Dissertations / Theses: 'Low birth weight infant'

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Provencio-Vasquez, Elias. "Creating Paths: Living with a very low birth weight infant." Diss., The University of Arizona, 1992. http://hdl.handle.net/10150/186106.

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Advances in neonatal nursing and medical interventions have made it possible for the very low birth weight (VLBW) infant to survive. However, it is now time to recognize the intangible costs, emotional stress, marital stress, grief, pain, sorrow, and the disruption of the role transition to parenthood. To facilitate progress in the area of neonatal nursing, systematic efforts were undertaken to examine and describe parental adaptation to the VLBW infant and potential risk for parenting problems after hospital discharge. The purpose of this study was to describe parents' method of adaptation to the problems of caring for a VLBW infant at home. Specifically this study was designed to identify: (1) What strategies parents employed during the adaptation process. (2) What resources parents combined with their strategies of adaptation. (3) What situations promoted or inhibited parental adaptation. The informants consisted of parents of VLBW infants (<1500 grams) following hospital discharge. The number of subjects for this study was 14. An exploratory design was used to conduct this study. Each subject was involved in three interview sessions, one months, three months, and five months following hospital discharge of their VLBW infant. Data were sampled theoretically, as guided by the emergent theory. The constant comparative method was used for data analysis. A basic social process, Creating Paths, was identified as the core category of the theory. Creating Paths is the continuous process experienced by parents living with a VLBW infant the first five months after hospital discharge. The process consists of three stages: Gathering, Emerging, and Affirming. Results of this investigation provide a beginning theoretical foundation for assessing the adaptation process of parents with VLBW infants the first five months at home. Neonatal nurses can utilize the model to provide anticipatory guidance and support to benefit parents and their VLBW infant.

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Marlow, N. "Death and later disability in children of low birth weight." Thesis, University of Oxford, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.354846.

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Brandos, Mavis Marie 1944. "Infant health, caregiver burden, and social support as perceived by mothers of low birth weight infants and mothers of normal birth weight infants." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/558238.

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Swanson, Marcia W. "Intrauterine infection and neurodevelopmental disability in low birth weight infants /." Thesis, Connect to this title online; UW restricted, 2000. http://hdl.handle.net/1773/10934.

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Hu, Jie 1957. "A comparison of perceptions of infant health, reliance on others, and caregiving by mothers of low birth weight and normal birth weight infants." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/291768.

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The purpose of this research was to describe the relationship between maternal perception of infant health, reliance on others and caregiving in mothers of low birth weight (LBW) (ṉ = 30) infants and mothers of normal birth weight infants (ṉ = 30). A descriptive research design was used for a secondary analysis of data. Significant relationships were found between maternal perception of: infant health and caregiver burden (R² =.29, p̱ ≤ .001); confidence in caregiving and caregiver burden (R² change =.12, p̱ ≤ .01); infant health and confidence in caregiving (R² change =.18, p̱ ≤ .001); and preparation for caregiving and confidence in caregiving (R² change =.10, p̱ ≤ .02). A significant difference was found between mothers of LBW infants and mothers of normal birth weight infants in their perception of infant health (ṯ (58) = -2.02, p̱ ≤ .05) and caregiver burden (ṯ (58) = -3.50, p̱ ≤ .001).

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Ulysse, Rachele D. "Identifying Data Needs to Support the Public Health Program of First Care." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/192.

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Abstract Identifying Data Needs to Support the Public Health Program of First Care Background: First Care (FC) is a Georgia (GA) public health (PH) program funded by Title V Block Grant, whose main purpose is to provide collaborative skilled PH services for infants with LBW and VLBW (low and very low birth weight) as well as those considered at high risk for illness and disabilities. Purpose: 1. Describe current health outcomes of GA infants less than one years of age. * Current baselines of IMR (infant mortality rate), preterm, very low birth weight (VLBW) and low birth weight (LBW) births 2. Use data to inform FC program in order to improve overall health outcomes in LBW, VLBW and preterm infants less than 1 years of age in GA as well as IMR. * Identifying common diagnoses and reasons for the hospitalization of infants less than one. Methods: Several online secondary data sources containing GA birth outcomes were evaluated. These sources were used to produce most current or 2008, GA and national profiles on health outcomes such as IMR, preterm, LBW and VLBW births. SAS was used to evaluate OHIP (Office of Health Information and Policy) hospital discharges in 2008 to determine common diagnosis affecting GA children under 1 years of age. Results: National comparisons of health outcomes revealed that GA consistently ranks below the national average for IMR, preterm, VLBW, and LBW births. GA’s poor health outcomes are also seen when compared to Healthy People 2010 objectives. A comparison of GA public health districts (PHD) health outcomes demonstrates lagging indicators mainly in the southern and midsection (central section) of GA. This study also revealed racial disparities indicating Blacks falling behind in all health outcomes when compared to Whites and Hispanics. Statistical analysis of hospital discharges showed that the top 25 discharges reflect common conditions that affect high-risk infants such as preterm, VLBW and LBW infants. Higher rates of morbidity were found in the southern and central PHDs of GA. Conclusion: The purpose for FC is to provide current data baselines on health outcomes of GA infants less than one year of age, as well as information regarding current hospitalizations. Current results are only preliminary findings underscoring the need for continued research. By emphasizing their need for monitoring will allow FC to focus on this critical role that will only grow with an expanding population in GA.

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Magasiner, Vivien Adele. "The development of posture in very low birthweight infants (<1500 grams)." Master's thesis, University of Cape Town, 1993. http://hdl.handle.net/11427/26598.

