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Published on: November 20, 2015
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.
Abstract:
Whether the traditional definition of small for gestational age (SGA) is an appropriate marker of risk for populations that have relatively lower birthweight is unclear. We determined proportions of White and Asian Indian SGA infants and those admitted to the special care nursery. Compared with White infants, Asian Indian infants were more likely to be SGA (14.5% versus 2.7%) and more likely to be admitted to the special care nursery (20.7% versus 3.7%), suggesting that traditional definitions of SGA may be applicable as a marker of risk.
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