Amb motiu del tancament d'estiu, la validació de documents es reprendrà a partir del 28 d'agost de 2026. Disculpeu les molèsties.
Con motivo del cierre de verano, la validación de documentos se reanudará a partir del 28 de agosto de 2026. Disculpad las molestias
Due to the summer closure, document validation will resume starting August 28, 2026. We apologize for any inconvenience.

Files

Miranda 2023. Performance of the INTERGROWTH-21st and World Health Organization fetal growth charts for the detection of small-for-gestational age neonates in Latin America.pdf (1.46 MB)

Document type

Article

Version

Accepted version

Publication date

2023-01-06

Publication license

cc by-nc-nd (c) Miranda, Jezid et al, 2023
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/205323

Performance of the Intergrowth-21st and WHO fetal growth charts for the detection of small-for-gestational age neonates in Latin America

Journal Title

Authors

Director/Tutor

Journal ISSN

Volume Title

Related resource

https://doi.org/10.1002/ijgo.14657

Abstract

To evaluate the performance of INTERGROWTH-21st and WHO fetal growth charts to identify small-for-gestational-age (SGA) and fetal growth restriction (FGR) neonates as well as their specific risks for adverse neonatal outcomes.Multicenter cross-sectional study including 67,968 live births from ten maternity units across four Latin American countries. According to each standard, neonates were classified as SGA and FGR (birth weight <10th and <3rd centiles, respectively). The relative risk (RR) and diagnostic performance for a low Apgar score and low ponderal index were calculated for each standard.WHO charts identified more neonates as SGA than INTERGROWTH-21st (13.9% vs. 7%, respectively). Neonates classified as FGRs by both standards had the highest RR for a low Apgar (RR: 5.57; 95% CI: 3.99-7.78), followed by those SGA by both curves (RR: 3.27; 95% CI: 2.52-4.24), while SGAs identified by WHO alone did not have an additional risk (RR: 0.87; 95% CI: 0.55-1.39). Furthermore, the diagnostic odds ratio for a low Apgar was higher when INTERGROWTH-21st was used.In a population from Latin America, the WHO charts seem to identify more SGA neonates, but the diagnostic performance of the INTERGROWTH-21st charts for low Apgar score and low ponderal index is better.This article is protected by copyright. All rights reserved.

Subject

Neonatologia, Composició corporal (Fisiologia)

Subject (English)

Neonatology, Body composition (Physiology)

Citation

Collections

Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citation

MIRANDA, Jezid, et al. Performance of the Intergrowth-21st and WHO fetal growth charts for the detection of small-for-gestational age neonates in Latin America. International Journal Of Gynecology & Obstetrics. 2023. Vol. 161, num. 3, pags. 1083-1091. ISSN 1879-3479. [consulted: 16 of August of 2026]. Available at: https://hdl.handle.net/2445/205323

Export metadata

JSON - METS

Share record