scholarly journals Maternal region of origin and Small for gestational age: a cross-sectional analysis of Victorian perinatal data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Grundy ◽  
Patricia Lee ◽  
Kirsten Small ◽  
Faruk Ahmed
Keyword(s):  
Risk Factor ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Independent Risk Factor ◽  
Multivariate Logistic Regression Analysis ◽  
Sub Saharan Africa ◽  
Migrant Women ◽  
Region Of Origin ◽  
Cross Sectional ◽  
Population Groups

Abstract Background Being born small for gestational age is a strong predictor of the short- and long-term health of the neonate, child, and adult. Variation in the rates of small for gestational age have been identified across population groups in high income countries, including Australia. Understanding the factors contributing to this variation may assist clinicians to reduce the morbidity and mortality associated with being born small. Victoria, in addition to New South Wales, accounts for the largest proportion of net overseas migration and births in Australia. The aim of this research was to analyse how migration was associated with small for gestational age in Victoria. Methods This was a cross sectional population health study of singleton births in Victoria from 2009 to 2018 (n = 708,475). The prevalence of being born small for gestational age (SGA; <10th centile) was determined for maternal region of origin groups. Multivariate logistic regression analysis was used to analyse the association between maternal region of origin and SGA. Results Maternal region of origin was an independent risk factor for SGA in Victoria (p < .001), with a prevalence of SGA for migrant women of 11.3% (n = 27,815) and 7.3% for Australian born women (n = 33,749). Women from the Americas (aOR1.24, 95%CI:1.14 to 1.36), North Africa, North East Africa, and the Middle East (aOR1.57, 95%CI:1.52 to 1.63); Southern Central Asia (aOR2.58, 95%CI:2.50 to 2.66); South East Asia (aOR2.02, 95%CI: 1.95 to 2.01); and sub-Saharan Africa (aOR1.80, 95%CI:1.69 to 1.92) were more likely to birth an SGA child in comparison to women born in Australia. Conclusions Victorian woman’s region of origin was an independent risk factor for SGA. Variation in the rates of SGA between maternal regions of origin suggests additional factors such as a woman’s pre-migration exposures, the context of the migration journey, settlement conditions and social environment post migration might impact the potential for SGA. These findings highlight the importance of intergenerational improvements to the wellbeing of migrant women and their children. Further research to identify modifiable elements that contribute to birthweight differences across population groups would help enable appropriate healthcare responses aimed at reducing the rate of being SGA.

scholarly journals Maternal Region of Origin and Small for Gestational Age: A Cross-sectional Analysis of Victorian Perinatal Data.

2021 ◽  
Author(s):  
Sarah Grundy ◽  
Patricia Lee ◽  
Kirsten Small ◽  
Faruk Ahmed
Keyword(s):  
Risk Factor ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Independent Risk Factor ◽  
Sub Saharan Africa ◽  
Migrant Women ◽  
Region Of Origin ◽  
Cross Sectional ◽  
Population Groups ◽  
South Central

