Correlation Of Foot Length And Anthropometric Parameters And Gestational Age Of Newborn By New Ballard Score

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Abstract

Background: Neonatal period is the most vulnerable period of life. For neonates born with a serious medical condition or who need immediate intensive care, determining physical and neurological maturation factors to assess gestational age or anthropometric indices is quite difficult. Therefore, determining the correlation of foot length with anthropometric indices and gestational age according to Ballard score, is a priority in the research. This study describes the foot length, some anthropometric parameters; and study the correlation between foot length and some anthropometric parameters and gestational age of newborn
by new Ballard score.
Methods: A survey was conducted with 240 neonatal in the first 24 hours at The Pediatric Center in Hue Central Hospital and Hue University Hospital of Medicine and Pharmacy from 4/2019 to 1/2021.
Results: The Mean ± SD at birth for Foot Length (FL) was 76.4 ± 7.7 mm. The difference in FL between males and females was not statistically significant. We observed a significant correlation between FL and other anthropometric variables namely GA (r = 0.927), BW (r = 0.898), HC (r = 0.851), CC (r = 0.793) and length (r = 0.891). Using Receiver Operative Characteristic (ROC) curve analysis, we found that FL ≤ 73.1 mm had 95.4% sensitivity and 90.9% specificity in identifying LBW babies. FL ≤ 77.2 mm had 88.4% sensitivity and 96.1% specificity for identifying preterm babies.
Conclusions: We observed a significant correlation between foot length and other variables, namely birth weight, gestational age, head circumference, chest circumference, and length. Foot length had a high sensitivity and specificity in identifying LBW and Preterm babies, making it a reliable variable in the rural setup where weighing facilities, ultrasound, and trained personnel are not available.

https://doi.org/10.38103/jcmhch.2021.73.14

References

World Health Organization. Newborns: improving survival and well - being. [online]. 2019. Available from: https://www.who.int/news-room/fact-sheets/detail/newbornsreducing-mortality.

Marchant T, Willey B, Katz J,Clarke S, Kariuki S, Kuile Ftet al. Neonatal mortality risk associated with preterm birth in East Africa, adjusted by weight for gestational age: individual participant level meta - analysis.PLoS Med2012;9 (8):1-13.

Srinivasa S, Manasa G, Madhu GN. Foot length of newborn: Its correlation with gestational age and various anthropometric parameters. Current Pediatric Research 2017; pp. 248-253.

Ho TY, Ou SF, Huang SH,Lee CN, Ger LP, Hsieh KS et al.Assessment of growth from foot length in Taiwanese neonates. Pediatrics &

Neonatology 2009; 50 (6):287-290.

Ballard JL, Khoury JC, Wedig K, Wang L, Lip R et al.New Ballard Score, expanded to include extremely premature infants.The Journal of pediatricsc1991; 119 (3):417-423.

Fenton TR, Kim JH. A systematic review and meta - analysis to revise the Fenton growth chart for preterm infants. BMC pediatrics 2013; 13

(1):1-13.

World Health Organization. Low Birthweight: Country, regional and global estimates. United Nations Children’s Fund and World Health

Organization 2004, Geneve.

Ashish KC, Viktoria N, Ravi V, Surabhi A, Mats M. Validation of the foot length measure as an alternative tool to identify low birth weight and

preterm babies in a low - resource setting like Nepal: a cross - sectional study. BMC pediatrics

;15 (1):1-8.

Gavhane S, Kale A, Golawankar A, Sangle A.Correlation of foot length and gestational maturity in neonates. Int J Contemp Pediatr

; 3:705-708.

Farah M, Soebagyo B, Hidayah D.Diagnostic value of newborn foot length to predict gestational age. Paediatrica Indonesiana 2017;

(4):181-186.

Rakkappan I, Kuppusamy N. Newborn foot length measurement to identify high-risk neonate.Int J Sci Stud 2016; 4:13-19.

Srivastava A, Sharma U, Kumar S. To study correlation of foot length and gestational age of new born by new Ballard score.Int J Res Med

Sci 2015; 3 (11):3119-3122.

Wyk LV, Smith J. Postnatal foot length to determine gestational age: a pilot study.Journal of tropical pediatrics 2016; 62 (2):144-151.

Mukherjee S, Roy P, Mitra S,Samanta M, Chatterjee S.Measuring new born foot length to identify small babies in need of extra care: a cross - sectional hospital based study.Iranian Journal of Pediatrics 2013; 23 (5):508-512.

Nabiwwemba E, Marchant T, Namazzi G, Kadobera D, Waiswa P.Identifying high-risk babies born in the community using foot length measurement at birth in Uganda. Child: care, health and development 2012; 39(1):1-7.

Nguyen Thi Hai, Khu Thi Khanh Dung, Le Thi Thu Ha, Thomas EG, Lee KJ, Russell FM. Foot length, chest circumference, and mid upper arm circumference are good predictors of low birth weight and prematurity in ethnic minority newborns in Vietnam: a hospitalbased observational study. PloS one 2015; 10 (11):1-13.

Published 10-01-2025
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Language
Issue No. 73 (2021)
Section Original article
DOI 10.38103/jcmhch.2021.73.14
Keywords Từ khóa: Chiều dài bàn chân, đặc điểm hình thái, trẻ sơ sinh. Key words: Foot length, anthropometricparameters, new born.

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Copyright (c) 2021 Journal of Clinical Medicine Hue Central Hospital

Nguyen, L. B. P., Viet, P. H., Hao, T. K., & Linh, H. M. (2025). Correlation Of Foot Length And Anthropometric Parameters And Gestational Age Of Newborn By New Ballard Score. Journal of Clinical Medicine Hue Central Hospital, (73), 90–96. https://doi.org/10.38103/jcmhch.2021.73.14