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Prevalence and risk factors for inappropriate birth weight for gestational age Cover

Prevalence and risk factors for inappropriate birth weight for gestational age

Open Access
|Jan 2017

Figures & Tables

Birth weight for gestational age group (n = 820)

Birth weight for gestational age groupnPrevalence (%)95% CI
AGA71386.984.5, 89.1
SGA212.61.7, 3.9
LGA8610.58.6, 12.8

Prepregnancy baseline and obstetric characteristics of the study population (N = 820)

Characteristicsn (%)
Mean age ± SD (years)28.4 ± 6.3
Parity
 0429 (52.3)
 1301 (36.7)
 >290 (11.0)
Mean prepregnancy BMI ± SD (kg/m2)21.6 ± 4.0
Prepregnancy BMI category
 Normal weight518 (63.2)
 Underweight162 (19.8)
 Overweight108 (13.2)
 Obese32 (3.9)
Mean gestational weight gain ± SD (kg)14.1 ± 4.7
Gestational weight gain category
 Adequate357 (43.5)
 Inadequate219 (26.7)
 Excessive244 (29.8)
Mean gestational age ± SD (weeks)38.7 ± 1.1
Mean birth weight ± SD (g)3100.7 ± 381.0
Route of delivery
 Vaginal delivery419 (51.1)
 Instrument vaginal delivery15 (1.8)
 Cesarean delivery386 (47.1)
Male infant433 (52.8)

Factors associated with infant birth weight for gestational age

CharacteristicsAGA (n = 713)SGA (n = 21)LGA (n = 86)

ANOVA for comparison of means, Chi square test for comparison of proportions

P
Age (years)28.3 ± 6.426.3 ± 6.829.7 ± 5 . 30.05
Parity0.27
 0378 (53%)14 (67%)37 (43%)
 1257 (36%)5 (24%)39 (45%)
 >278 (11%)2 (10%)10 (12%)
Prepregnancy BMI (kg/m2)21.5 ± 3.920.4 ± 5.322.6 ± 4.0

Significantly different from AGA group by Bonferroni post hoc comparison

(P = 0.04)
0.02
Prepregnancy BMI category0.12
 Normal weight442 (62%)15 (71%)61 (71%)
 Underweight151 (21%)3 (14%)8 (9%)
 Overweight94 (13%)3 (14%)11 (13%)
 Obese26 (4%)0 (0)6 (7%)
Gestational weight gain (kg)13.8 ± 4.613.9 ± 5.716.3 ± 4.9

Significantly different from AGA group by Bonferroni post hoc comparison

(P < 0.001)
<0.001
Gestational weight gain category<0.001
 Adequate318 (45%)5 (24%)34 (40%)
 Inadequate200 (28%)10 (48%)9 (11%)
 Excessive195 (27%)6 (29%)43 (50%)
Gestational age (weeks)38.7 ± 1.139.0 ± 1.138.6 ± 0 . 90.42
Male infant370 (52%)11 (52%)52 (61%)0.32

Crude and adjusted odds ratiosAdjusted for prepregnancy BMI and gestational weight gain category, age, parity, gestational age at delivery of factors associated with SGA and LGA

Risk factorsCrude ORAdjusted OR95%CIP
SGA
Prepregnancy BMI category
 Normal weight1.01.0
 Underweight0.580.520.14, 1.870.31
 Overweight or Obese0.740.840.23, 3.070.80
Gestational weight gain category
 Adequate1.01.0
 Inadequate3.183.201.06, 9.640.04
 Excessive1.961.690.50, 5.730.40
LGA
Pre-pregnancy BMI category
 Normal weight1.01.0
 Underweight0.380.490.23, 1.070.07
 Overweight or Obese1.030.820.45, 1.490.51
Gestational weight gain category
 Adequate1.01.0
 Inadequate0.420.430.20, 0.910.03
 Excessive2.062.001.21, 3.300.01
DOI: https://doi.org/10.5372/1905-7415.0905.434 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 637 - 642
Published on: Jan 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Dittakarn Boriboonhirunsarn, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.