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Instituto Materno Infantil de Pernambuco, Revista Brasileira de Saúde Materno Infantil, 4(19), p. 935-940, 2019

DOI: 10.1590/1806-93042019000400011

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Comparison of adequacy of birth weight for gestational age according to different intrauterine growth curves

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract Objectives: to compare the assessment of the adequacy of birth weight for gestational age according to different intrauterine growth curves. Methods: across-sectional study, which analyzed gestational and neonatal information from 344 mother-newborn binomials. Birth weight data were analyzed using the International Fetal and New Born Growth Consortium for the 21st Century (INTERGROWTH-21st) and compared with the growth curves proposed by Alexander et al. and Fenton & Kim. Newborns were classified as small for gestational age (SGA), suitablefor gestational age (SUGA) or large for gestational age (LGA). Results: among the newborns, 51.2% were male, and 93.0% were born at term. Higher prevalence of SUGA and LGA and lower SGA was found by the INTERGROWTH-21st curves when compared to the references of Fenton & Kim and Alexander et al. Moderate agreement was observed in detecting birth weight by different growth curves. Conclusions: there was a lower detection of SGA infants and a higher screening, especially of LGA infants, in the INTERGROWTH-21st evaluation, when compared to the growth curves of Fenton & Kim and Alexander et al.