Abstract BackgroundBeing born small for gestational age is a strong predictor of the short- and long-term health of the neonate, child, and adult. Variation in the rates of small for gestational age have been identified across population groups in high income countries, including Australia. Understanding the factors contributing to these population group differences may assist clinicians to reduce the morbidity and mortality associated with being born small. Victoria, in addition to New South Wales, accounts for the largest proportion of net overseas migration and births in Australia. The aim of this research was to analyse how migration was associated with small for gestational age in Victoria.Methods This was a cross sectional population health study of singleton births in Victoria from 2009 to 2018 (n = 708,475). The prevalence of being born small for gestational age (SGA; < 10th centile) was determined for maternal country of origin groups. Multivariate logistic regression analysis was used to analyse the association between maternal region of origin and SGA.Results Maternal region of origin was an independent risk factor for SGA in Victoria (p < .001), with a prevalence of SGA for migrant women of 11.3% (n = 27,815) and 7.3% for Australian born women (n = 33,749). Women from South East Asia, South Central Asia, or Sub Saharan Africa, OR 1.75 (95%CI: 1.70 to 1.8), women from North and North East Africa, Middle East, OR 1.40 (95%CI: 1.35 to 1.45) and migrant women from the Americas, Europe, and Oceania, OR1.06 (95%CI: 1.02 to 1.12) more likely to birth an SGA child in comparison to women born in Australia.Conclusions Victorian woman’s region of origin was an independent risk factor for SGA. Variation in the rates of SGA between maternal regions of origin indicates additional factors such as, a woman’s pre migration exposures, the context of the migration journey, settlement conditions and the social environment post migration impact the potential for SGA. These findings highlight the importance of intergenerational improvements to the wellbeing of migrant women and their children. Further research is required to identify modifiable elements that contribute to birthweight differences across population groups.

scholarly journals The M2 haplotype in the ANXA5 gene is an independent risk factor for idiopathic small-for-gestational age newborns

2012 ◽  
Vol 18 (10) ◽  
pp. 510-513 ◽  
Author(s):  
G. Tiscia ◽  
D. Colaizzo ◽  
G. Favuzzi ◽  
P. Vergura ◽  
P. Martinelli ◽  
...  
Keyword(s):  
Risk Factor ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Independent Risk Factor

scholarly journals Small for Gestational Age is an Independent Risk Factor for Neurodevelopmental Impairment

2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Joanna Hubert ◽  
Maja Gilarska ◽  
Małgorzata Klimek ◽  
Magdalena Nitecka ◽  
Grażyna Dutkowska ◽  
...  
Keyword(s):  
Risk Factor ◽  
Birth Weight ◽  
Visual Perception ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Independent Risk Factor ◽  
Autism Spectrum ◽  
Vocabulary Test ◽  
Conflicting Objectives ◽  
The Impact

Background: There is a deficit of publications regarding the impact of small for gestational age (SGA) on later neurodevelopment of premature infants and existing results are conflicting. Objectives: The aim of the present study was multifaceted neurodevelopmental assessment of children born prematurely, with particular assessment of SGA as an independent risk factor for impairment in prematurely born children. Methods: Eighty-nine children born with very low birth weight were evaluated at the age of 50 months. Anthropometric measurements and several psychomotor tests (WeeFIM-Functional Independence Measure scale, Leiter Test-Non-Verbal Psychometric Evaluation, DTVP-2-Developmental test of Visual Perception, CAST-Childhood Autism Spectrum test, EAS-C-temperament questionnaire and TSD-children vocabulary test) were performed in each child. Results: SGA appears to be a risk factor for low self-reliance (mean WeeFIM score 89 ± 20 points vs 99 ± 15; P = 0.034), decreased non-verbal intelligence (Leiter score 87 ± 18 points vs 100 ± 18 points; P = 0.022) and low visual perception (Frostig test 81 ± 17 points vs 93 ± 17 points; P = 0.035). Moreover, the incidence of autism spectrum disorders was significantly higher in the SGA group (21% vs 2.8%; P = 0.029). There were no differences in frequency of cerebral palsy diagnosis, vocabulary test results and temper tests scores between SGA and AGA groups. Conclusions: Birth weight small for gestational age seems to be an additional, independent risk factor of neurodevelopmental delay in prematurely born children.

scholarly journals FACTORS ASSOCIATED WITH LOW BIRTH WEIGHT AMONG NEWBORNS IN ETHIOPIA

2020 ◽  
Vol 6 (1) ◽  
pp. 1-6
Author(s):  
Arif Hussen Jamie ◽  
Abduseme Mohammed Ahmed
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Odds Ratio ◽  
Previous History ◽  
Multivariate Logistic Regression Analysis ◽  
Sampling Technique ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Factors Associated

