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Risk factors for 'small for gestational age babies'
T Ruwanpathirana1, D N Fernando
1Family Health Bureau, Ministry of Health, Colombo, Sri Lanka, thilangar@yahoo.com.
Indian Journal of Pediatrics
|April 30, 2014
Summary
Seven key risk factors for small for gestational age (SGA) babies were identified, including low pre-pregnancy weight and high stress levels. These findings can guide interventions to improve birth outcomes for newborns.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Health
- Maternal-Fetal Medicine
Background:
- Small for gestational age (SGA) newborns are at increased risk for adverse health outcomes.
- Identifying modifiable risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To determine the significant risk factors associated with the development of small for gestational age (SGA) babies.
Main Methods:
- A nested case-control study was conducted in Colombo district, Sri Lanka.
- SGA was defined as birth weight below the 10th percentile using Sri Lankan-specific growth curves.
- Data were collected from 1,200 pregnant women, with 167 cases and 668 controls.
Main Results:
- Multivariate analysis revealed seven significant risk factors for SGA.
- These include nulliparity, inadequate gestational weight gain, high physical activity, low pre-pregnancy maternal weight (<38 kg), high stress in the second trimester, pregnancy-induced hypertension (PIH), and insufficient husband support.
Conclusions:
- The identified risk factors provide critical insights for targeted intervention programs.
- Interventions focusing on maternal nutrition, stress reduction, and social support may help reduce the incidence of SGA births.
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