Risk factors for small‐for‐gestational‐age babies: The Auckland Birthweight Collaborative Study

Thompson, John M. D.; Clark, P.; Robinson, Elizabeth; Becroft, D. M. O.; Pattison, N. S.; Glavish, N; Pryor, Jan; Wild, C. J.; Rees, K. R.; Mitchell, Edwin A.

doi:10.1046/j.1440-1754.2001.00684.x

Cited by 134 publications

(134 citation statements)

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“…The methodology for phases one to three of the ABC study has previously been described in detail (29). Participants are mothers and their singleton infants were born full term in the Auckland and Waitamata Healthcare regions, between 16…”

Section: Methodsmentioning

confidence: 99%

“…One possible cause 5/36 of IUGR is when a foetus does not receive enough oxygen or nutrients during pregnancy, and as a consequence their overall body and organ growth is limited. Many factors have been found to be associated with SGA and/or IUGR including; low maternal pre pregnancy weight (26,27), maternal smoking during pregnancy (28,29) and maternal hypertension (29). In addition, genetics have also been found to be involved in both IUGR and being born SGA (for a review see 30).…”

Section: Introductionmentioning

confidence: 99%

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Children born small for gestational age are not at special risk for preschool emotion and behaviour problems

Cornforth

Thompson

Robinson

et al. 2012

Early Human Development

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Despite the wealth of literature examining long term outcomes of preterm low birthweight children, few studies have directly assessed the developmental impact of being born full term but small for gestational age (SGA). We aim to determine whether (i) being SGA increases preschool behavioural problems and (ii) other risk factors operate differently in SGA and appropriate for gestational age (AGA) controls. 550 New Zealand European mothers and their 3.5 year old children participated in this study. All children were born at full term (> 37 weeks' gestation) and approximately half were SGA (≤ sex specific 10 th percentile for gestation) the remainder were AGA controls. Extensive data were collected at the child's birth, 1 year and 3.5 years. Behavioural problems were measured when children were 3.5 years, using the Strengths and Difficulties Questionnaire (SDQ). Multiple regression analyses were used to examine the associations between risk factors and behavioural problems; statistical weighting was used for analyses of the total study group. There was no significant difference in behavioural problems between SGA and AGA groups. In the total sample the significant predictors of behavioural problems included: mothers' school leaving age; smoking during pregnancy; maternal alcohol use during pregnancy; and absence of the father.Predictors of behavioural problems were found to be the same for SGA and AGA groups.These results do not support the view that SGA is a risk for behavioural preschool difficulties or that SGA children are sensitized to risks known to be associated with such difficulties in the preschool years.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Children born small for gestational age are not at special risk for preschool emotion and behaviour problems

Cornforth

Thompson

Robinson

et al. 2012

Early Human Development

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“…6 Approximately 3 -8% of all infants born in developed countries have been identified as growth restricted. 7,8 An early antenatal detection, choosing the optimal time and method of delivery and intervention when required could minimize the risk significantly. Umbilical artery doppler examination is accepted tool for the diagnosis of IUGR along with clinical assessment.…”

Section: Introductionmentioning

confidence: 99%

Analysis of frequency and risk factors for intrauterine growth restriction

Shrestha

2017

Int J Sci Rep

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Background: Intrauterine growth restricted (IUGR) fetuses are at greater risk of developing fetal hypoxia, neonatal complications, impaired neurodevelopment, and also neonatal intensive care unit stay and neonatal mortality. They are also known to develop metabolic syndrome in adult life. So, the main objective of this study was to find out the frequency of intrauterine growth restriction, to identify the maternal and placental risk factors associated with intrauterine growth restriction and its perinatal outcome amongst pregnant women attending the Obstetric Outpatient Department in Dhulikhel Hospital, Kathmandu University Hospital.Methods: A prospective study was conducted from June 2011 to June 2017, at Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal. A singleton pregnancy, above 28 weeks of gestation with clinical diagnosis of IUGR and confirmed by ultrasonography were included in the study. The statistical analysis was performed by Statistical Package of Social Sciences (SPSS) 20.0 software. Results: Maternal risk factors like preeclampsia, anaemia, low pregnancy body mass index and placental factors like retroplacental hemorrhage were mainly responsible for intrauterine growth restriction.Conclusions: Antenatal risk factors responsible for IUGR are important for the management of IUGR pregnancies and to prevent adverse perinatal outcome.

