Birth weight for gestational age: standard growth charts for the Polish population

Author:

Walkowiak Marek,Nowak Jan Krzysztof,Jamka Małgorzata,Gutaj Paweł,Wender-Ożegowska Ewa

Abstract

Introduction. Birth weight is one of the most important factors determining neonatal well-being. From an epidemiological viewpoint, a neonatal reference chart provides a picture of the health status of a population. Global customized growth charts seem to be the most practical in multicultural settings, allowing adjustment for ethnicity. However, regional charts might be a valuable contribution to reliable growth assessment. Our study aims to establish a reference tool for growth assessment and visualize the local potential, by creating standard charts based on the data from the tertiary center with the highest number of deliveries per year in Poland. Material and Methods. We retrospectively analysed  31,353 records from the electronic database of singleton births from a five-year period from a tertiary hospital in Poznań, Poland. We excluded pre-term deliveries and high-risk pregnancies basing on well-known factors influencing fetal growth, bringing the number of records to  21,379. The data were processed separately by gender (females n=10,312, 48.2% and males n=11,067, 51.8%). Percentiles were calculated for each week of gestational age. Means and standard deviations were determined. Results. Standard growth charts (including 3rd, 10th, 25th, 50th, 75th, 90th and 97th percentiles) are presented. Descriptive data of population distribution are shown. Conclusions. In conclusion, obtaining standard growth charts for mature newborns has created the opportunity for a more actual and adequate assessment of the Polish neonatal population. It should allow for the implementation of new standards in future research on perinatal care.

Publisher

Poznan University of Medical Sciences

Subject

General Medicine

Reference18 articles.

1. Malewski Z. Relacja masy ciała odnoszonej do wieku oraz stanu płodu i noworodka [Correlation of birthweight and the prediction of fetal and neonatal status]. Ginekol Pol. 2003 Feb;74(2):121-7. Polish. PMID: 12715421.

2. Thomas P, Peabody J, Turnier V, Clark RH. A new look at intrauterine growth and the impact of race, altitude, and gender. Pediatrics. 2000 Aug;106(2):E21. doi: 10.1542/peds.106.2.e21. PMID: 10920177.

3. Beta J, Khan N, Khalil A, Fiolna M, Ramadan G, Akolekar R. Maternal and neonatal complications of fetal macrosomia: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2019 Sep;54(3):308-318. doi: 10.1002/uog.20279. Epub 2019 Aug 2. PMID: 30938004.

4. Lees CC, Romero R, Stampalija T, Dall'Asta A, DeVore GA, Prefumo F, Frusca T, Visser GHA, Hobbins JC, Baschat AA, Bilardo CM, Galan HL, Campbell S, Maulik D, Figueras F, Lee W, Unterscheider J, Valensise H, Da Silva Costa F, Salomon LJ, Poon LC, Ferrazzi E, Mari G, Rizzo G, Kingdom JC, Kiserud T, Hecher K. Clinical Opinion: The diagnosis and management of suspected fetal growth restriction: an evidence-based approach. Am J Obstet Gynecol. 2022 Mar;226(3):366-378. doi: 10.1016/j.ajog.2021.11.1357. Epub 2022 Jan 10. PMID: 35026129; PMCID: PMC9125563.

5. Kajdy A, Modzelewski J, Herman K, Muzyka-Placzynska K, Rabijewski M. Growth charts and prediction of abnormal growth - what is known, what is not known and what is misunderstood. Ginekol Pol. 2019;90(12):717-721. doi: 10.5603/GP.2019.0123. PMID: 31909466.

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