The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth
Objective. To investigate the association of weight loss daily of term infants with hospitalization in the first week after birth. Methods. This prospective cohort study was conducted among 1865 infants from May 2020 to June 2021, born in the Department of Obstetrics, Kunshan’s First People’s Hospit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2022-01-01
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| Series: | Applied Bionics and Biomechanics |
| Online Access: | http://dx.doi.org/10.1155/2022/9871177 |
| _version_ | 1797995154107269120 |
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| author | Linxiao Qiao Haiyan Zhang Yufeng Yuan Wenying Zhu Jing Yuan Yuanyuan Hu Hongli Zhu |
| author_facet | Linxiao Qiao Haiyan Zhang Yufeng Yuan Wenying Zhu Jing Yuan Yuanyuan Hu Hongli Zhu |
| author_sort | Linxiao Qiao |
| collection | DOAJ |
| description | Objective. To investigate the association of weight loss daily of term infants with hospitalization in the first week after birth. Methods. This prospective cohort study was conducted among 1865 infants from May 2020 to June 2021, born in the Department of Obstetrics, Kunshan’s First People’s Hospital Affiliated to Jiangsu University and Huai’an Maternal and Child Health Care Center. The infants’ weight was collected daily in the hospital, and the weight loss was calculated daily. According to the weight loss daily, the infants were divided into 3 groups. Group A: the weight loss per day was less than 2% of birth weight, and the total weight loss was less than 10%. Group B: the weight loss per day was between 2 and 4% of the birth weight, and the total weight loss was less than 10%. Group C: the weight loss per day was more than 4% of the birth weight, or the total weight was more than 10%. The infants in group C were monitored carefully in the hospital or Outpatient Department (OPD) daily. The primary outcome was the incidence of hospitalization. Results. Of the 1865 term infants enrolled, 1052 were completed on the 7th day (356 in group A, 513 in group B, and 183 in group C). There was no significant difference among the three groups of subjects in terms of infant data, including birth weight, gender, Apgar scores, and gestational age. The number of C-sections and primiparas was substantially higher in groups C and B than in group A. The incidence of hospitalization in group C was significantly higher than that in group A and group B (30.6%, 12.1%, and 12.5%, respectively). The incidence of exclusive breastfeeding in group C was significantly lower than that in group A and group B (28.4%, 41%, and 38.4%, respectively). There was no significant difference between group A and group B in the incidence of hospitalization and exclusive breastfeeding. Most of the hospitalization was because of hyperbilirubinemia, and in group C, there were 2 babies because of dehydration fever and 3 because of hypoglycemia. Conclusions. The neonates whose weight loss daily after birth was more than 4% of the total weight loss of more than 10% had higher hospitalization rates. |
| first_indexed | 2024-04-11T09:56:56Z |
| format | Article |
| id | doaj.art-1f901e976c8647799093590a1fef2834 |
| institution | Directory Open Access Journal |
| issn | 1754-2103 |
| language | English |
| last_indexed | 2024-04-11T09:56:56Z |
| publishDate | 2022-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Applied Bionics and Biomechanics |
| spelling | doaj.art-1f901e976c8647799093590a1fef28342022-12-22T04:30:32ZengHindawi LimitedApplied Bionics and Biomechanics1754-21032022-01-01202210.1155/2022/9871177The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after BirthLinxiao Qiao0Haiyan Zhang1Yufeng Yuan2Wenying Zhu3Jing Yuan4Yuanyuan Hu5Hongli Zhu6Department of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsDepartment of PediatricsObjective. To investigate the association of weight loss daily of term infants with hospitalization in the first week after birth. Methods. This prospective cohort study was conducted among 1865 infants from May 2020 to June 2021, born in the Department of Obstetrics, Kunshan’s First People’s Hospital Affiliated to Jiangsu University and Huai’an Maternal and Child Health Care Center. The infants’ weight was collected daily in the hospital, and the weight loss was calculated daily. According to the weight loss daily, the infants were divided into 3 groups. Group A: the weight loss per day was less than 2% of birth weight, and the total weight loss was less than 10%. Group B: the weight loss per day was between 2 and 4% of the birth weight, and the total weight loss was less than 10%. Group C: the weight loss per day was more than 4% of the birth weight, or the total weight was more than 10%. The infants in group C were monitored carefully in the hospital or Outpatient Department (OPD) daily. The primary outcome was the incidence of hospitalization. Results. Of the 1865 term infants enrolled, 1052 were completed on the 7th day (356 in group A, 513 in group B, and 183 in group C). There was no significant difference among the three groups of subjects in terms of infant data, including birth weight, gender, Apgar scores, and gestational age. The number of C-sections and primiparas was substantially higher in groups C and B than in group A. The incidence of hospitalization in group C was significantly higher than that in group A and group B (30.6%, 12.1%, and 12.5%, respectively). The incidence of exclusive breastfeeding in group C was significantly lower than that in group A and group B (28.4%, 41%, and 38.4%, respectively). There was no significant difference between group A and group B in the incidence of hospitalization and exclusive breastfeeding. Most of the hospitalization was because of hyperbilirubinemia, and in group C, there were 2 babies because of dehydration fever and 3 because of hypoglycemia. Conclusions. The neonates whose weight loss daily after birth was more than 4% of the total weight loss of more than 10% had higher hospitalization rates.http://dx.doi.org/10.1155/2022/9871177 |
| spellingShingle | Linxiao Qiao Haiyan Zhang Yufeng Yuan Wenying Zhu Jing Yuan Yuanyuan Hu Hongli Zhu The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth Applied Bionics and Biomechanics |
| title | The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth |
| title_full | The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth |
| title_fullStr | The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth |
| title_full_unstemmed | The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth |
| title_short | The Relationship between Gestational Newborn Weight Loss and Hospitalization in the First Week after Birth |
| title_sort | relationship between gestational newborn weight loss and hospitalization in the first week after birth |
| url | http://dx.doi.org/10.1155/2022/9871177 |
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