Document Detail


Comparison of perinatal outcomes in small-for-gestational-age infants classified by population-based versus customised birth weight standards.
MedLine Citation:
PMID:  22541027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: The objective of this study was to derive a customised birth weight standard curve in our institute and to compare the perinatal outcomes of small-for-gestational-age (SGA) births classified by population-based versus customised birth weight standards.
METHODS: We surveyed 9052 normal singleton deliveries and generated customised standards by adjusting for maternal characteristics and neonatal gender. We compared adverse perinatal outcomes between SGA and non-SGA births classified by both standards.
RESULTS: According to the population-based standards, mothers of SGA infants were younger, thinner and shorter and had higher rates of nulliparity and female births. We adjusted for these maternal characteristics and neonatal gender in our customised standards. Multivariate analysis revealed that there were no differences in neonatal composite morbidity between the standards. However, infants classified as SGA by the customised standards showed a significantly higher rate of neonatal intensive care unit (NICU) admission than those classified by the population-based standards.
CONCLUSION: Our study showed that customised SGA made no significant differences in neonatal composite morbidity, only a modest increase in NICU admission rate compared to population-based standard. To clarify the association of adverse perinatal outcomes with customised SGA, larger studies are required.
Authors:
Hyun-Hwa Cha; Su-Ho Lee; Jin-Sun Park; Sook-Young Woo; Seon-Woo Kim; Suk-Joo Choi; Soo-young Oh; Cheong-Rae Roh; Jong-Hwa Kim
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-04-29
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  52     ISSN:  1479-828X     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-06     Completed Date:  2012-12-17     Revised Date:  2013-03-26    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  348-55     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors ANZJOG © 2012 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.
Affiliation:
Department of Obstetrics and Gynecology, Samsung Medical left, School of Medicine, Sungkyunkwan University, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Birth Weight*
Cohort Effect
Female
Humans
Infant, Newborn
Infant, Small for Gestational Age*
Male
Maternal Age
Mothers / statistics & numerical data*
Multivariate Analysis
Reference Standards
Reference Values
Republic of Korea
Retrospective Studies
Statistics, Nonparametric
Comments/Corrections
Comment In:
Aust N Z J Obstet Gynaecol. 2013 Feb;53(1):102-3   [PMID:  23406004 ]
Aust N Z J Obstet Gynaecol. 2013 Feb;53(1):101   [PMID:  23406003 ]

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