post term neonates ranged from 6.7-8.8 cm, with a mean foot length of 7.5688 cm, 8.0170 cm and 8.2667 cm for post term SGA, AGA and LGA, respectively. This shows that foot length increases as the gestational age increases. CONCLUSION Foot length can be correlated significantly with the gestational age, birth weight, head circumference and crown heel length.
