| Risk factors for recurrent small-for-gestational-age birth. | |
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MedLine Citation:
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PMID: 19670131 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The factors associated with recurrent small-for-gestational-age birth (R-SGA) have not been previously studied in a multiracial population. This is a retrospective cohort study of 5932 black and white women who had consecutive singleton first and second births in a Midwestern metropolis, from 1995 through 2004, to measure the risk and determine the factors associated with R-SGA. The rates for second-born small-for-gestational-age birth and R-SGA were 10.3% and 4.0%, respectively. Compared with mothers of firstborns who were appropriate for gestational age, mothers of firstborns who were small for gestation age had a higher risk of second-born small-for-gestational-age infants (relative risk [RR] = 3.93; 95% confidence interval [95% CI] = 3.36 to 4.59). Among those with firstborns who were small for gestational age, the odds ratio (OR) and 95% CI of R-SGA were higher for lean body mass index + poor gain (2.83; 1.20 to 6.69), blacks (1.58; 1.09 to 2.29), and smokers (1.61; 1.05 to 2.47). R-SGA occurs in 4% of second births and is responsible for 40% of second-born small-for-gestational-age infants. R-SGA is potentially preventable because of its association with potentially modifiable factors such as smoking and weight gain in pregnancy. |
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Authors:
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Felix A Okah; Jinwen Cai; Paul C Dew; Gerald L Hoff |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-05-20 |
Journal Detail:
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Title: American journal of perinatology Volume: 27 ISSN: 1098-8785 ISO Abbreviation: Am J Perinatol Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-24 Completed Date: 2010-03-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 1-7 Citation Subset: IM |
Copyright Information:
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Thieme Medical Publishers. |
Affiliation:
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Department of Pediatrics, Children's Mercy Hospitals and Clinics/University of Missouri, Kansas City School of Medicine, Kansas City, Missouri 64108, USA. faokah@cmh.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Body Mass Index Cohort Studies Female Gestational Age Humans Infant, Newborn Infant, Small for Gestational Age* Male Pregnancy Recurrence Retrospective Studies Risk Assessment Risk Factors Smoking Weight Gain |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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