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Customized birthweight standard for a Polish population.
Anna Kajdy1, Oliver Hugh2, Jan Modzelewski1
1Centre of Postgraduate Medical Education, Department of Reproductive Health, Warsaw, Poland.
Archives of Medical Science : AMS
|December 9, 2024
Summary
Customized birthweight charts in Poland improve detection of fetal growth restriction (FGR) and identify more at-risk newborns compared to the Fenton standard. This personalized approach enhances the identification of adverse outcomes in newborns.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Biostatistics
Background:
- Customized growth charts aid in detecting fetal growth restriction (FGR) and reducing false positives.
- Developing population-specific standards is crucial for accurate fetal growth assessment.
Purpose of the Study:
- To create a customized birthweight standard for the Polish population.
- To compare the effectiveness of a customized standard versus the Fenton standard in identifying at-risk neonates.
Main Methods:
- Data from 4,270 pregnancies were analyzed.
- Maternal and neonatal variables were collected, including height, weight, ethnicity, gestational age, and complications.
- Backward stepwise multiple regression was used to derive coefficients for the customized standard.
Main Results:
- The customized standard identified a higher rate of smallness for gestational age (SGA) at 11.9% compared to the Fenton standard at 6.6%.
- The customized standard identified significantly more neonates at increased risk for stillbirth, NICU admission, and other complications.
- Physiological and pathological factors affecting birthweight, including maternal age and hypertension, were quantified.
Conclusions:
- The customized birthweight standard is superior to the Fenton standard for identifying adverse outcomes in SGA neonates within the Polish population.
- This customized approach enhances the detection of at-risk pregnancies and improves neonatal care planning.
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