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The aims of the study were to examine postural development in very low birthweight and normal birthweight infants and to determine whether deviant postures were predictive of adverse neurodevelopmental outcome. In the first part of the study the 7 postural responses selected by Vojta to evaluate neuromotor development were applied to 69 very low birthweight (VLBW < 1 500 grams) infants and to 28 healthy full-term infants of normal birthweight (> 2500 grams). Of the 69 VLBW infants, 43 were small for gestational age and 26 appropriate for gestational age. All infants were examined at term and 4 months corrected age. They were all later assessed on the Griffiths Mental Development Scale at 12 and 18 months corrected age. There were significant differences in postural reactions between the 2 groups which confirmed the lower tone and greater extension previously described in VLBW infants. An important finding in the study was that poor head and trunk righting noted at 4 months corrected age in VLBW infants, was associated with less developed locomotion at 12 and 18 months as assessed by the Griffiths Mental Development Scale. Thus, a delay in maturation in VLBW infants which was apparent from the assessment of postural responses was still identifiable on the locomotor sub-scales at 12 and 18 months. Five of Vojta's responses were shown to be useful as part of the neurological assessment of high risk infants. In the second part of the study, the 5 useful Vojta responses were incorporated into the Infant Neurodevelopmental Assessment (INA) which was used to assess 76 high risk VLBW infants. The 76 infants consisted of 34 infants with intracranial lesions on ultrasound and 42 without intracranial lesions. All infants were assessed at term and 4 % months corrected age using the INA. At 12 months corrected age they were all assessed on the Griffiths Mental Development Scale. Six infants were diagnosed as having cerebral palsy, all of whom had intracranial lesions. Several clinical signs indicative of cerebral palsy were significant at 4 % months corrected age and will be useful in future studies to diagnose cerebral palsy early. The association between lack of head and trunk control at 4 % months corrected age and a lower locomotor score at 12 months corrected age proved to be significant again and reinforces the finding that early delay in maturation is identifiable on the locomotor scale at 12 months corrected age.

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Kinney, Sharyl Kidd. "Maternal participation in WIC and Children First as a predictor of birth weight." Oklahoma City : [s.n.], 2010.

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Kawasaki, Hidenori. "Epidemiology of Birth Defects in Very Low Birth Weight Infants in Japan." Kyoto University, 2020. http://hdl.handle.net/2433/259711.

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Shehan-Bakewell, Colleen 1963. "The relationship of birth weight and maternal education to developmental outcomes of low birth weight infants." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/278404.

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The purpose of this research was to investigate the relationship between specific infant and maternal characteristics with the developmental outcome of low birth weight infants. Birth weight was statistically significant in relation to the Mental Developmental Index (p =.001) and the Psychomotor Developmental Index for chronologic age (p =.023). Birth weight predicted 25% of the variance in infant cognitive development and 24% in infant motor development. There was no statistically significant positive correlation between maternal education and infant cognitive developmental outcome. There was a statistically significant correlation between: number of hospital days (MDI, P =.006; PDI P =.010); number of days on oxygen (MDI, p =.006; PDI p =.037); gestational age (MDI p =.006); and infants with bronchopulmonary dysplasia (MDI p =.020; PDI, p =.020) in relation to developmental outcome. These findings support the premise that co-morbidity of infants appears to increase the risk of developmental delay.

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Haycock, Anna Cornelia. "Psychological functioning in children with low birth weight." Thesis, University of Limpopo, 2008. http://hdl.handle.net/10386/2573.

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Thesis (PhD. (Clinical Psychology)) --University of Limpopo, 2008
Low-birth-weight/premature children seem to be vulnerable to psychiatric, neuropsychological and other deficiencies. Limited research is available in the South African context about these ever-increasing phenomena. The aim of this study was to investigate the magnitude and characteristics of internalising (Separation Anxiety, Overanxious and Major Depressive Disorders) and externalising symptoms (Attention-Deficit/Hyperactivity, Oppositional Defiant and Conduct Disorders) among low-birth-weight children in comparison with normal-birth-weight children, as well as to establish neuropsychological deficiencies (motor, visual-spatial, memory and executive functioning) between the birth weight groups, analysed as a function of gender and age. The sample (158 children) was selected from nine urban mainstream primary schools in the Tshwane North and South districts by means of stratified random sampling. Low-birth-weight children (weighing below 2 000 g) (N=79) were matched with normal-birth-weight children (above 3 000 g) (N=79) according to age, gender, language and socio-economic status. The neuropsychological test battery and self-reporting questionnaire were individually administered to the sample at the selected schools during school hours. Teachers and parents of selected participants were requested to complete a rating scale. As expected, low birth weight is associated with a tendency towards increased internalising and externalising psychological symptoms, as well as poorer neuropsychological functioning. This was particularly significant in the domains of internalising symptoms (depression), externalising symptoms (hyperactivity/impulsiveness, inattention, Oppositional Defiant Disorder and Conduct Disorder) and neuropsychological impairments (motor, visual-spatial/visual-motor, memory and executive functioning). The neuropsychological impairments observed in this study among the LBW children probably increase the risk of subsequent externalising (conduct and oppositional behavioural problems) and internalising (depressive) psychological symptoms. These impairments are possibly exacerbated by inattention and hyperactivity/ impulsiveness. Reciprocal interaction seems to take place between the psychological symptoms andneuropsychological functions. Only a few gender differences were observed. Neuropsychological deficits were observed both in the 6 to 9 and 10 to 13 age groups, indicating deficient resolution of impairments with increasing age. Increased pre-, peri- and postnatal complications in the low-birth-weight group may predispose these children biologically to neuropsychological deficiencies and subsequent internalising/externalising symptoms. These impairments most probably affect academic, emotional, social and other significant areas of functioning, increasing public health cost.

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Langley, Diane. "Community neonatal services and high-risk infant survivors." Thesis, Lancaster University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327301.

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Jacobs, Salomi. "Referencing echocardiographic measurements for premature and low-birth weight infants." Thesis, Bloemfontein : Central University of Technology, Free State, 2012. http://hdl.handle.net/11462/212.

