Weight, length, head and chest circumference at birth in Phoenix, Arizona

J R Britton1, H L Britton, R Jennett

  • 1Department of Pediatrics, University of Utah School of Medicine, Salt Lake City 84132.

Insights

New growth charts for newborns are needed. Current charts may misclassify infant growth due to outdated data, impacting assessments of weight, length, and head circumference for gestational age.

Area of Science:

  • Neonatalogy
  • Pediatric Growth Standards
  • Public Health

Background:

  • Accurate growth assessment is crucial for neonatal care.
  • Existing growth charts may not reflect current infant populations.
  • Standard percentile curves are essential for evaluating infant growth for gestational age.

Purpose of the Study:

  • To establish updated standard percentile curves for infant growth parameters.
  • To compare current infant growth data with historical data.
  • To identify factors influencing infant growth, including maternal smoking and diabetes.

Main Methods:

  • Analysis of birth data for 27,963 singleton infants.
  • Inclusion of infants born between 26 and 42 weeks gestational age.
  • Measurement of weight, length, head circumference, and chest circumference.

Main Results:

  • Significant differences in growth parameters between male and female infants at term.
  • Reduced growth parameters in infants of mothers who smoked.
  • Increased growth parameters in infants of mothers with diabetes.
  • Higher percentiles compared to previous studies.

Conclusions:

  • Current growth curves based on older data may lead to misclassification of infant growth.
  • Updated percentile curves are necessary for accurate assessment of growth-for-gestational age.
  • Maternal factors like smoking and diabetes significantly impact infant growth parameters.

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