dc.contributor.author |
Allan, Katie |
en |
dc.contributor.author |
North, RA |
en |
dc.contributor.author |
Poppe, Katrina |
en |
dc.contributor.author |
Sadler, Lynn |
en |
dc.contributor.author |
McCowan, Lesley |
en |
dc.date.accessioned |
2011-11-07T20:02:20Z |
en |
dc.date.issued |
2007-04 |
en |
dc.identifier.citation |
BJOG-An International Journal of Obstetrics and Gynaecology 114(4):478-484 2007 |
en |
dc.identifier.issn |
1470-0328 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/8754 |
en |
dc.description.abstract |
Objectives: (1) To describe the association between small for gestational age (SGA) infants and pre-eclampsia (PE) and gestational hypertension (GH) and (2) to determine how this association changes with gestational age at delivery using customised centiles to classify infants as SGA. Design: A retrospective observational study. Setting: National Women’s Hospital, a Tertiary Referral Centre in Auckland, New Zealand. Population: A total of 17 855 nulliparous women delivering between 1992 and 1999. Methods: A comparison of the number of women with a customised SGA infant, PE and GH according to gestational age at delivery. Main outcome measures: The incidence of SGA infants (defined as birthweight <10th customised centile), PE and GH at <34, 34–36+6 and ≥37 weeks. Results: A total of 1847 (10.3%) infants were SGA, 520 (2.9%) women had PE and 1361 (7.6%) had GH. SGA, PE and GH all occurred more commonly with increasing gestation at delivery with 85%, 62% and 90% of cases delivered at term. In women delivering SGA infants, coexisting PE was more likely to occur among those delivered preterm than at term (38.6% at <34 weeks [relative risk, RR 10.2 95%CI 7.3–14.4], 22.4% at 34–36+6 weeks [RR 6.0 95%CI 4.1–8.6] and 3.8% at ≥37 weeks [OR 1.0]). Women with preterm PE were more likely to have a SGA infant than women with term PE (57.1% at <34 weeks [RR 3.1 95%CI 2.3–4.2], 31.7% at 34–36+6 weeks [RR 1.7 95%CI 1.2–2.5]) and 18.3% at ≥37 weeks [OR 1.0]). There was a similar association between GH and SGA infants as gestation advanced (57.6% at <34 weeks [RR 4.8 95%CI 3.4–6.6], 30.5% at 34–36+6 weeks [RR 2.5 95%CI 1.8–3.5] and 12.1% ≥37 weeks [OR 1.0]). Conclusions: SGA infants and PE are more likely to coexist in preterm births compared with term births. This is likely to reflect the degree of placental involvement in each disease process. |
en |
dc.language |
EN |
en |
dc.publisher |
BLACKWELL PUBLISHING |
en |
dc.relation.ispartofseries |
BJOG: An International Journal of Obstetrics and Gynaecology |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1470-0328/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
customised centiles |
en |
dc.subject |
gestational hypertension |
en |
dc.subject |
intrauterine growth restriction |
en |
dc.subject |
pre-eclampsia |
en |
dc.subject |
SGA |
en |
dc.subject |
small for gestational age |
en |
dc.subject |
PREGNANCY-INDUCED HYPERTENSION |
en |
dc.subject |
BIRTH-WEIGHT STANDARDS |
en |
dc.subject |
FETAL-GROWTH |
en |
dc.subject |
POPULATION |
en |
dc.subject |
RISK |
en |
dc.subject |
WOMEN |
en |
dc.subject |
IMPACT |
en |
dc.title |
The association between customised small for gestational age infants and pre-eclampsia or gestational hypertension varies with gestation at delivery |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1111/j.1471-0528.2007.01277.x |
en |
pubs.issue |
4 |
en |
pubs.begin-page |
478 |
en |
pubs.volume |
114 |
en |
dc.rights.holder |
Copyright: 2007 The Authors Journal compilation; RCOG 2007 BJOG An International Journal of Obstetrics and Gynaecology |
en |
dc.identifier.pmid |
17378821 |
en |
pubs.author-url |
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.2007.01277.x/abstract |
en |
pubs.end-page |
484 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
92345 |
en |
pubs.org-id |
Liggins Institute |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Epidemiology & Biostatistics |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Obstetrics and Gynaecology |
en |
pubs.record-created-at-source-date |
2010-09-01 |
en |
pubs.dimensions-id |
17378821 |
en |