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Thesis (M. Tech. (Clinical Technology)) -- Central University of technology, Free State, 2012
Introduction: Reference ranges for cardiac measurement are available for adults, children and term infants but the same cannot be said for preterm or small for gestational age (SGA) infants surviving as a result of modern intensive care units. No published data of reference ranges for preterm infants exists for the South African population. Infants with congenital heart disease are twice as likely to be small for their gestational age and these reference ranges may affect clinical management decisions, therapeutic response and prognosis of these neonates. The aim was thus to establish reference ranges for cardiac dimensions and functional values for preterm and low birth weight infants for central South Africa and compare them with international standards. Methods: A total of 290 infants of less than 34 weeks of age and weighing less than 2500g at birth were examined during a twelve month period by echocardiography during the first 0-28 days of life. The study assessed normative cardiac measurements divided in M-Mode, 2-D and functional measurement for these infants in 3 weight groups. Exclusion criteria were applied to any condition affecting the size and functionality of the cardiac system. The following dimensions were measured: Standard M-Mode values for the left ventricle, 2D measurements of valve mitral and tricuspid orifices, as well as functional assessments including Shortening fraction (SF %), Ejection fraction (EF %), and Muscle performance Index (MPI)-index of the Left and Right ventricle. Measurements were done by the leading edge methodology following the ASE recommendations. A longitudinal study was also done to examine changes in these indices over the first month- on day 14 and day 28 of life. Interobserver differences were calculated for the variability between measurements of a single scan- 25 babies were re-measured and produced good repeatability. Results: 290 infants were included to produce Referance ranges of measurements (means and standard deviations) for 3 weight groups namely: <0.999g, 1000-1499g, and 1500g – 2500g. The gestational age’s ranges between 26-38 weeks with a median of 31 weeks, gender distribution was almost equal with a slight female preponderance. Body surface area ranged from a minimum from 0.076 m² and a maximum of 0.184 m², the body weight ranged between a minimum of 690g and a maximum of 2500g with a median of 1360g. Discussion: The left ventricular diastolic and systolic, interventricular septum, posterior wall, aortic and left atrium dimensions showed a proportionate increase in diameter with an increase in body weight There were no differences in cardiac dimensions between Small for Gestational age” (SGA) versus “Average for Gestational age” (AGA). Gender and race played no role in any functional measurements or with the cardiac sizes. Weight correlated well with BSA and the data suggest that weight only can be used to develop tables for clinical use. Cardiac chambers increased with BSA and weight and functional measurements stayed the same throughout the weight groups. Systolic and global functions were remarkably similar and constant throughout weight categories. . The longitudinal study also confirmed that the values are applicable to all low birth weight infants up to 28 days of age. Differences existed between some of the average South African infant’s cardiac chambers and international values. The Inter Ventricular Septum (IVS) and Posterior Wall (PW) measured thicker and the Left Atrium larger. This could be due to numerous factors that should be investigated further. Conclusion: The study emphasized the profound effect of growth and weight gain on the cardiac structure and that population specific reference values should therefore be developed and used.

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Kalanga, Noel. "Optimizing Care for Low Birth Weight Infants in Rural Malawi." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17613732.

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The aim of our study was to explore and understand the factors that affect growth of low birth weight (LBW) infants in a rural district of Neno in Malawi in order to optimize their care. We surveyed 64 households of LBW infants born between April and June 2014. We collected quantitative data on socio-demographics and food security, and performed nutrition and development assessments of the LBW infants at six months of age. We also conducted qualitative in-depth interviews with a subset of 10 mothers of the LBW infants and with 3 nurses at postnatal clinics. We then merged the quantitative and qualitative datasets for a final interpretation. At six months of age, LBW infants were more likely to be underweight (mean weight-for-age Z-score -3.01±0.97) or stunted (mean height-for-age Z-score -2.45 ±1.34) than the WHO reference group. The majority (93.8%) of the households had moderate to severe food insecurity. Contributing factors to these poor outcomes included recurrent illness, resource scarcity and lack of social support. Most mothers opted for mixed feeding as a coping mechanism for the LBW infant’s slow growth; this mixed feeding without clean water and proper hygiene, could even worsen the health outcomes of these infants. Structural violence in poor households causes poor health outcomes of LBW infants. The responsibility of caring for LBW infants is so challenging because these children have so many unmet needs. Optimum care can be achieved with a variety of biosocial interventions.

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Kuruvilla, Denison John. "Evaluation of erythropoiesis in anemic low birth weight preterm infants." Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/1981.

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Anemia of prematurity is characterized by a progressive decline in hemoglobin level during the first month of life. Unlike term newborns, preterm infants become anemic and often require red blood cell transfusions. Various factors contribute to the development of this anemia. These include short infant red blood cell (RBC) lifespan, decline in erythropoiesis rate after birth, and blood losses caused by repeated phlebotomies. The objectives of this work were to develop novel models to evaluate fetal and neonatal erythropoiesis, and to study in vivo adult and neonatal RBC survival in low birth weight preterm anemic infants. The model developed to evaluate fetal erythropoiesis was based on the in utero growth of the fetus over time. Neonatal erythropoiesis rate was estimated using a hemoglobin (Hb) mass-balance based method that has the advantage of not relying on specific structural pharmacodynamic model assumptions to describe the Hb production, but instead utilizes simple mass balance principles and nonparametric regression analysis to quantify the amount of Hb produced and the Hb production rate during the first month of life. To study RBC survival, two separate models, one describing the elimination of neonatal RBCs produced under non-steady state conditions, and the second describing the elimination of adult RBCs produced under steady state conditions were developed and applied to the RBC survival data obtained from low birth weight anemic preterm infants. The proposed mathematical models and its implementation provides a flexible framework to study both in utero non-steady state (non-SS) fetal erythropoiesis and neonatal erythropoiesis in newborn infants.

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Bauer-Schaub, Kimberly J. "Effects of Pregnancy-Related Depression on Low Birth Weight Infants." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7597.

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Maternal depression during pregnancy can have a negative impact on the developing child. Numerous studies have focused on postpartum depression and the influences on infant outcomes; however, there are limited data on pregnancy-related depression. The problem addressed in this study was the inadequacy and insufficiency of depression screening during the pregnancy period and access to quality-related health services for women. The purpose of this quantitative retrospective study was to test social cognitive theory on low birth weight and prenatal care adherence to pregnancy-related depression in women residing in Colorado. This research measured an association between pregnancy-related depression and both low birth weight prevalence and prenatal care adherence. Secondary analysis of archived data included data from Colorado vital statistics and the 2016 Colorado Pregnancy Risk Assessment Monitoring System. Data were analyzed using Chi-square analysis and multiple logistic regression. The findings showed that pregnancy-related depression was statistically significant of very low birth weight. I reported a summary of findings on p. 68. Biopsychosocial variables were significant to pregnancy-related depression. Pregnancy-related depression was significant in prenatal and postpartum depression. The implications of these findings for social change include the potential to support improved depression screening strategies during pregnancy that may contribute to transformation within the community by promoting more efficient and accessible healthcare for women.

