Assessment of Birth Weight Parameters in Sverdlovsk Region: Preliminary Results

S. R. Belomestnov, T. V. Сhumarnaya, O. Sevostyanova, A. M. Ksenofontov, N. O. Аnkudinov, T. M. Isakova
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Abstract

Aim. To define median and large-for-gestational-age birth weight in Sverdlovsk Region and to compare them with the results of a population study conducted in Central Europe.Materials and Methods. We conducted a retrospective analysis of 41,745 women. Inclusion criteria were singleton, full-term pregnancy, absence of fetal malformations, and delivery in a licensed medical organization. Exclusion criteria were multiple pregnancy, signs of chromosomal abnormalities during the antenatal development, congenital malformations, and incomplete examination according to the standard used for normal pregnancy. The results were compared with a similar study carried out in Central Europe.Results. The median weight of newborns at 37, 38, 39, 40, and 41 weeks was 3010, 3180, 3350, 3490, and 3600 g, respectively. “Large for gestational age” (above the 90th percentile) weight at 37, 38, 39, 40, and 41 weeks was 3550, 3720, 3900, 4020, and 4150 g, respectively. These parameters were significantly lower than those in Central Europe. Reproductive age, parity, and metabolic disorders were significant population determinants of birth weight.Conclusion. Birth weight parameters in Sverdlovsk Region differ from those in Central Europe, requiring further research. These data might be used for the correct assessment of the newborns and for development of a territorial strategy for the prevention of fetal growth disorders.
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斯维尔德洛夫斯克地区出生体重参数评估:初步结果
目的确定斯维尔德洛夫斯克地区出生体重的中位数和大妊娠期出生体重,并将其与中欧一项人口研究的结果进行比较。我们对 41 745 名妇女进行了回顾性分析。纳入标准为单胎、足月妊娠、无胎儿畸形、在正规医疗机构分娩。排除标准是多胎妊娠、产前发育过程中出现染色体异常迹象、先天性畸形、未按照正常妊娠标准进行全面检查。研究结果与在中欧进行的一项类似研究进行了比较。37、38、39、40 和 41 周新生儿体重的中位数分别为 3010、3180、3350、3490 和 3600 克。37、38、39、40 和 41 周的 "胎龄偏大"(高于第 90 百分位数)体重分别为 3550、3720、3900、4020 和 4150 克。这些参数明显低于中欧地区。生育年龄、胎次和代谢紊乱是决定出生体重的重要因素。斯维尔德洛夫斯克地区的出生体重参数与中欧地区不同,需要进一步研究。这些数据可用于对新生儿进行正确评估,以及制定预防胎儿发育障碍的地区战略。
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