| The value of customised centiles in assessing perinatal mortality risk associated with parity and maternal size. | |
| | |
MedLine Citation:
|
PMID: 19538413 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: We wanted to compare customised and population standards for defining smallness for gestational age (SGA) in the assessment of perinatal mortality risk associated with parity and maternal size. DESIGN: Population-based cohort study. SETTING: Sweden. POPULATION: Swedish Birth Registry database 1992-1995 with 354 205 complete records. METHOD: Coefficients were derived and applied to determine SGA by the fully customised method, or by adjustment for fetal sex only, and using the same fetal weight standard. MAIN OUTCOME MEASURE: Perinatal deaths and rates of small for gestational age (SGA) babies within subgroups stratified by parity, body mass index (BMI) and maternal size within the BMI range of 20.0-24.9. RESULTS: Perinatal mortality rates (PMR) had a U-shaped distribution in parity groups, increased proportionately with maternal BMI, and had no association with maternal size within the normal BMI range. For each of these subgroups, SGA rates determined by the customised method showed strong association with the PMR. In contrast, SGA based on uncustomised, population-based centiles had poor correlation with perinatal mortality. The increased perinatal mortality risk in pregnancies of obese mothers was associated with an increased risk of SGA using customised centiles, and a decreased risk of SGA using population-based centiles. CONCLUSION: The use of customised centiles to determine SGA improves the identification of pregnancies which are at increased risk of perinatal death. |
| | |
Authors:
|
J Gardosi; B Clausson; A Francis |
Related Documents
:
|
8678153 - Trauma in pregnancy: the role of interpersonal violence. 7416213 - Outcome of pregnancy in sickle cell anemia and sickle cell-hemoglobin c disease. an ana... 10086083 - A re-examination of the association of 'early pregnancy factor' activity with fractions... |
Publication Detail:
|
Type: Journal Article Date: 2009-06-17 |
Journal Detail:
|
Title: BJOG : an international journal of obstetrics and gynaecology Volume: 116 ISSN: 1471-0528 ISO Abbreviation: BJOG Publication Date: 2009 Sep |
Date Detail:
|
Created Date: 2009-08-20 Completed Date: 2009-09-30 Revised Date: 2010-01-19 |
Medline Journal Info:
|
Nlm Unique ID: 100935741 Medline TA: BJOG Country: England |
Other Details:
|
Languages: eng Pagination: 1356-63 Citation Subset: AIM; IM |
Affiliation:
|
Perinatal Institute, Birmingham, UK. jason.gardosi@pi.nhs.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Birth Weight Body Mass Index* Body Size / physiology* Epidemiologic Methods Female Fetal Growth Retardation / mortality Fetal Weight / physiology Humans Infant, Newborn Infant, Small for Gestational Age / physiology* Male Parity / physiology* Perinatal Mortality* Pregnancy Sex Factors Sweden |
| Comments/Corrections | |
Comment In:
|
BJOG. 2010 Feb;117(3):371; author reply 371-2
[PMID:
20078592
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Fear of childbirth and risk for birth complications in nulliparous women in the Danish National Birt...
Next Document: Risk factors for RhD immunisation despite antenatal and postnatal anti-D prophylaxis.