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Indredavik, Marit Sæbø. "Mental health and cerebral magnetic resonance imaging in adolescents with low birth weight." Doctoral thesis, Norwegian University of Science and Technology, Faculty of Medicine, 2005. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-696.

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VLBW adolescents

We found that the VLBW adolescents had specific emotional and cognitive traits. Some of them fit with psychiatric concepts and others do not. They had an increased risk of developing psychiatric symptoms and disorders compared with controls, especially attention deficit, anxiety and relational problems affecting their social skills and overall functioning. Academic achievement was reduced. The attention problems were widespread, but only a minority fulfilled the diagnostic criteria of Attentiondeficit/ hyperactivity disorder. Increased prevalence of anxiety symptoms and disorders may be due to a number of factors, comprising both biological/neuroendocrine and psychosocial mechanisms. The peer problems and deficits in social skills may indicate specific difficulties in relating and adjusting to others, with deficits in comprehending the subtle cues of social relations. The implication of thought problems reported by teachers is unclear. Adolescents with birth weight ≤ 1000 g showed a tendency towards more psychiatric disorders than those with birth weight between 1000 and 1500 g. The lack of gender differences demonstrates that prematurity exceeds the usual effect of gender regarding vulnerability for developing psychiatric symptoms.

We found that the VLBW adolescents perceived self-esteem and quality of life as others did at the age of 14. However, parents reported functional disadvantages and reduced quality of life measures for their adolescents. The parents worried more for their children’s functioning and well-being, especially if the child had a psychiatric disorder or cerebral palsy. Still, being born VLBW did not influence the warmth in the parent-child relationship, nor did the parents have more mental health problems.

As the association between VLBW and psychiatric problems could not be explained by SES or the parents’ mental health, a biological cause-effect relationship seems plausible. The frequency of cerebral MRI abnormalities was higher in the VLBW group than in the control group. Furthermore, ADHD symptoms were associated with white matter reduction and thinning of the corpus callosum, while other psychiatric symptoms were not associated with MRI abnormalities. These results support the hypothesis of a specific (“pure”) type of ADHD with a dominant neurological aetiology, while interacting psychosocial experiences play a minor part. Our study indicates that being born VLBW involves a biological vulnerability with increased risk of psychiatric symptoms.

SGA adolescents

Although every fifth SGA adolescent had psychiatric symptoms, assessed by interview, the prevalence of symptoms and disorders did not differ significantly from controls. Yet, screening questionnaires displayed more behavioural problems, lowered social competence and a tendency towards attention deficit/hyperactivity. Teachers reported withdrawal and thought problems, while academic performance did not differ from controls. Boys had more attention and externalizing problems than girls.

Generally, on psychiatric measures, the term SGA group seemed to fall inbetween the VLBW and the control group, resembling the control group more than the VLBW group.

The SGA adolescents and their parents reported self-esteem and quality of life as in the control group. Being born SGA at term did not influence the warmth in the parent-child relationship, and the parents did not have more mental health problems than others. The frequency of cerebral MRI abnormalities in the SGA group did not differ from the control group, and no associations were found between psychiatric symptoms and MRI abnormalities.

Paper V reprinted with kind permission of Elsevier, sciencedirect.com

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Patteson, Dorothy Marie. "The relationship between heart rate variability, auditory evoked heart rate responses, and performance on recognition memory tests in low birth weight and normal birth weight infant macaques (Macaca nemestrina) /." Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7236.

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Priyono, Edi Sirikul Isaranurug. "Maternal risk factors for low birth weight infants at Fatmawati General Hospital, Kakarta, Indonesia /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5037985.pdf.

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Oliver, Lawrence Tommy Victor. "Study on factors associated with low birth weight babies at Uitenhage Hospital." Thesis, University of the Western Cape, 2000. http://etd.uwc.ac.za/index.php?module=etd&amp.

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The incidence of Low Birth Weight (LBW) babies born in the Uitenhage Provincial Hospital would seem to be a cause of concern from a public health of view. The incidence of 21% recorded during 1999 is markedly higher than the 7% recorded in the United States of America in 1998 and the average of 17% noted for developing countries. Some health concerns related to LBW babies are Sudden Infant Death Syndrome, scholastic performances later in life, and several chronic diseases in adults associated with them having been born as LBW babies.

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Ludvigsson, Jonas F. "Some epidemiological aspects of perinatal gastrointestinal disease /." Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med707s.pdf.

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Patella, Roseine Fortes. "Analise da assistencia prestada pelo programa do recem-nascido de risco e sua relação com a hospitalização de menores de um ano e a mortalidade infantil tardia em Santos/SP." [s.n.], 2001. http://repositorio.unicamp.br/jspui/handle/REPOSIP/313839.