Background: Worldwide more than 20 million low birth weights occur annually with the incidence of 15 to 20%, majority of this occur in low- and middle-income countries and 95.6% occur in developing nations. Its regional estimate was 28% in South Asia, 13% in sub-Saharan Africa and 13% in least developed countryObjective:  To assess factors associated with low birth weight among newborns in Jugal Hospital, Harari Regional State, Ethiopia.Methods: A cross-sectional study was conducted among newborns in Jugal hospital, Ethiopia from June 01 to July 10, 2019. Systematic random sampling technique was used to select the study subjects. Multivariate logistic regression analysis was used to identify factors associated with low birth weight among newbornsResults: The magnitude of low birth weight was 19.53%. Women who had previous history of low birth weight had 5.21 times higher odds ratio of delivered low birth weight baby than their counterparts [AOR = 5.21, 95% CI: (1.5-14.2)], and pregnant women who delivered before 37 weeks of gestational age had 4.8 times higher odds ratio of delivered low birth weight neonates than those delivered at term [AOR = 4.8, 95% CI: (1.3-10.4)]Conclusion: The prevalence of low birth weight in Harar, Jugal Hospital was 19.53%. Low birth weight in the previous pregnancy and gestational age 37 weeks, and showed significant association with birth weight neonates. Governmental and non-governmental organizations working on maternal and child health should focus on identified factors in order to tackle the problem of birth weight.

Small for gestational age as an independent risk factor for long-term pediatric gastrointestinal morbidity of the offspring

2017 ◽  
Vol 32 (9) ◽  
pp. 1407-1411 ◽  
Author(s):  
Naama Steiner ◽  
Tamar Wainstock ◽  
Eyal Sheiner ◽  
Idit Segal ◽  
Daniela Landau ◽  
...  
Keyword(s):  
Risk Factor ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Independent Risk Factor

scholarly journals Can 5-minute Apgar score be considered as an additional independent risk factor for screening of retinopathy of prematurity?

2020 ◽  
Vol 8 (1) ◽  
pp. 4-4
Author(s):  
Amir Eftekhari Milani ◽  
Mohamad Reza Niyousha ◽  
Ali Kiavar ◽  
Hanieh Sakha ◽  
Ali Mahdavi Fard ◽  
...  
Keyword(s):  
Risk Factor ◽  
Birth Weight ◽  
Gestational Age ◽  
Retinopathy Of Prematurity ◽  
Apgar Score ◽  
Neonatal Intensive Care ◽  
Independent Risk Factor ◽  
P Value ◽  
Cross Sectional ◽  
Minute Apgar Score

Introduction: Because of increasing the population of premature infants due to improving neonatal care we try to find other independent criteria in addition to birth weight and gestational age to reduce the number of infants who need a retinopathy of prematurity (ROP) screening examination. Methods: This is a retrospective cross-sectional study, included 150 preterm infants with gestational age of ≤ 32 weeks or birth weight ≤ 1500 g or receives oxygen therapy for more than 2 days, who were examined from the fourth week of life for ROP in Tabriz Al-Zahra hospital’s neonatal intensive care unit (NICU), from March 2017 to January 2018. All infants with other risk factors such as multi gestational pregnancy, blood transfusion or exchange, phototherapy, underlying disease, cerebral hemorrhage, chronic lung disease and sepsis were excluded from the study. Infants divided to two group ROP (n=47) and non-ROP (n=133) and their 5-minute Apgar score was Apgar score was compared as an independent risk factor. Exploratory data analysis was performed using descriptive measures with independent samples t tests. Kolmogorov-Smirnov tests were used to test the normality of data distribution. Results: The mean 5-minute Apgar scores were statistically lower in ROP group (5.4±2.3) than non-ROP group 6.2±2.1 (P value=0.041). Conclusion: Apgar score was statistically significant, but in light of the very close results obtained, it seems prudent to consider an independent risk factor.

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