Influence of chest/head circumference ratio at birth on obstetric and neonatal outcomes: The Japan environment and children's study
Influence of chest/head circumference ratio at birth on obstetric and neonatal outcomes: The Japan environment and children's study
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出生时胸围/头围比对产科和新生儿结局的影响：日本环境和儿童研究
DOI：
10.1002/ajhb.23875
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发表时间：
2023
影响因子：
2.9
通讯作者：
Suganuma N; Japan Environment and Children's Study (JECS) Group
中科院分区：
文献类型：
--
作者：
J-P NA;Mitsuda N;Eitoku M;Yamasaki K;Maeda N;Fujieda M;Suganuma N; Japan Environment and Children's Study (JECS) Group
目的：一些非小于胎龄的新生儿（非SGA，出生体重≥给定胎龄的第10个百分位）可能存在病理性生长限制。本研究调查了非SGA和SGA新生儿出生时胸/头围比与不良产科和新生儿结局的关系。方法：本研究是对一项全国性前瞻性出生队列研究——日本环境与儿童研究的数据进行横断面评估。我们分析了在34-41孕周出生的93 690例非异常单胎。根据内部构建的胸/头围百分位数图，我们分别将低、正常和高胸/头围比定义为<10百分位数、10 - 90百分位数和bb0 90百分位数。修正泊松回归用于估计研究结果的校正患病率（aPR）。结果低SGA比正常新生儿低出生体重（1.75,1.58-1.94 [aPR， 95%可信区间]）、剖宫产（1.34,1.29-1.38）、5 min Apgar评分<7（1.57,1.14-2.17）、呼吸系统并发症（1.20,1.04-1.39）、住院时间延长（1.36,1.30-1.42）的发生率均高于非SGA比正常新生儿。相比之下，高比值组低出生体重（0.71,0.59-0.86）、剖宫产（0.82,0.77-0.87）和住院时间延长（0.83,0.78-0.89）的发生率较低。在SGA新生儿中，低比例与低出生体重、剖宫产、低血糖和住院时间延长的apr增加相关，而高比例则没有这种关联。结论研究结果表明，无论出生体重状况如何，出生时胸围/头围比都会影响产科和新生儿结局。
ObjectivesSome newborns that are not small‐for‐gestational‐age (non‐SGA, birthweight ≥10th percentile for a given gestational age) may have pathologic growth restrictions. This study examined the association of adverse obstetric and neonatal outcomes with chest/head circumference ratio at birth in non‐SGA and SGA newborns.MethodsThis study was a cross‐sectional evaluation of data from a nationwide prospective birth cohort study, the Japan Environment and Children's Study. We analyzed 93 690 non‐anomalous singletons born at 34–41 gestational weeks. We defined low, normal, and high chest/head circumference ratio as <10th percentile, 10th–90th percentile, and >90th percentile, respectively, according to the internally constructed chest/head circumference percentile chart. Modified Poisson regression was used to estimate adjusted prevalence ratios (aPR) for the outcomes studied.ResultsCompared with non‐SGA newborns with a normal ratio, those with a low ratio had an increased occurrence of low birthweight (1.75, 1.58–1.94 [aPR, 95% confidence interval]), cesarean delivery (1.34, 1.29–1.38), Apgar score <7 at 5 min (1.57, 1.14–2.17), respiratory complications (1.20, 1.04–1.39), and prolonged hospitalization (1.36, 1.30–1.42). In contrast, the high‐ratio group had a lower rate of low birthweight (0.71, 0.59–0.86), cesarean delivery (0.82, 0.77–0.87), and prolonged hospitalization (0.83, 0.78–0.89). In SGA newborns, a low ratio was associated with increased aPRs for low birthweight, cesarean delivery, hypoglycemia, and prolonged hospitalization, whereas a high ratio showed no such association.ConclusionsFindings indicate that the chest/head circumference ratio at birth influence obstetric and neonatal outcomes regardless of the birthweight status.
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影响因子：
7.1
作者：
DAVID, C;GABRIELLI, S;BOVICELLI, L
通讯作者：
BOVICELLI, L
影响因子：
16.2
作者：
Persson M;Fadl H;Hanson U;Pasupathy D
通讯作者：
Pasupathy D
影响因子：
2.5
作者：
Todros, T;Plazzotta, C;Pastorin, L
通讯作者：
Pastorin, L
DOI：
10.1016/s1701-2163(16)34956-8
发表时间：
2011-07-01
影响因子：
1.8
作者：
al Riyami, Nihal;Walker, Melissa G.;Kingdom, John C. P.
通讯作者：
Kingdom, John C. P.
影响因子：
3.4
作者：
R. Tyson;B. Staat
通讯作者：
B. Staat