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Graphic model of birth weight and gestational age in Monastir, Tunisia.

Identifieur interne : 000716 ( PubMed/Corpus ); précédent : 000715; suivant : 000717

Graphic model of birth weight and gestational age in Monastir, Tunisia.

Auteurs : S. El Mhamdi ; K. Ben Salem ; A. Hadded ; Z. Gaddour ; M S Soltani

Source :

RBID : pubmed:20188502

English descriptors

Abstract

BACKGROUND

Birth weight for gestational age curves provide to clinicians available references to assess fetal growth in individual infants and in populations. In Tunisia, until now, only North American based references were used. The objective of this study was to create national reference curves for birth weight and to compare these to those actually used in our maternities.

METHODS

A retrospective population based study was performed over a period of 11 years (from January 1994 to December 2004) using the register of births database of the region of Monastir. We studied a total of 75,751 births. Gestational age of infants ranged from 28 to 43 weeks. Fifth, tenth, 25th, 50th, 75th, 90th and 95th percentiles for weight were calculated by polynomial linear regression of the following general form to construct the clinical curves (Y=a+bX+cX(2)).

RESULTS

The database included 38,646 males and 37,105 females (sex ratio: 1.04). The resulting male and female curves provide smoothed percentiles cutoffs for defining small and large for gestational age births. An actual difference does exist between our curves and those routinely used.

CONCLUSION

These constructed smoothed gestational curves can be used as a useful tool for assessing birth weight and to evaluate clinical or public health interventions to enhance fetal growth.


DOI: 10.1016/j.respe.2009.12.008
PubMed: 20188502

Links to Exploration step

pubmed:20188502

Le document en format XML

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<nlm:affiliation>Department of Preventive Medicine and Epidemiology, University Hospital of Monastir, Monastir, Tunisia. sanaelmhamdi@yahoo.fr </nlm:affiliation>
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<name sortKey="Ben Salem, K" sort="Ben Salem, K" uniqKey="Ben Salem K" first="K" last="Ben Salem">K. Ben Salem</name>
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<name sortKey="Hadded, A" sort="Hadded, A" uniqKey="Hadded A" first="A" last="Hadded">A. Hadded</name>
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<name sortKey="Soltani, M S" sort="Soltani, M S" uniqKey="Soltani M" first="M S" last="Soltani">M S Soltani</name>
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<term>Adult (MeSH)</term>
<term>Bias (MeSH)</term>
<term>Birth Weight (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fetal Growth Retardation (diagnosis)</term>
<term>Fetal Growth Retardation (epidemiology)</term>
<term>Gestational Age (MeSH)</term>
<term>Growth Charts (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant, Low Birth Weight (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Linear Models (MeSH)</term>
<term>Male (MeSH)</term>
<term>Maternal Age (MeSH)</term>
<term>Population Surveillance (MeSH)</term>
<term>Reference Values (MeSH)</term>
<term>Registries (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Sex Characteristics (MeSH)</term>
<term>Sex Ratio (MeSH)</term>
<term>Socioeconomic Factors (MeSH)</term>
<term>Tunisia (epidemiology)</term>
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<term>Fetal Growth Retardation</term>
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<term>Fetal Growth Retardation</term>
<term>Tunisia</term>
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<term>Adult</term>
<term>Bias</term>
<term>Birth Weight</term>
<term>Female</term>
<term>Gestational Age</term>
<term>Growth Charts</term>
<term>Humans</term>
<term>Infant, Low Birth Weight</term>
<term>Infant, Newborn</term>
<term>Linear Models</term>
<term>Male</term>
<term>Maternal Age</term>
<term>Population Surveillance</term>
<term>Reference Values</term>
<term>Registries</term>
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<p>
<b>BACKGROUND</b>
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<p>Birth weight for gestational age curves provide to clinicians available references to assess fetal growth in individual infants and in populations. In Tunisia, until now, only North American based references were used. The objective of this study was to create national reference curves for birth weight and to compare these to those actually used in our maternities.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A retrospective population based study was performed over a period of 11 years (from January 1994 to December 2004) using the register of births database of the region of Monastir. We studied a total of 75,751 births. Gestational age of infants ranged from 28 to 43 weeks. Fifth, tenth, 25th, 50th, 75th, 90th and 95th percentiles for weight were calculated by polynomial linear regression of the following general form to construct the clinical curves (Y=a+bX+cX(2)).</p>
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<p>
<b>RESULTS</b>
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<p>The database included 38,646 males and 37,105 females (sex ratio: 1.04). The resulting male and female curves provide smoothed percentiles cutoffs for defining small and large for gestational age births. An actual difference does exist between our curves and those routinely used.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
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<p>These constructed smoothed gestational curves can be used as a useful tool for assessing birth weight and to evaluate clinical or public health interventions to enhance fetal growth.</p>
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