Abstract
The Sri Lanka Journal of Perinatal Medicine (SLJPM) was launched in 2019 as the official journal of the Perinatal Society of Sri Lanka. This journal is unique in the fact that it brings together three core specialties of perinatal medicine - obstetrics, neonatology and community medicine. It is an open access peer reviewed journal containing original research articles, expert reviews, current practices and other articles of interest to all involved in perinatal medicine.
Highlights
Birth defects have become a serious public health issue in the world causing a higher morbidity and mortality among children.Identification of the possible risk factors, specially the modifiable risk factors for birth defects has become a top priority in order to prevent birth defects
The multivariate regression analysis showed that receipt of preconception care (OR=0.4, 95%CI=0.2-0.7), regular intake of micronutrients during pregnancy (OR=0.1, 95%CI= 0.1-0.3) were protective against structural birth defects (SBD) while gestational diabetes mellitus (OR=2.8, 95%CI= 1.2-6.7) and fever during pregnancy (OR=4.1, 95%CI= 1.4-12.3) were risk factors for SBD
Measures to reducethe prevalence of gestational diabetes mellitusshould be strengthened and pregnant mothers with fever should be screened for possible infections and birth defects
Summary
Birth defects have become a serious public health issue in the world causing a higher morbidity and mortality among children.Identification of the possible risk factors, specially the modifiable risk factors for birth defects has become a top priority in order to prevent birth defects. Retrospective data showed that only 17.1% of all births had VBAC at De Soysa hospital for Women, Colombo. A structured nurse led counselling session (VBAC clinic) was commenced to encourage more women to attempt a vaginal delivery. The relationship between maternal fatty liver (FL) and neonatal birth weight has not been evaluated in Sri Lanka. We evaluated the association between NAFLD and the subsequent risk of large for gestational age neonates (LGA). (FLG-0-III).All mothers who underwent USS were followed up till delivery. LGA was defined as birth weight equal to or more than the 90th percentile for a given gestational age. SGA was defined as birth weight equal to or less than the 10th percentile for a given gestational age. Mothers with hyperglycaemia during the first trimester were excluded from the follow-up
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