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Orientador: Ana Maria Segall Correa
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-03T05:49:20Z (GMT). No. of bitstreams: 1 Patella_RoseineFortes_M.pdf: 21656384 bytes, checksum: a411b353da2b069b334fa693980d77d0 (MD5) Previous issue date: 2001
Resumo: O objetivo deste estudo foi analisar o impacto da assistência oferecida pelo Programa de Vigilância para crianças nascidas sob risco (PRNR) sobre as intemações hospitalares e a mortalidade de crianças menores de um ano de idade em Santos/SP. Foi estudada uma coorte histórica retrospectiva de crianças expostas e não expostas ao Programa no período de 1"de Julho de 1997 até 30 de Junho de 1998. Dos 6554 bebês nascidos neste período, 1208 foram classificados como sob risco (RNRs). Foram então divididos em dois grupos: G.A. (acompanhados pelo PRNR = 675) e G.N.A. (não acompanhados pelo PRNR = 553). O seguimento foi delineado para controlar variáveis presumidas como fatores de confundimento como peso ao nascer, hospital de nascimento, localidade de residência e aleitamento ao seio além de outras variáveis psicossociais. Os RNRs do grupo G.A. foram então classificados em duas categorias de acordo com a assistência recebida. Foram considerados sob Assistência Adequada (ADEQ) os recém-nascidos que cumpriram três condições principais: - Ter realizado a primeira consulta médica e atividades de monitoramento em até 10 dias após o nascimento, ter recebido visita domiciliar (VD), e, pelo menos 7 consultas médicas durante o período de seguimento. Foram considerados sob Assistência Não Adequada (NADEQ) aqueles que não atingiram os critérios completos referidos. Foram encontrados 712 bebês no primeiro grupo e 496 no segundo. O risco relativo para intemação hospitalar considerando bebês não expostos ao programa (NADEQ) e os expostos (ADEQ) não foi estatisticamente significativo. Os Grupos GA e GNA foram diferentes ao considerar-se variáveis sociais. O primeiro (GA) mostrou freqüência mais alta de desemprego entre pais ou responsáveis e muitos moravam em localidades caracterizadas como as mais pobres na cidade. O risco relativo para intemação hospitalar no primeiro ano apontou para proteção para as crianças do G.N.A. O perfil de seguimento dos RNRs (G.A.) mostrou que 61,6% deles chegaram para a primeira consulta médica após dez dias; quase a metade (41,8%) compareceu a menos de sete consultas pediátricas; quase um terço deles (28,4%) nunca recebeu uma VD. Apesar da assistência oferecida pelo PRNR foram identificados 13 óbitos entre os RNRs da coorte estudada. Estudos adicionais seriam necessários para esclarecer melhor as características dos cuidados de saúde que deveriam ser oferecidos, em tais condições sociais, a recém-nascidos de alto risco no seu primeiro ano de vida
Abstract: The objective of this study was to analyze the impact of the assistance provided by the Surveillance Program for children bom at risk (PRNR) on hospital admissions and mortality of children under one year of age in Santos/SP. A historic retrospective cohort of children exposed and non-exposed to the program was studied from the 1st of July 1997 to the 30th of June 1998. From 6554 babies bom in this period, 1208 were classified as at risk (RNRs). They were then divided in two groups: G.A. (followed by the PRNR = 675) and G.N.A. (not followed by the PRNR = 553). The followup was designed to control for variables presumed to be confounders, like birth-weight, hospital of birth, neighborhood of residence, and breastfeeding, besides other mother's psychosocial variables. The RNRs of G.A. groups were then classified in two categories according to the assistance received. Adequate Assistance (ADEQ) was considered for those newboms who met tree main conditions: - first medical appointment and monitoring activity within 10 days afier birth, having received a home visit (VD), and, at least 7 medical consultations during the follow-up period. Non-Adequate Assistance (NADEQ) was assigned to those who did not meet the full ADEQ criteria. There were 712 babies in the first group and 496 in the second. The relative risk for hospital admission considering babies not exposed to the program (NADEQ) and those exposed (ADEQ) was not statistically significant. The GNA and GA groups were different considering social variables. This last group had higher frequency of unemployment among parents or family's responsible person and most of then were leaving in the neighborhood characterized as the poorest in the city. The relative risk for hospital admission in the first year of life pointed out to protection towards children of the G.N.A. The follow-up profile of the RNRs (G.A.) showed that 61,6% of them arrived after ten days at the 1st appointment, almost half (41,8%) attended less than seven pediatric consultations; almost a third of them (28,4%) never received a VD. Despite the assistance provided by the PRNR 13 deaths were acknowledged among RNRs in the study cohort. Further studies would be necessary to better clarify the characteristics of health care that should be offered, under such social conditions of the high-risk newbom in their first year of life
Mestrado
Saude Coletiva
Mestre em Saude Coletiva

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Levin, Candyce. "HIV transmission to transmission to premature very low birth weight infants." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/32779.

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There is sparse literature about HIV transmission in preterm infants. Eighty-two HIV-exposed preterm infants received birth polymerase chain reactions (PCRs). Five (6.1%) were HIV positive with all 5 mothers receiving inadequate antiretrovirals. Of the PCRnegative infants, 9 died and 87% of the survivors received further PCR testing which remained negative. With correct care, intrapartum transmission of HIV can virtually be eliminated.

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Feingold, Carol 1949. "Developmental outcomes in low birth weight infants: Influence of birth weight, maternal education and depression, and quality of home environment." Thesis, The University of Arizona, 1991. http://hdl.handle.net/10150/291769.

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The purpose of this research was to investigate the relationship among selected environmental and perinatal variables and developmental outcomes in a group of low birth weight infants. A total of thirty infants and mothers were studied. Maternal education level (r =.36, p =.05), paternal education level (r =.44, p =.02), and five minute Apgar score (r =.42, p =.03) were significantly correlated to the quality of home environment; which predicted 28% of the variance in infant developmental status. The perinatal factors of birth weight (r = -.47, p =.01); mechanical ventilation (r =.40, p =.03); Respiratory Distress Syndrome (r =.53, p =.003); and estimated gestational age (r = -.53, p =.003) were correlated to level of maternal depressive symptoms. The relationship between level of maternal depressive symptoms and infant development approached significance (r = -.35, p =.058). These findings support the hypothesis that quality of home environment is a predictor of development for high risk infants.

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Yetman, Marion. "Becoming a mother in the NICU : a grounded theory study /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0031/MQ47492.pdf.

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Zafar, Janjua Naveed. "Prenatal lead exposure in Karachi magnitude, determinants and effect on birth weight /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/zafar.pdf.

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Zvara, Bharathi Jayanthi. "Can fathers' education level moderate relations between low birth weight and child cognitive development outcomes?" Columbus, Ohio : Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1243447958.

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Morse, Shannon Leigh. "Exploring the Relationship Between Severity of Illness and Human Milk Volume in Very Low Birth Weight and Extremely Low Birth Weight Infants Over Six Weeks." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6329.

