Biomedical subjects

M Bouchalová

Publications and source records attributed to M Bouchalová.

At least 19 recordsLinked to original sources

PubMed2002

[Birth weight and gestational age in relation to risk factors of social conditions and health status].

BACKGROUND: The participants of European Longitudinal Study of Pregnancy and Childhood (ELSPAC) are women permanently resident in Brno, whose expected term of delivery corresponded with the prelimited period. In midpregnancy, 3327 of them filled in two research questionnaires with data concerning their marital status, health, education, dwelling, their up-bringing and stress in childhood as the essential information for the study of birth weight and gestational age variations of expected newborns. METHODS AND RESULTS: Sharing the flat with the parental generation, heating with solid fuel or gas and more smokers at home meant the risk for antenatal development of foetus. A certain influence seemed to have the number of rooms, too. Education of the mother-to-be as well as that of her partner and partly of her mother, too, determined the birth weight. To a certain degree, partner's position in employment and his health status played also a role. An important factor predetermining the birth weight and gestational age was the marital status of the mother: in the best situation were children born in complete families and greatly handicapped were offsprings of single mothers not living with their partners. CONCLUSIONS: Small influence on the prenatal development had the medical history of mothers, character of the upbringing in their original families and presence stressogenic events occurring in their girlhood up to 18 years of age.

Birth Weight↗

PubMed2001

[Birth weight and gestational age in relation to the course of pregnancy].

BACKGROUND: In midpregnancy, more than 3000 women in Brno filled in the questionnaires for the ELSPAC study. They informed of their health, activities, stress and psychological state during this pregnancy. METHODS AND RESULTS: Out of medical documentation, the results from routine prenatal examinations were extracted and records concerning all disorders occurred during the gravidity. After delivery, information coming from both sources were linked to the birth weight (BW) and gestational age (GA) data of newborns and analysis of variance was performed. In statistically significant relations the differences were stated in BW (grams) and in GA (weeks) between the group means and sample means for boys, girls and all newborns together. BW, GA or both values were significantly lower after taking some medicaments, alcohol drinking, in offsprings of mothers who felt feeble around the quickening, who worked part time, who were in leading position in their employments, who experienced serious disease, who tempted a suicide, who worried that the foetus might be handicapped in any way and who did not take their future motherhood for a priority. Heavier were newborns of women who married during pregnancy and longer GA had children of those who took folic acid. The relation of neurotic symptoms to the outcome of pregnancy was not found and stressogenic events showed only a limited effect on it. A strong deficit in BW and GA followed after premature abruption of placenta, after eclampsia, placenta praevia, cervical cerclage, partus premature imminens, bleeding in the 2nd trimester, hypertension and hospitalization, namely when repeated. BW only was lower with IUGR, oligohydramnion, and higher BW followed after oedemas. GA only was affected in those whose mothers omitted the sonographic examination and who were obliged to have a special diet. CONCLUSIONS: When newborns BWs were divided into 8 classes by 500 g and some maternal characters followed across the scale, significant trends were found in maternal heights, in all their weight indicators including maternal BW as well as in the weight gain in pregnancy, in the highest means found during pregnancy of systolic and diastolic blood pressures and in the lowest haemoglobin levels.

Adult↗

PubMed2001

[Characteristics of pregnancy, labor and low birth weight neonates. Part II].

BACKGROUND: The study wants to find out the characteristics of pregnancies, deliveries and newborns with low birth weight (LBW) compared to the newborns with birth weight of 2500 g and more, in respect with the specific situation of the twins. METHODS AND RESULTS: The records from antenatal clinics and maternity hospitals about 5500 children born within strictly given time limit of 16 months during the years 1991-1992 to mothers with permanent habitation in Brno were evaluated. Children and their families are participating on still running prospective longitudinal study ELSPAC aimed to finding the determinants of the healthy development. The low birth weight occurred in 5.42% of children. There were altogether 48 pairs of twins, the low birth weight occurred in 52.6% of them. Compared to mothers who delivered the children with birth weight of 2500 g and more, the mothers of children with low birth weight entered the prenatal care later, with less consultations, had more complications both during their pregnancies and the deliveries and their children showed more often different kinds of neonatal morbidity. Mothers of the twins were cooperating with antenatal clinics better than other mothers of children with low birth weight. On the other hand, they were suffering from anaemia and hypertension more often than mothers of single children. Comparison of the somatic and functional signs has shown that the twins were less handicapped than the whole set of newborns with low birth weight. The twins with low birth weight formed 16.7% of the set. CONCLUSIONS: The study of the Brno newborn population shows the quantitative differences in the risks, which have influenced the courses and the results of the pregnancies ending by deliveries of children with low birth weight. Results are compared to those whith deliveries of children the birth weight of 2500 g and more.

Anthropometry↗

PubMed1987