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Title: Perinatal outcomes in a South Asian setting with high rates of low birth weight
Authors: George, K
Prasad, J
Singh, D
Minz, S
Albert, D.S
Muliyil, J
Joseph, K.S
Jayaraman, J
Kramer, M.S 
Keywords: adult
birth rate
birth weight
cesarean section
controlled study
fetus growth
gestational age
health care delivery
intrauterine growth retardation
low birth weight
major clinical study
maternal care
maternal mortality
perinatal mortality
pregnancy outcome
small for date infant
South Asia
developing country
infant mortality
intrauterine growth retardation
rural population
small for date infant
Birth Rate
Developing Countries
Fetal Growth Retardation
Infant Mortality
Infant, Low Birth Weight
Infant, Newborn
Infant, Small for Gestational Age
Maternal Mortality
Nova Scotia
Premature Birth
Rural Population
Issue Date: 2009
Citation: George, K, Prasad, J, Singh, D, Minz, S, Albert, D.S, Muliyil, J, Joseph, K.S, Jayaraman, J, Kramer, M.S (2009). Perinatal outcomes in a South Asian setting with high rates of low birth weight. BMC Pregnancy and Childbirth 9 : 5. ScholarBank@NUS Repository.
Rights: Attribution 4.0 International
Abstract: Background: It is unclear whether the high rates of low birth weight in South Asia are due to poor fetal growth or short pregnancy duration. Also, it is not known whether the traditional focus on preventing low birth weight has been successful. We addressed these and related issues by studying births in Kaniyambadi, South India, with births from Nova Scotia, Canada serving as a reference. Methods: Population-based data for 1986 to 2005 were obtained from the birth database of the Community Health and Development program in Kaniyambadi and from the Nova Scotia Atlee Perinatal Database. Menstrual dates were used to obtain comparable information on gestational age. Small-for-gestational age (SGA) live births were identified using both a recent Canadian and an older Indian fetal growth standard. Results: Thelow birth weight and preterm birth rates were 17.0% versus 5.5% and 12.3% versus 6.9% in Kaniyambadi and Nova Scotia, respectively. SGA rates were 46.9% in Kaniyambadi and 7.5% in Nova Scotia when the Canadian fetal growth standard was used to define SGA and 6.7% in Kaniyambadi and < 1% in Nova Scotia when the Indian standard was used. In Kaniyambadi, low birth weight, preterm birth and perinatal mortality rates did not decrease between 1990 and 2005. SGA rates in Kaniyambadi declined significantly when SGA was based on the Indian standard but not when it was based on the Canadian standard. Maternal mortality rates fell by 85% (95% confidence interval 57% to 95%) in Kaniyambadi between 1986-90 and 2001-05. Perinatal mortality rates were 11.7 and 2.6 per 1,000 total births and cesarean delivery rates were 6.0% and 20.9% among live births ? 2,500 g in Kaniyambadi and Nova Scotia, respectively. Conclusion: High rates of fetal growth restriction and relatively high rates of preterm birth are responsible for the high rates of low birth weight in South Asia. Increased emphasis is required on health services that address the morbidity and mortality in all birth weight categories. © 2009 George et al; licensee BioMed Central Ltd.
Source Title: BMC Pregnancy and Childbirth
ISSN: 14712393
DOI: 10.1186/1471-2393-9-5
Rights: Attribution 4.0 International
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