Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance

BACKGROUND: Numerous fetal growth curves have been developed from various subpopulations and geographic locations worldwide. OBJECTIVE: To determine the birthweight standard at the Maternity School and compare it to currently used standards in the clinical practice services. STUDY DESIGN: Cross-sect...

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Main Authors: Fabio G. Da Matta, MD, MSc, Karina Bilda de Castro Rezende, MD, PhD, Maria Isabel M.P. Cardoso, MD, MSc, Luiza P. Ladeira, MD, Rita G. Bornia, MD, PhD, Joffre Amim, Jr., MD, PhD
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:AJOG Global Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666577824000303
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author Fabio G. Da Matta, MD, MSc
Karina Bilda de Castro Rezende, MD, PhD
Maria Isabel M.P. Cardoso, MD, MSc
Luiza P. Ladeira, MD
Rita G. Bornia, MD, PhD
Joffre Amim, Jr., MD, PhD
author_facet Fabio G. Da Matta, MD, MSc
Karina Bilda de Castro Rezende, MD, PhD
Maria Isabel M.P. Cardoso, MD, MSc
Luiza P. Ladeira, MD
Rita G. Bornia, MD, PhD
Joffre Amim, Jr., MD, PhD
author_sort Fabio G. Da Matta, MD, MSc
collection DOAJ
description BACKGROUND: Numerous fetal growth curves have been developed from various subpopulations and geographic locations worldwide. OBJECTIVE: To determine the birthweight standard at the Maternity School and compare it to currently used standards in the clinical practice services. STUDY DESIGN: Cross-sectional, observational, and descriptive study. Data from infants born between 2011 and 2016 were collected from the Maternity School Hospital of the Federal University of Rio de Janeiro to define the 10th, 25th, 50th, 75th, and 90th percentiles of the birthweight by gestational age. It was determined the performance of the INTERGROWTH-21st, Fenton, Alexander, and Lubchenco for the Maternity School standards. RESULTS: After the 33rd week of pregnancy, the INTERGROWTH standard was similar to the local standard for small-for-gestational-age infants and Fenton for large-for-gestational-age infants at Maternity School Hospital. The INTERGROWTH standard was found to be inadequate to classify small-for-gestational-age infants, which are babies at major risk for morbidity and mortality at the onset of the 33rd week of pregnancy. CONCLUSION: It was possible to define reference values for birthweight for the maternal school hospital considering at least 33 weeks of pregnancy with a 95% confidence interval. The comparison of the INTERGROWTH, Fenton, Alexander, and Lubchenko standards to the maternal school hospital curve showed that the Fenton curve was the most suitable for the diagnosis of small for gestational age.
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spelling doaj.art-99caa0b61faa4aeeb87c8870fec6f21b2024-06-19T04:46:38ZengElsevierAJOG Global Reports2666-57782024-05-0142100336Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a GlanceFabio G. Da Matta, MD, MSc0Karina Bilda de Castro Rezende, MD, PhD1Maria Isabel M.P. Cardoso, MD, MSc2Luiza P. Ladeira, MD3Rita G. Bornia, MD, PhD4Joffre Amim, Jr., MD, PhD5Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Professional Master Perinatal Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Cardoso, Bornia, and Amim); Pedro Ernesto University Hospital, Rio de Janeiro State University, Rio de Janeiro, Brazil (Dr Da Matta)Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Clinical Medicine Postgraduate Program, Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Dr Rezende); Corresponding author: Karina Bilda de Castro Rezende, MD, PhD.Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Professional Master Perinatal Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Cardoso, Bornia, and Amim)Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Federal University of Rio de Janeiro State, Rio de Janeiro, Brazil (Dr Ladeira).Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Professional Master Perinatal Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Cardoso, Bornia, and Amim)Maternity School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Rezende, Cardoso, Ladeira, Bornia, and Amim); Professional Master Perinatal Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Drs Da Matta, Cardoso, Bornia, and Amim)BACKGROUND: Numerous fetal growth curves have been developed from various subpopulations and geographic locations worldwide. OBJECTIVE: To determine the birthweight standard at the Maternity School and compare it to currently used standards in the clinical practice services. STUDY DESIGN: Cross-sectional, observational, and descriptive study. Data from infants born between 2011 and 2016 were collected from the Maternity School Hospital of the Federal University of Rio de Janeiro to define the 10th, 25th, 50th, 75th, and 90th percentiles of the birthweight by gestational age. It was determined the performance of the INTERGROWTH-21st, Fenton, Alexander, and Lubchenco for the Maternity School standards. RESULTS: After the 33rd week of pregnancy, the INTERGROWTH standard was similar to the local standard for small-for-gestational-age infants and Fenton for large-for-gestational-age infants at Maternity School Hospital. The INTERGROWTH standard was found to be inadequate to classify small-for-gestational-age infants, which are babies at major risk for morbidity and mortality at the onset of the 33rd week of pregnancy. CONCLUSION: It was possible to define reference values for birthweight for the maternal school hospital considering at least 33 weeks of pregnancy with a 95% confidence interval. The comparison of the INTERGROWTH, Fenton, Alexander, and Lubchenko standards to the maternal school hospital curve showed that the Fenton curve was the most suitable for the diagnosis of small for gestational age.http://www.sciencedirect.com/science/article/pii/S2666577824000303adequate for the gestational agebirthweight patternlarge for the gestational age newborn babysmall for the gestational age
spellingShingle Fabio G. Da Matta, MD, MSc
Karina Bilda de Castro Rezende, MD, PhD
Maria Isabel M.P. Cardoso, MD, MSc
Luiza P. Ladeira, MD
Rita G. Bornia, MD, PhD
Joffre Amim, Jr., MD, PhD
Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
AJOG Global Reports
adequate for the gestational age
birthweight pattern
large for the gestational age newborn baby
small for the gestational age
title Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
title_full Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
title_fullStr Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
title_full_unstemmed Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
title_short Application of 4 birthweight curves and local reference range at a University Hospital of Rio de Janeiro, BrazilAJOG Global Reports at a Glance
title_sort application of 4 birthweight curves and local reference range at a university hospital of rio de janeiro brazilajog global reports at a glance
topic adequate for the gestational age
birthweight pattern
large for the gestational age newborn baby
small for the gestational age
url http://www.sciencedirect.com/science/article/pii/S2666577824000303
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