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Abstract

A LONGITUDINAL STUDY TO ESTIMATE THE INCIDENCE AND INFLUENCING FACTORS FOR CONGENITAL KOILONYCHIAS AMONG NEWBORN IN A TERTIARY INSTITUTE

*Dr. Paramananthan P. and Dr. Rajakumar P. G.

ABSTRACT

Objectives: 1. The incidence of Koilonychia is not well studied in neonates. Hence we wanted to study the incidence, in this part of the country. 2. To study the influential of factors in neonatal congenital koilonychias. Methods: Prospective recruitment of 51 neonates of both sexes consecutively for a period of six months from November 1st 2017 to March 31st 2018 in NICU of Shri Sathya Sai Medical College. The presence of koilonychias was taken as cases. The absence of koilonychias was taken as controls. By univariate analysis, some factors were found to be significant. These factors were again subjected to multivariate logistic regression analysis. The results were tabulated and studied statistically. Results: The incidence of koilonychia in our study is 58.8% by univariate analysis Male sex P=0.03*(S) OR 3.8,1.1-12.3, CI, Iron tablets taken partially by antenatal mother P=0.001***(S) OR 133- 17-1027,CI Mothers Hb < 11g P=0.05*(S) OR 4.0,1.0-15.8, CI Babys Hb < 11g P=0.03*, Big toe nails P=0.03* were significant influential factors for congenital koilonychia in newborns. By multivariate analysis, male sex P=.02, OR 4.6, 1.2-17.3, CI mothers haemoglobin <11g P=.03, OR 5.2, 1.1-23.7were statistically significant. Conclusion: Congenital Koilonychia was found to be present more in males than females. Mothers should antenatally be given iron and folic acid and it should be continued completely through the antenatal period. In addition, proper diet should be given to the pregnant mother. This is a study with small sample size, hence advised to do large sample multi centred study.

Keywords: Koilonychia, Iron in mother and diet for mother, antenatal mother.


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