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Very low birth weight and extremely low birth weight neonates have tremendous risk of mortality. This is a grave concern; however, survival alone is not the goal of neonatal intensive care. Survival, along with a reduction or elimination of life long morbidity is the aim of neonatal intensive care. Human milk is known as the best nutrition for babies and a growing body of evidence supports that human milk is critical in helping these fragile neonates mitigate the overwhelming risks they face. Therefore, the purpose of this study was to examine the relationship between neonatal severity of illness and human milk, specifically mothers own milk (MOM), donor human milk (DHM), and total human milk (THM) intake in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants over the first six weeks of life. Although there is a growing body of evidence that supports the use of human milk in this fragile neonatal population, information is lacking about the relationship between human milk and neonatal illness severity. The current study was a secondary data analysis from a National Institutes of Health (NIH) funded R21 study in a level three NICU in Florida. Multilevel modeling was used for data analysis to examine relationships between maternal dyad characteristics and severity of illness, operationalized by the Score for Neonatal Acute Physiology-II (SNAP-II), at 12 hours of life and at the end of each week of life for six weeks. Growth models (linear, quadratic, piecewise) were examined to determine the best model fit for the data, then predictor variables were added and model fit was tested. Birth weight was added to final models as a control as it is seen as a proxy for severity of illness in the literature. Model six demonstrated a significant inverse relationship between MOM(mL) (γMOM(mL)) = -.000079, p < .05) and SNAP-II scores (Deviance = 287.862, Δχ2(df) = 31.38(1), p < .001, AIC = 303.862, BIC = 336.930). Model 11 demonstrated a significant inverse relationship between THM(mL) (γTHM(mL) = -.000127, p < .001) and SNAP-II scores (Deviance = 279.280, Δχ2(df) = 30.859(1), p < .001, AIC = 295.280, BIC = 328.347). No relationships were noted between severity of illness and DHM(mL), MOM(%), DHM(%), or THM(%). Therefore the relationships noted between MOM(mL) and THM(mL) and neonatal severity of illness should be interpreted with caution.

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McNelis, Kera M. D. "Body Composition of Very Low Birth Weight Infants Fed Donor Breast Milk." University of Cincinnati / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1535464232285332.

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Sawangdee, Chansy Dalavong Yothin. "Determinants of low birth weight among Lao Loum infants in Lao PDR /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd368/4638498.pdf.

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Boghossian, Nansi Samir. "Survival and morbidities among very low birth weight infants with chromosomal anomalies." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/1125.

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Trisomy 21 (T21), trisomy 18 (T18) and trisomy 13 (T13) represent the most common autosomal trisomies detected in live-born infants. Previous studies have addressed interventions, morbidities and survival in term or near-term infants with T21, T18 or T13, or were limited by a small number of patients. However, the combination of one of these chromosomal anomalies and very low birth weight (VLBW) presents greater challenges. Data from the NICHD Neonatal Research Network (NRN) and from the Vermont Oxford Network (VON) databases were used to examine the frequency, interventions, risk of mortality and neonatal morbidities, including patent ductus arteriosus (PDA), necrotizing enterocolitis (NEC), late onset sepsis (LOS), retinopathy of prematurity (ROP), and bronchopulmonary dysplasia (BPD), among VLBW infants with T21, T18 or T13 compared to VLBW infants without major birth defects (BD) and VLBW infants with non-chromosomal BD. Anthropometric VON charts for the assessment of birth weight for gestational age among 22 week to term infants with T21, T18 or T13 were also developed. In the VON database (n=539,509), the frequency of VLBW infants diagnosed with T21 was 1681 (0.31%), with T18 was 1416 (0.27%), and with T13 was 435 (0.08%). Major surgery was reported for 30.4% of infants with T21, 9.2% with T18, and 6.8% with T13. In-hospital mortality occurred for 33.1% of infants with T21, 89.0% with T18, and 92.4% with T13. Median survival time was 4 days (95% CI: 3-4) among infants with T18 and 3 days (95% CI: 2-4) among infants with T13. Birth weight for gestational age charts were created using VON data with a total of 5147 infants with T21 aged 22-41 weeks, 1053 infants with T18 aged 22-41 weeks, and 613 infants with T13 aged 22-40 weeks. Among the three groups, infants with T18 were the most likely to be growth restricted while infants with T21 were the least likely to be growth restricted. The new anthropometric VON charts for infants with T21 were also compared to the Lubchenco and Fenton charts and both showed frequent misclassification of infants with T21 as small or large for gestational age. In the NICHD NRN database (n=52,259), 133 (0.26%) VLBW infants were diagnosed with T21, 132 (0.25%) with T18 and 40 (0.08%) with T13. The adjusted relative risk, estimated using Poisson regression models with robust variance estimators, showed an increased risk of death, PDA, NEC, LOS, and BPD among infants with T21 relative to infants with no BD. Relative to infants with non-chromosomal BD, infants with T21 were at increased risk of PDA and NEC. A trend toward a lower risk of ROP was observed among infants with T21 compared to infants with non-chromosomal BD and infants without major BD. Infants with T13, but not infants with T18, were less likely to be mechanically ventilated than infants with T21 and infants without BD. Infants with T18 had increased risk of PDA compared to infants with T13, infants with T21 and infants without BD and increased risk of BPD compared to infants with T21 and infants without BD. The current studies evaluated the largest cohorts of VLBW infants with T21, T18 or T13. These data are important to help families and care providers make informed decisions involving the care of their VLBW infants with these chromosomal anomalies.

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Oosse, Monique Marie. "Demographic, socioeconomic, and biomedical effects on birth outcomes /." Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.

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Frisén, Louise. "Genetic studies of hypospadias /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-397-x/.

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Deshpande, Girish. "Probiotics for Preterm Neonates for Prevention of Necrotising Enterocolitis." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21854.

