Prospective population-based cohort study of maternal obesity as a source of error in gestational age estimation at 11-14 weeks

2016 ◽  
Vol 95 (11) ◽  
pp. 1281-1287 ◽  
Author(s):  
Geske S. Bak ◽  
Lene Sperling ◽  
Karin Källén ◽  
Kjell Å. Salvesen
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Na Zeng ◽  
Erica Erwin ◽  
Wendy Wen ◽  
Daniel J. Corsi ◽  
Shi Wu Wen ◽  
...  

Abstract Background Racial disparities in adverse perinatal outcomes have been studied in other countries, but little has been done for the Canadian population. In this study, we sought to examine the disparities in adverse perinatal outcomes between Asians and Caucasians in Ontario, Canada. Methods We conducted a population-based retrospective cohort study that included all Asian and Caucasian women who attended a prenatal screening and resulted in a singleton birth in an Ontario hospital (April 1st, 2015-March 31st, 2017). Generalized estimating equation models were used to estimate the independent adjusted relative risks and adjusted risk difference of adverse perinatal outcomes for Asians compared with Caucasians. Results Among 237,293 eligible women, 31% were Asian and 69% were Caucasian. Asians were at an increased risk of gestational diabetes mellitus, placental previa, early preterm birth (< 32 weeks), preterm birth, emergency cesarean section, 3rd and 4th degree perineal tears, low birth weight (< 2500 g, < 1500 g), small-for-gestational-age (<10th percentile, <3rd percentile), neonatal intensive care unit admission, and hyperbilirubinemia requiring treatment, but had lower risks of preeclampsia, macrosomia (birth weight > 4000 g), large-for-gestational-age neonates, 5-min Apgar score < 7, and arterial cord pH ≤7.1, as compared with Caucasians. No difference in risk of elective cesarean section was observed between Asians and Caucasians. Conclusion There are significant differences in several adverse perinatal outcomes between Asians and Caucasians. These differences should be taken into consideration for clinical practices due to the large Asian population in Canada.


2013 ◽  
Vol 27 (4) ◽  
pp. 371-379 ◽  
Author(s):  
Gry Poulsen ◽  
Dieter Wolke ◽  
Jennifer J Kurinczuk ◽  
Elaine M Boyle ◽  
David Field ◽  
...  

2017 ◽  
Vol 2 (2) ◽  
pp. e000365 ◽  
Author(s):  
Malia S Q Murphy ◽  
Steven Hawken ◽  
Katherine M Atkinson ◽  
Jennifer Milburn ◽  
Jesmin Pervin ◽  
...  

eLife ◽  
2019 ◽  
Vol 8 ◽  
Author(s):  
Malia SQ Murphy ◽  
Steven Hawken ◽  
Wei Cheng ◽  
Lindsay A Wilson ◽  
Monica Lamoureux ◽  
...  

This study sought to evaluate the performance of metabolic gestational age estimation models developed in Ontario, Canada in infants born in Bangladesh. Cord and heel prick blood spots were collected in Bangladesh and analyzed at a newborn screening facility in Ottawa, Canada. Algorithm-derived estimates of gestational age and preterm birth were compared to ultrasound-validated estimates. 1036 cord blood and 487 heel prick samples were collected from 1069 unique newborns. The majority of samples (93.2% of heel prick and 89.9% of cord blood) were collected from term infants. When applied to heel prick data, algorithms correctly estimated gestational age to within an average deviation of 1 week overall (root mean square error = 1.07 weeks). Metabolic gestational age estimation provides accurate population-level estimates of gestational age in this data set. Models were effective on data obtained from both heel prick and cord blood, the latter being a more feasible option in low-resource settings.


2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Biani Saavedra-Avendano ◽  
Raffaela Schiavon ◽  
Patricio Sanhueza ◽  
Ranulfo Rios-Polanco ◽  
Laura Garcia-Martinez ◽  
...  

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