RESEARCH ON THE PREVALENCE AND SOME RELATED FACTORS TO SMALL FOR GESTATIONAL AGE NEWBORN AT 34-40TH WEEK ACCORDING TO INTERGROWTH-21 CHART IN CAN THO GYNECOLOGY OBSTETRICS HOSPITAL
Main Article Content
Abstract
Background: Newborns with small gestational age often experience many adverse outcomes during pregnancy, at birth, and throughout their physical and cognitive development. This study pointed out several related factors to make an appropriate pregnancy care plan. Objectives: To determine the prevalence and some factors related to small for gestational age newborns according to the Intergrowth-21 chart at 34-40th week. Materials and methods: A cross-sectional descriptive study with analysis was conducted on 1270 pregnant women giving birth in Can Tho Gynecology Obstetrics Hospital with a gestational age of 34-40th week from October 2022 to April 2024. Results: The prevalence of small for gestational age newborns according to Intergrowth-21 was 10.6%. Some factors related to small for gestational age newborns include maternal educational background under secondary (OR = 5.18; 95% CI: 1.68 - 15.98), pregnant women with gestational hypertensive disorders (OR = 3.06; 95% CI: 1.68 - 5.58), women with pre-pregnancy BMI below 18.5 kg/m2 (OR= 2.90; 95% CI: 1 .93 - 4.35) and pregnancy weight gain below the recommended level (OR= 1.98; 95% CI: 1.36 - 2.88). Conclusion: Nutritional regimen, maternal educational background and gestational hypertensive disorders increase the risk of giving small for gestational age newborns.
Article Details
Keywords
Small for gestation age, Intergrowth-21, 10th percentile
References
2. Huaiting Gu, Lixia Wang, Lingfei Liu, Xiu Luo, Jia Wang, et al. A gradient relationship between low birth weight and IQ: A meta-analysis. Scientific Reports. 2017. 7(1), 18035, https://doi.org/10.1038/s41598-017-18234-9.
3. McCarton, I F Wallace, M Divon, H G Vaughan Jr. Cognitive and neurologic development of the premature, small for gestational age infant through age 6: comparison by birth weight and gestational age. Pediatrics. 1996. 98(6 Pt 1), 1167-78.
4. Yong Hee Hong, Sochung Chung. Small for gestational age and obesity related comorbidities. Annals of Pediatric Endocrinology & Metabolism. 2018. 23(1),4-8, https://doi.org/10.6065/apem.2018.23.1.4.
5. World Health Organization. ICD-10: international statistical classification of diseases and related health problems: 10th revision, 2nd ed. 2004. 95. https://iris.who.int/handle/10665/42980.
6. Phuong Hong Nguyen, O. Yaw Addo, Melissa Young, Ines Gonzalez-Casanova, Hoa Pham et al. Patterns of Fetal Growth Based on Ultrasound Measurement and its Relationship with Small for Gestational Age at Birth in Rural Vietnam. Paediatric and Perinatal Epidemiology. 2016.
30(3), 256-66, https://doi.org/10.1111/ppe.12276.
7. Nguyễn Tấn Thành. Tỉ lệ sơ sinh nhẹ cân so với tuổi thai theo biểu đồ Intergrowth-21st ở thai kỳ 34–40 tuần tại Bệnh viện Hùng Vương. Đại học Y Dược Thành phố Hồ Chí Minh. 2018.
8. Lâm Thị Kim Ngọc, Phạm Thị Tâm. Nghiên cứu tình hình cân nặng sơ sinh và một số yếu tố liên quan sơ sinh nhẹ cân tại thành phố Trà Vinh năm 2020. 2021. 37, 69-75, https://doi.org/10.58490/ctump.2022i53.190.
9. Fei Yao, Huazhang Miao, Bing Li, Yuntao Wu, Qingguo Zhao. New birthweight percentiles by sex and gestational age in Southern China and its comparison with the Intergrowth-21st Standard. Scientific Reports. 2018. 8(1),7567, https://doi.org/10.1038/s41598-018-25744-7.
10. Rufus R Singamala, Preethi Subramanian, Sudharshan R Chigupikar. A Cross-Sectional Study Comparing the Efficacy of Various Growth Charts in Evaluating the Incidences of Small for Gestational Age and Large for Gestational Age at Birth Among Liveborn Neonates Delivered at a Tertiary Teaching Hospital. Cureus. 2023. 15(4). e38058, https://doi.org/10.7759/cureus.38058.
11. Lê Thị Ái Xuân, , Phạm Thị Tâm, Huỳnh Thị Cẩm Hồng. Nghiên cứu tình hình sơ sinh nhẹ cân và một số yếu tố liên quan tại tỉnh Vĩnh Long năm 2021. Tạp chí Y Dược học Cần Thơ. 2022. 53, 74-83, https://doi.org/10.58490/ctump.2022i53.190
12. Endang Handzel Matthew Bridwell, Michelle Hynes, Reginald Jean-Louis, David Fitter, Carol Hogue et al. Hypertensive disorders in pregnancy and maternal and neonatal outcomes in Haiti: the importance of surveillance and data collection. BMC Pregnancy and Childbirth. 2019. 19(1), 208, https://doi.org/10.1186/s12884-019-2361-0.