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Necrotising enterocolitis (NEC) is a serious gastrointestinal emergency that is associated with high mortality and morbidly especially in extremely low birth weight neonates. The burden of NEC is very high due to prolonged hospitalisation, and cost of surgery. Since the treatment is mainly supportive, prevention is the only option. Probiotics are defined as live microorganisms which when administered in adequate amounts confer a health benefit on the host. Systematic reviews published by our group (Deshpande et al, Lancet 2007 & Pediatrics 2010) before commencing this doctorate research have shown the potential of probiotics in prevention of NEC and mortality. Aims of this research included 1) establish the evidence-based guidelines to use probiotics 2) introduce routine use of probiotics and perform before and after cohort study 3) evaluate the effect of routine probiotics on gut and tracheal microbiome in very preterm neonates (<30 weeks gestation). 4) to advance this field further, i) perform systematic review of RCTs probiotics in low and medium income countries ii) evaluate the role of para-probiotics in preterm neonates. This thesis by publications contains 8 chapters. Chapter 3 is a publication about evidence-based guidelines to use probiotics in preterm neonates. Chapter 4 presents a stepwise approach to introduce probiotics and results of before and after cohort study reporting significant reduction of NEC in probiotic cohort. Chapter 5 discusses the clinical evidence of benefits of probiotics in preterm neonates along with guidelines for clinicians in the context of the Australian regulatory framework. Chapter 6 presents significant results of tracheal and gut colonisation by probiotic bacteria. Chapter 7 incorporates the systematic review results that suggest benefits of probiotics in low and medium income countries in terms of reduction of NEC, sepsis and mortality. Chapter 8 discusses the possible role of para-probiotics in preterm neonates. In summary, this research has added significantly to the existing body of evidence in the area of probiotics for prevention of NEC in high risk preterm neonates, contributed in advancing this area further, evaluated the role of probiotics in low and medium income countries and the role of para-probiotics in preterm neonates.

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Gibertoni, Dino <1966&gt. "Trajectories and predictors of growth and neurodevelopment in Very Low Birth Weight infants." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2014. http://amsdottorato.unibo.it/6380/.

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Neurodevelopment of preterm children has become an outcome of major interest since the improvement in survival due to advances in neonatal care. Many studies focused on the relationships among prenatal characteristics and neurodevelopmental outcome in order to identify the higher risk preterms’ subgroups. The aim of this study is to analyze and put in relation growth and development trajectories to investigate their association. 346 children born at the S.Orsola Hospital in Bologna from 01/01/2005 to 30/06/2011 with a birth weight of <1500 grams were followed up in a longitudinal study at different intervals from 3 to 24 months of corrected age. During follow-up visits, preterms’ main biometrical characteristics were measured and the Griffiths Mental Development Scale was administered to assess neurodevelopment. Latent Curve Models were developed to estimate the trajectories of length and of neurodevelopment, both separately and combined in a single model, and to assess the influence of clinical and socio-economic variables. Neurodevelopment trajectory was stepwise declining over time and length trajectory showed a steep increase until 12 months and was flat afterwards. Higher initial values of length were correlated with higher initial values of neurodevelopment and predicted a more declining neurodevelopment. SGA preterms and those from families with higher status had a less declining neurodevelopment slope, while being born from a migrant mother proved negative on neurodevelopment through the mediating effect of a being taller at 3 months. A longer stay in NICU used as a proxy of preterms’ morbidity) was predictive of lower initial neurodevelopment levels. At 24 months, neurodevelopment is more similar among preterms and is more accurately evaluated. The association among preterms’ neurodevelopment and physiological growth may provide further insights on the determinants of preterms’ outcomes. Sound statistical methods, exploiting all the information collected in a longitudinal study, may be more appropriate to the analysis.

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Rogal, Shari. "The Effects of Posttraumatic Stress Disorder on Pregnancy Outcomes." Yale University, 2006. http://ymtdl.med.yale.edu/theses/available/etd-06282006-141433/.

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The purpose of this study was to determine the effect of posttraumatic stress disorder (PTSD), diagnosed prospectively during pregnancy, on the occurrence of low birthweight (<2500 grams) and preterm delivery (<37 weeks gestational age). A cohort of 1362 women was recruited from prenatal care visits and screened for depression, panic disorder, posttraumatic stress disorder, and substance use. Current episodes of PTSD were assessed using the MINI International Neuropsychiatric Interview. Pregnancy outcomes were abstracted from hospital records after delivery, and the data were analyzed using logistic regression. Two hundred sixty two women (33%) were lost to follow-up due to unavailable medical records, leaving 1100 women in the final analyses. Among these 1100 women, 31 (3%) were found to have PTSD during pregnancy. Substance use in pregnancy, panic disorder, major and minor depressive disorders, and prior preterm delivery were significantly associated with PTSD in the sample, while age, language spoken, and race were not. Low birthweight (LBW) was present in 6.5% of sampled women and was not significantly associated with a diagnosis of PTSD in pregnancy when adjusting for potential confounders. However, LBW was significantly associated with minor depressive disorder OR= 1.82 (CI=1.01, 3.29). Preterm delivery occurred in 7.0% of those without and 16.1% of those with PTSD (p=0.055). Because prior preterm delivery data were not available for 33% of women with PTSD, this variable was included only in secondary analyses. However, the association between PTSD and preterm delivery depended on this variable, with OR= 2.82 (0.95, 8.38) before controlling for prior preterm delivery and OR=3.35 (1.04, 10.85) after controlling for prior preterm delivery. These data suggest that a possible association of PTSD and preterm delivery was limited by the low rates of PTSD in this cohort and the inability to control for all confounders. Taken together, these findings provide limited support for the hypothesized association between PTSD and preterm delivery and no support for an association of PTSD with LBW.

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NAGATA, Masako, Mariko IWAYAMA, Saori YAMASHITA, 雅子永田, 真理子岩山, and 沙織山下. "低出生体重児の超早期介入に関する研究の展望." 名古屋大学大学院教育発達科学研究科, 2013. http://hdl.handle.net/2237/19531.

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Meinzen-Derr, Jareen. "A prediction model for risk of necrotizing enterocolitis among very low birth weight infants /." Cincinnati, Ohio : University of Cincinnati, 2006. http://www.ohiolink.edu/etd/view.cgi?acc%5Fnum=ucin1148300527.

