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|Title: ||Identification of malnourished term neonates at risk of poor neonatal outcomes|
|Authors: ||Hobbs, Angela Eileen|
|Issue Date: ||11-Nov-2013|
|Publisher: ||University of Sydney|
School of Public Health
|Abstract: ||Malnutrition, particularly undernutrition, is a major public health problem. The main purpose of this study was to assess the incidence of neonatal undernutrition and its associated morbidities. Secondly, to distinguish between truly undernourished neonates and constitutionally small neonates and lastly, to investigate known interventions for undernutrition, namely breastfeeding. The study involved measuring body fat percentage (BF%) using air displacement plethysmography (ADP) in term singleton neonates. Measuring undernutrition using BF% measurements was more closely associated with neonatal morbidity when compared to current methods. Using customized growth charts that adjust for maternal characteristics appear to provide no meaningful improvements in the detection of undernourished neonates. Early successful breastfeeding (within the first hour after birth) made a difference to breastfeeding success in the first days of life. Our findings provide evidence that: measuring BF% is better for detecting morbidity associated with undernutrition and should be considered as a screening tool in high income settings where access to ADP is appropriate; the use of customised charts do not add value to clinical practice with no randomised controlled trial evidence to support their use globally. We suggest newborns with low BF% are vulnerable and require early initiation and sustained breast feeding and nutritional follow up.|
|Description: ||Includes published papers co-authored with others|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||PhD Doctorate|
|Type of Publication: ||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
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