Birth weight centiles,risk of intrapartum compromise,and adverse perinatal outcomes in term infants |
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| Authors: | Danielle Dowdall Christopher Flatley |
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| Affiliation: | 1. Mater Research Institute, University of Queensland, South Brisbane, South Brisbane, Queensland, Australia and;2. School of Medicine, The University of Queensland, Herston, Queensland, Australia;3. Mater Research Institute, University of Queensland, South Brisbane, South Brisbane, Queensland, Australia and |
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| Abstract: | Objective: The objective of this study is to evaluate the association between birth weight centiles and the risk of intrapartum compromise and adverse neonatal outcomes in term pregnancies.Methods: Retrospective study of 32?468 term singleton births at a major tertiary maternity hospital in Australia. Data comprised gestation, mode, and indication for delivery and adverse perinatal outcomes. Fetal sex and gestational age-specific birth weight centiles were the main exposure variable.Results: Neonates?<21st birth weight centile had an increased risk of intrapartum compromise, the highest risk was in babies?<3rd centile (OR 4.04, 95% CI 3.34–4.89). The risk of adverse perinatal outcomes was increased in neonates?<21st and?>91st birth weight centiles. The highest risk was in those?<3rd centile (OR 2.35, 95% CI 2.00–2.75).Conclusions: Fetal size measurements near term may be used as part of screening test for identifying fetuses at an increased risk of intrapartum compromise and adverse perinatal outcomes. |
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| Keywords: | Cesarean section intrapartum fetal compromise small for gestational age birth weight |
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