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MEINZEN-DERR, JAREEN. "A PREDICTION MODEL FOR RISK OF NECROTIZING ENTEROCOLITIS AMONG VERY LOW BIRTH WEIGHT INFANTS." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1148300527.

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40

Ballard, Olivia A. J. D. "Human milk feeding enriches beneficial microbiota in very low birth weight pre-term infants." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1416570815.

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41

Locatelli, Chiara <1977&gt. "NGAL urinaria come marker di acute kidney injury in very low birth weight infants." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2011. http://amsdottorato.unibo.it/3696/1/locatelli_chiara_tesi.pdf.

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42

Locatelli, Chiara <1977&gt. "NGAL urinaria come marker di acute kidney injury in very low birth weight infants." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2011. http://amsdottorato.unibo.it/3696/.

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43

Coetzer, Dorothea. "Visual perception and motor function of children with birth-weights under 1250grams and their full term normal birth weight peers at five to six years of age : a Cape Town study." Master's thesis, University of Cape Town, 1996. http://hdl.handle.net/11427/27001.

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This study aimed to assess and compare the visual perceptual, visual motor integration and motor abilities of infants weighing less than 1250 grams at birth and a matched group of normal full birth weight controls at the age of five to six years. The group of infants with birth weights below 1250 grams were born during the period July 1988 to June 1989 at Groote Schuur Hospital (GSH), Cape Town or in midwife obstetric units in the Peninsula Maternal and Neonatal Service (PMNS) and referred to the neonatal intensive care unit at GSH. The very low birth weight (VLBW) infants were assessed at 1 and 2 years of age in 1989 & 1990. The present study was part of a broader study that included the examination of developmental outcome of these infants, using the Griffith's Mental Development Scale (Griffith's). The study recognised the complex interaction of biological and environmental factors and their influence on development and attempted to describe the confounds that may have influenced outcomes. The VLBW children were shorter in stature than their full birth weight counterparts. They were also significantly lighter and had smaller head circumferences. Psychometric evaluation with the Griffith's showed the VLBW children to fall predominantly in the normal range, though their performances were significantly inferior to that of the full-term children. The greatest differences between the groups were in scores for the subscales performance and practical reasoning of the Griffith's. Visual perception, visual motor integration, fine motor skill and gross motor function were all significantly poorer in the VLBW children. There was no correlation within the VLBW group between the test results and birth weight, gestational age, growth status, neonatal hospital stay or social status.

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44

Berglund, Staffan. "Effects of iron supplementation on iron status, health and neurological development in marginally low birth weight infants." Doctoral thesis, Umeå universitet, Pediatrik, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-52079.

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Background Due to small iron stores and rapid growth during the first months of life, infants with low birth weight (LBW) are at risk of iron deficiency (ID). ID in infancy is associated with irreversible impaired neurodevelopment. Preventive iron supplementation may reduce the risk of ID and benefit neurodevelopment, but there is also a possible risk of adverse effects. More than 50% of all LBW infants are born with marginally LBW (MLBW, 2000-2500g), and it is not known if they benefit from iron supplementation. Methods We randomized 285 healthy, Swedish, MLBW infants to receive 3 different doses of oral iron supplements; 0 (Placebo), 1, and 2 mg/kg/day from six weeks to six months of age. Iron status, during and after the intervention was assessed and so was the prevalence of ID and ID anemia (IDA), growth, morbidity and the interplay with iron and the erythropoetic hormones hepcidin and erythropoietin (EPO). As a proxy for conduction speed in the developing brain, auditory brainstem response (ABR) was analyzed at six months. In a follow up at 3.5 years of age, the children were assessed with a cognitive test (WPPSI-III) and a validated parental checklist of behavioral problems (CBCL), and compared to a matched reference group of 95 children born with normal birth weight. Results At six months of age, the prevalence of ID and IDA was significantly higher in the placebo group compared to the iron supplemented infants. 36% had ID in the placebo group, compared to 8% and 4 % in the 1 and 2mg/kg/day-groups, respectively. The prevalence of IDA was 10%, 3% and 0%, respectively. ABR-latencies did not correlate with the iron intake and was not increased in infants with ID or IDA. ABR wave V latencies were similar in all three groups. Hepcidin correlated to ferritin and increased in supplemented infants while EPO, which was negatively correlated to iron status indicators, decreased. At follow up there were no differences in cognitive scores between the groups but the prevalence of behavioral problems was significantly higher in the placebo group compared to those supplemented and to controls. The relative risk increase of CBCL-scores above a validated cutoff was 4.5 (1.4 – 14.2) in the placebo-group compared to supplemented children. There was no detected difference in growth or morbidity at any age. Conclusion MLBW infants are at risk of ID in infancy and behavioral problems at 3 years of age. Iron supplementation at a dose of 1-2 mg/kg/day from six weeks to six months of age reduces the risks with no adverse effects, suggesting both short and long term benefit. MLBW infants should be included in general iron supplementation programs during their first six months of life.

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Ting, Yuk Joseph. "Trends in mortality, morbidity and early neurodevelopment outcomes among infants with extremely low birth weight." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42997793.

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Amir, Sarit Hanna. "The enigma of Jewish and non-Jewish pregnancy outcome in Israel : a first look /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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Nugent, Patricia M. "The experiences of women participants and resource mothers with the Healthy Baby Club model of prenatal support /." St. John's, NF : [s.n.], 1999.

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Ting, Yuk Joseph, and 丁旭. "Trends in mortality, morbidity and early neurodevelopment outcomes among infants with extremely low birth weight." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42997793.

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Karim, Enamul. "A longitudinal anthropometric study of mother-infants pairs from Dhaka, Bangladesh." Thesis, University of Cambridge, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313924.

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Miller, Amanda M. "Injury and violence and the relationship to prematurity or low birth weight : a pilot study /." Connect to online version, 2009. http://minds.wisconsin.edu/handle/1793/38655.

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Dissertations / Theses on the topic 'Low birth weight infant'

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