Customized birthweight standard for a Polish population
Introduction There is a growing body of evidence supporting the role of customized growth charts in improving detection of fetal growth restriction (FGR) and decreasing false positive diagnoses. The aim of the study is to produce a customised birthweight standard for Poland. Material and methods Ma...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2020-08-01
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| Series: | Archives of Medical Science |
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| Online Access: | https://www.archivesofmedicalscience.com/Customized-birthweight-standard-for-a-Polish-population,125535,0,2.html |
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| _version_ | 1832584841109962752 |
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| author | Anna Kajdy Oliver Hugh Jan Modzelewski Michał Rabijewski Andre Francis Jason Gardosi |
| author_facet | Anna Kajdy Oliver Hugh Jan Modzelewski Michał Rabijewski Andre Francis Jason Gardosi |
| author_sort | Anna Kajdy |
| collection | DOAJ |
| description | Introduction
There is a growing body of evidence supporting the role of customized growth charts in improving detection of fetal growth restriction (FGR) and decreasing false positive diagnoses. The aim of the study is to produce a customised birthweight standard for Poland.
Material and methods
Maternal height and weight, ethnicity, gestational age, weight and sex at birth as well as pre-existing and gestational complications were collected. Coefficients were derived using a backwards stepwise multiple regression technique. Smallness for gestational age by the customised standard was compared with the in-use Fenton standard in assessing risk of adverse outcomes using relative risk with 95% confidence intervals.
Results
Data from 4,270 pregnancies were used as the study cohort. Fenton and customised SGA rates were 6.6% and 11.9%, respectively. The customised standard identified more cases that were at significantly increased risk of stillbirth, admission to neonatal intensive care or other neonatal complications, many of which were missed by the Fenton standard.
Conclusions
The analysis confirmed the physiological variables that affect birthweight in studies from other countries and was able to quantify additional pathological factors of high maternal age and pregnancy-induced hypertension. Comparison with the Fenton standard showed that adverse outcomes associated with SGA birthweight are better identified by the customised standard in a Polish population. |
| format | Article |
| id | doaj-art-0e5ecf1ef37b4e309f8f915d2b554aa8 |
| institution | Kabale University |
| issn | 1734-1922 1896-9151 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj-art-0e5ecf1ef37b4e309f8f915d2b554aa82025-01-27T10:44:31ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512020-08-012051522152810.5114/aoms.2020.98351125535Customized birthweight standard for a Polish populationAnna Kajdy0Oliver Hugh1Jan Modzelewski2Michał Rabijewski3Andre Francis4Jason Gardosi5Centre of Postgraduate Medical Education, Department of Reproductive Health, Warsaw, PolandPerinatal Institute, Birmingham, UKCentre of Postgraduate Medical Education, Department of Reproductive Health, Warsaw, PolandCentre of Postgraduate Medical Education, Department of Reproductive Health, Warsaw, PolandPerinatal Institute, Birmingham, UKPerinatal Institute, Birmingham, UKIntroduction There is a growing body of evidence supporting the role of customized growth charts in improving detection of fetal growth restriction (FGR) and decreasing false positive diagnoses. The aim of the study is to produce a customised birthweight standard for Poland. Material and methods Maternal height and weight, ethnicity, gestational age, weight and sex at birth as well as pre-existing and gestational complications were collected. Coefficients were derived using a backwards stepwise multiple regression technique. Smallness for gestational age by the customised standard was compared with the in-use Fenton standard in assessing risk of adverse outcomes using relative risk with 95% confidence intervals. Results Data from 4,270 pregnancies were used as the study cohort. Fenton and customised SGA rates were 6.6% and 11.9%, respectively. The customised standard identified more cases that were at significantly increased risk of stillbirth, admission to neonatal intensive care or other neonatal complications, many of which were missed by the Fenton standard. Conclusions The analysis confirmed the physiological variables that affect birthweight in studies from other countries and was able to quantify additional pathological factors of high maternal age and pregnancy-induced hypertension. Comparison with the Fenton standard showed that adverse outcomes associated with SGA birthweight are better identified by the customised standard in a Polish population.https://www.archivesofmedicalscience.com/Customized-birthweight-standard-for-a-Polish-population,125535,0,2.htmlcustomised coefficientsgestation related optimal weightsmall for gestational agebirthweightneonatal outcome |
| spellingShingle | Anna Kajdy Oliver Hugh Jan Modzelewski Michał Rabijewski Andre Francis Jason Gardosi Customized birthweight standard for a Polish population Archives of Medical Science customised coefficients gestation related optimal weight small for gestational age birthweight neonatal outcome |
| title | Customized birthweight standard for a Polish population |
| title_full | Customized birthweight standard for a Polish population |
| title_fullStr | Customized birthweight standard for a Polish population |
| title_full_unstemmed | Customized birthweight standard for a Polish population |
| title_short | Customized birthweight standard for a Polish population |
| title_sort | customized birthweight standard for a polish population |
| topic | customised coefficients gestation related optimal weight small for gestational age birthweight neonatal outcome |
| url | https://www.archivesofmedicalscience.com/Customized-birthweight-standard-for-a-Polish-population,125535,0,2.html |
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