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Anterior Fontanelle Size in Healthy Indian Late Preterm and Full Term Newborns

  • Shuvendu Roy
  • Vishal Vishnu Tewari
  • Jawede Equbal
Original Article
  • 23 Downloads

Abstract

Objective

To measure the size of the anterior fontanelle (AF) in healthy late-preterm and term newborns and correlate it with birth weight, gestational age, gender, occipito-frontal circumference, small for gestational age status and birth weight z-score.

Methods

This was an observational study carried out from October 2013 through April 2015 at a tertiary care hospital. Newborns ≥ 34 wk gestation were enrolled. Fontanelle edge was palpated with index finger and size calculated by adding anterior-posterior and transverse diameters and dividing by two.

Results

A total of 1010 neonates were enrolled. The mean AF size was 2.23 ± 0.52 cm (mean ± SD). There was a significant decrease in the size of the AF with advancing gestational maturity on one-way ANOVA (F = 31.30) (P < 0.001) and also by increasing birth weight (F = 20.34) (P < 0.001). There was no significant difference in the mean AF size between males; 2.21 ± 0.54 cm and females; 2.25 ± 0.55 cm (mean ± SD) (P = 0.575). There was a strong correlation between AF size with increasing birth weight; correlation (r) = 0.985. In small for gestational age neonates the AF was larger, 2.27 ± 0.55 (mean ± SD) and a strong correlation between birth weight z-score and AF size was noted (r = 1.012).

Conclusions

The mean AF size in late-preterm and term Indian newborns in a mixed community hospital was 2.23 ± 0.52. A strong correlation was found between AF size with increasing birth weight and with birth weight z-score in small for gestational age babies.

Keywords

Newborn Anterior fontanelle Indian Full term Late-preterm 

Notes

Contributions

VVT and SR conceptualized the study. VVT and JE collected the data. VVT managed the cases. VVT and JE performed the statistical analysis. VVT drafted the manuscript. All authors approved the final manuscript. VVT will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

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Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Shuvendu Roy
    • 1
  • Vishal Vishnu Tewari
    • 1
  • Jawede Equbal
    • 1
  1. 1.Department of PediatricsArmy Hospital (Referral and Research)New DelhiIndia

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