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Clinical prediction in early pregnancy of infants small for gestational age by customised birthweight centiles: findings from a healthy nulliparous cohort

  • L M McCowan
  • , J M Thompson
  • , R S Taylor
  • , R A North
  • , L Poston
  • , P N Baker
  • , J Myers
  • , C T Roberts
  • , G A Dekker
  • , N A Simpson
  • , J J Walker
  • , L C Kenny

    Research output: Contribution to journalArticlepeer-review

    Abstract

    OBJECTIVE: Small for gestational age (SGA) infants comprise up to 50% of all stillbirths and a minority are detected before birth. We aimed to develop and validate early pregnancy predictive models for SGA infants. METHODS: 5628 participants from SCOPE, a prospective study of nulliparous pregnant women, were interviewed at 15 +/- 1 weeks' gestation. Fetal anthropometry, uterine and umbilical Doppler studies were performed at 20 +/- 1 weeks'. The cohort was divided into training (n = 3735) and validation datasets (n = 1871). All-SGA (birthweight /= 3500 g, >12 months to conceive, university student, cigarette smoking, proteinuria, daily vigorous exercise and diastolic blood pressure >/= 80. Recreational walking >/= 4 times weekly, rhesus negative blood group and increasing random glucose were protective. AUC for clinical risk factors was 0.63. Fetal abdominal or head circumference z scores
    Original languageEnglish
    JournalPLoS ONE
    Volume8
    Issue number8
    DOIs
    Publication statusPublished - 2013

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

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