Please use this identifier to cite or link to this item: https://doi.org/10.3109/14767058.2015.1092956
Title: Comparison of customized and cohort-based birthweight standards in identification of growth restricted infants in GUSTO cohort study
Authors: Agarwall, Pratibha
Rajadurai, Victor Samuel
Yap, Fabian Kok Peng 
Yeo, George
Chong, Yap Seng 
Kwek, Kenneth Yung Chiang
Saw, Seang Mei 
Gluckman, Peter David
Lee, Yung Seng 
Tan, Kok Hian 
Keywords: Abdominal circumference
customized birthweight centiles
intra uterine growth restriction
small for gestational age
Issue Date: 6-Oct-2015
Publisher: Taylor & Francis
Citation: Agarwall, Pratibha, Rajadurai, Victor Samuel, Yap, Fabian Kok Peng, Yeo, George, Chong, Yap Seng, Kwek, Kenneth Yung Chiang, Saw, Seang Mei, Gluckman, Peter David, Lee, Yung Seng, Tan, Kok Hian (2015-10-06). Comparison of customized and cohort-based birthweight standards in identification of growth restricted infants in GUSTO cohort study. Journal of Maternal-Fetal and Neonatal Medicine : 1-4. ScholarBank@NUS Repository. https://doi.org/10.3109/14767058.2015.1092956
Abstract: Background: The aim was to evaluate the ability of customized and cohort birthweight standards in discriminating intrauterine growth retardation (IUGR).Methods: Birthweights (BWs) of GUSTO singleton infants born at gestational age (GA) 35-41 weeks were converted using two standards: (a) GUSTO cohort-based BW centile adjusted for GA and baby gender; (b) customized BW percentile calculator adjusted for maternal height and weight, race, parity, GA and gender. Infants were classified into three groups: (1) < 10th BW centile by customization- customized-SGA, (2) < 10th BW centile by GUSTO- GUSTO-SGA; and (3) > 10th BW centile by both standards - BOTH-non-SGA.Results: Of the 1011 infant-mother dyads, 68 were customized-SGA and 104 were GUSTO-SGA, with concordance of 61% (n = 63) for SGA. While 5 (7%) of customized-SGA were not SGA by GUSTO-charts, 41 (39%) of GUSTO-SGA were not SGA by customized-charts. Customized-SGA had significantly the least growth in abdominal circumference (AC) and highest head circumference (HC): AC growth ratio between second and third trimester; and the lowest mean BW, ponderal index and placental weight than other groups.Conclusion: Customized-SGA standard was a better discriminator of pathologic fetal growth based on AC growth. It improved strength of association with pathology and in our population reduced false positives (41/104 = 39%) in the assessment of SGA. © 2015 Taylor & Francis.
Source Title: Journal of Maternal-Fetal and Neonatal Medicine
URI: http://scholarbank.nus.edu.sg/handle/10635/123160
ISSN: 14767058
DOI: 10.3109/14767058.2015.1092956
Appears in Collections:Elements
Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

SCOPUSTM   
Citations

6
checked on Jan 20, 2021

WEB OF SCIENCETM
Citations

4
checked on Jan 18, 2021

Page view(s)

145
checked on Jan 16, 2021

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.