Abnormal Maternal Body Mass Index and Customized Fetal Weight Charts : Improving the Identification of Small for Gestational Age Fetuses and Newborns
González González, Nieves Luisa (Universidad de La Laguna)
González Dávila, Enrique (Universidad de La Laguna)
González Martín, Agustina (Hospital Universitario Nuestra Señora de Candelaria (Santa Cruz de Tenerife))
Armas, Marina (Evangelisches Krakenhaus König Elisabeth Herzberge)
Tascón, Laura (Universidad de La Laguna)
Farràs Llobet, Alba (Hospital Universitari Vall d'Hebron)
Higueras, Teresa (Hospital Universitari Vall d'Hebron)
Mendoza, Manel (Hospital Universitari Vall d'Hebron)
Carreras Moratonas, Elena (Hospital Universitari Vall d'Hebron)
Goya, M (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	Background: Obesity and thinness are serious diseases, but cases with abnormal maternal weight have not been excluded from the calculations in the construction of customized fetal growth curves (CCs). Method: To determine if the new CCs, built excluding mothers with an abnormal weight, are better than standard CCs at identifying SGA. A total of 16,122 neonates were identified as SGA, LGA, or AGA, using the two models. Logistic regression and analysis of covariance were used to calculate the OR and CI for adverse outcomes by group. Gestational age was considered as a covariable. Results: The SGA rates by the new CCs and by the standard CCs were 11. 8% and 9. 7%, respectively. The SGA rate only by the new CCs was 18% and the SGA rate only by the standard CCs was 0. 01%. Compared to AGA by both models, SGA by the new CCs had increased rates of cesarean section, (OR 1. 53 (95% CI 1. 19, 1. 96)), prematurity (OR 2. 84 (95% CI 2. 09, 3. 85)), NICU admission (OR 5. 41 (95% CI 3. 47, 8. 43), and adverse outcomes (OR 1. 76 (95% CI 1. 06, 2. 60). The strength of these associations decreased with gestational age. Conclusion: The use of the new CCs allowed for a more accurate identification of SGA at risk of adverse perinatal outcomes as compared to the standard CCs.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Customized growth charts ; Fetal weight ; Newborn weight ; Maternal body mass index ; Obesity ; Thinness ; Small for gestational age ; Birthweight ; Perinatal outcomes
Publicado en:	Nutrients, Vol. 15 (january 2023) , ISSN 2072-6643

DOI: 10.3390/nu15030587
PMID: 36771294

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