Morbidity risk at birth for Asian Indian small for gestational age infants

Henry Chong Lee1, Pramela Ramachandran, Ashima Madan

  • 1Department of Pediatrics, Division of Neonatology, University of California, San Francisco, 533 Parnassus Ave, Room U503, San Francisco, CA, USA. leehc@peds.ucsf.edu

Insights

The traditional definition of small for gestational age (SGA) may be a useful risk marker for diverse populations. Asian Indian infants had higher SGA rates and special care nursery admissions compared to White infants.

Area of Science:

  • Perinatal health
  • Neonatal outcomes
  • Public health

Background:

  • The definition of small for gestational age (SGA) is crucial for identifying at-risk infants.
  • Its applicability across diverse ethnic populations with varying birthweight distributions requires investigation.

Purpose of the Study:

  • To evaluate the utility of traditional SGA definitions in identifying risk among White and Asian Indian infants.
  • To compare SGA rates and special care nursery admission between these two ethnic groups.

Main Methods:

  • Retrospective analysis of infant birth weights and gestational ages.
  • Comparison of SGA prevalence and special care nursery admission rates between White and Asian Indian infants.

Main Results:

  • Asian Indian infants exhibited significantly higher rates of SGA (14.5%) compared to White infants (2.7%).
  • Asian Indian infants also had a higher likelihood of special care nursery admission (20.7%) versus White infants (3.7%).

Conclusions:

  • Traditional SGA definitions appear applicable as a risk marker in diverse populations, including Asian Indian infants.
  • Higher SGA prevalence and nursery admissions in Asian Indian infants highlight potential ethnic-specific considerations in neonatal care.

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