期刊
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
卷 30, 期 17, 页码 2126-2132出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/14767058.2016.1240161
关键词
Cesarean section; intrapartum fetal compromise; small for gestational age; birth weight
Objective: The objective of this study is to evaluate the association between birth weight centiles and the risk of intrapartum compromise and adverse neonatal outcomes in term pregnancies.Methods: Retrospective study of 32468 term singleton births at a major tertiary maternity hospital in Australia. Data comprised gestation, mode, and indication for delivery and adverse perinatal outcomes. Fetal sex and gestational age-specific birth weight centiles were the main exposure variable.Results: Neonates<21st birth weight centile had an increased risk of intrapartum compromise, the highest risk was in babies<3rd centile (OR 4.04, 95% CI 3.34-4.89). The risk of adverse perinatal outcomes was increased in neonates<21st and>91st birth weight centiles. The highest risk was in those<3rd centile (OR 2.35, 95% CI 2.00-2.75).Conclusions: Fetal size measurements near term may be used as part of screening test for identifying fetuses at an increased risk of intrapartum compromise and adverse perinatal outcomes.
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