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“…Los principales factores de riesgo de BPN y RCIU son: edades extremas (adolescentes y mayores de 35 años) (10,11), etnia negra (12), paridad (13), estrato socioeconómico bajo, estado marital no estable (14), estatura materna y paterna baja, tabaquismo (15), dieta, enfermedades crónicas maternas (16,17), complicaciones del embarazo, estrés materno, consumo de alcohol, drogas ilícitas y suplementos nutricionales, entre otros factores (18,19).…”

Section: Introductionunclassified

Prevalencia de restricción del crecimiento intrauterino en el Hospital Universitario San José, Popayán (Colombia), 2013

Verdugo-Muñoz¹,

Alvarado-Llano²,

Bastidas-Sánchez³

et al. 2015

Rev. Colomb. Obstet. Ginecol.

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Objetivo: determinar la prevalencia de restricción del crecimiento intrauterino (RCIU) en el Hospital Universitario San José (HUSJ), describir sus características y hacer una exploración de los factores de riesgo asociados a RCIU. Materiales y métodos: estudio de corte transversal en el que se incluyeron los recién nacidos vivos en un hospital universitario de referencia, ubicado en la región suroccidental de Colombia en el año 2013; se excluyeron aquellos con información inconsistente. Se definió recién nacido con restricción del crecimiento intrauterino (RCIU) como el neonato vivo con índice ponderal (Rohrer) menor al percentil 10, IP = [peso (en gramos) x 100] ÷ [longitud (en cm)]3. Para el tamaño de muestra se tuvo en cuenta una prevalencia esperada de RCIU del 4 %, un error tolerado del 2 %, corrección por población finita y por no respuesta del 20 %, obteniendo así un tamaño muestral de 400 sujetos. Se realizó un muestreo aleatorio sistemático. Se utilizó un cuestionario semiestructurado, que incluyó variables biológicas, sociales y demográficas. Se estimó la prevalencia de periodo de RCIU y se realizó exploración de los factores asociados a RCIU por medio de análisis bi y mutivariado. Se utilizó la prueba t de Student para variables continuas y chi cuadrado para categóricas. Resultados: el análisis se realizó con 392 neonatos; se excluyeron 8, por inconsistencia en la información suministrada; se encontraron 79 neonatos con RCIU para una prevalencia del 20,15 %. En la exploración de los factores de riesgo se encontró una asociación positiva con RCIU y ganancia inadecuada de peso (OR = 2,35; IC 95 %: 1,15-4,82), antecedente de RCIU (OR = 3,26; IC 95 %: 1,08-9,78), amenaza de parto pretérmino (OR = 3,58; IC 95 %: 1,15-11,1), antecedente de cesárea (OR = 2,64; IC 95 %: 1,24-5,60), y una asociación negativa entre etnia mestiza y raza blanca (OR = 0,25; IC 95 %: 0,07-0,91). Conclusión: la prevalencia encontrada fue del 20,15 %, la cual es mayor que la reportada en otras instituciones de este mismo nivel de complejidad. Palabras clave: retardo del crecimiento fetal, factores de riesgo.

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Risk factors for small‐for‐gestational‐age babies: The Auckland Birthweight Collaborative Study

Abstract: Risk factors associated with SGA births in other countries are also important in New Zealand. Smoking in pregnancy is an important and potentially modifiable behaviour, and efforts to decrease the number of women who smoke during pregnancy should be encouraged.

Cited by 134 publications

References 14 publications

Children born small for gestational age are not at special risk for preschool emotion and behaviour problems

Children born small for gestational age are not at special risk for preschool emotion and behaviour problems

Analysis of frequency and risk factors for intrauterine growth restriction

Prevalencia de restricción del crecimiento intrauterino en el Hospital Universitario San José, Popayán (Colombia), 2013

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