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Low and High Birth Weight in a Hospital Population in Qassim, Saudi Arabia: An Analysis of Clinical Cutoff Values
Ashwaq Al Eed1, Abdullrahman Alsalamah2, Abdullah Al-Nafeesah1
1Department of Pediatrics, College of Medicine, Qassim University, Buraydah 52571, Saudi Arabia.
Background:
Establishing cutoff values for low birth weight (LBW) and high birth weight (HBW) is crucial for clinical practice. This study aimed to determine these values in Saudi Arabia.
Method:
A retrospective study in 2022 analyzed the birth weights of 1605 neonates. The 10th and 90th percentiles were calculated to define LBW and HBW.
Results:
LBW was defined as <2450 g (10th percentile), with an incidence of 10.5%. HBW was >3650 g (90th percentile), with a prevalence of 10.3%. Comparing the WHO's LBW definition (<2500 g) revealed significant differences but high agreement (kappa = 0.962). HBW had a prevalence of 2.4% using a 4000 g cutoff, with low agreement (Kappa = 0.357).
Conclusions:
This study suggests an LBW cutoff at 2450 g and an HBW cutoff at 3650 g in Saudi Arabia. A birth weight range of 2450-3650 g is considered normal, reducing unnecessary healthcare interventions.
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Prepare for the Procedure:
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.