Vulnerable newborn types: analysis of subnational, population-based birth cohorts for 541 285 live births in 23 countries, 2000-2021

被引：10

作者：

Erchick, D. J. ^{[1
]}

Hazel, E. A. ^{[1
]}

Katz, J. ^{[1
]}

Lee, A. C. C. ^{[2
]}

Diaz, M. ^{[1
]}

Wu, L. S. F. ^{[1
]}

Yoshida, S. ^{[3
]}

Bahl, R. ^{[1
]}

Grandi, C. ^{[4
]}

Labrique, A. B. ^{[1
]}

Rashid, M. ^{[5
]}

Ahmed, S. ^{[6
]}

Roy, A. D. ^{[6
]}

Haque, R. ^{[7
]}

Shaikh, S. ^{[7
]}

Baqui, A. H. ^{[1
]}

Saha, S. K. ^{[8
]}

Khanam, R. ^{[1
]}

Rahman, S. ^{[9
]}

Shapiro, R. ^{[10
]}

Zash, R. ^{[11
]}

Silveira, M. F. ^{[12
]}

Buffarini, R. ^{[12
]}

Kolsteren, P. ^{[13
]}

Lachat, C. ^{[13
]}

Huybregts, L. ^{[13
,14
]}

Roberfroid, D. ^{[15
]}

Zeng, L. ^{[16
]}

Zhu, Z. ^{[16
]}

He, J. ^{[17
]}

Qiu, X. ^{[17
]}

Gebreyesus, S. H. ^{[18
]}

Tesfamariam, K. ^{[19
]}

Bekele, D. ^{[20
]}

Chan, G. ^{[21
,22
,23
]}

Baye, E. ^{[2
]}

Workneh, F. ^{[24
]}

Asante, K. P. ^{[25
]}

Kaali, E. B. ^{[25
]}

Adu-Afarwuah, S. ^{[26
]}

Dewey, K. G. ^{[27
]}

Gyaase, S. ^{[28
]}

Wylie, B. J. ^{[29
]}

Kirkwood, B. R. ^{[30
]}

Manu, A. ^{[30
,31
]}

Thulasiraj, R. D. ^{[32
]}

Tielsch, J. ^{[33
]}

Chowdhury, R. ^{[34
]}

Taneja, S. ^{[34
]}

Babu, G. R. ^{[35
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, 615 N Wolfe St, Baltimore, MD 21205 USA

[2] Harvard Med Sch, Brigham & Womens Hosp, Dept Pediat Newborn Med, Boston, MA USA

[3] World Hlth Org, Dept Maternal Newborn Child & Adolescent Hlth & A, Geneva, Switzerland

[4] Argentine Soc Paediat, Buenos Aires, DF, Argentina

[5] IntraHlth Int, Dhaka, Bangladesh

[6] Projahnmo Res Fdn, Dhaka, Bangladesh

[7] JiVitA Maternal & Child Hlth Res Project, Rangpur, Bangladesh

[8] Child Hlth Res Fdn, Dhaka, Bangladesh

[9] Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden

[10] Harvard TH Chan Sch Publ Hlth, Dept Immunol & Infect Dis, Boston, MA USA

[11] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[12] Univ Fed Pelotas, Postgrad Program Epidemiol, Pelotas, RS, Brazil

[13] Univ Ghent, Dept Food Technol Safety & Hlth, Ghent, Belgium

[14] Int Food Policy Res Inst, Poverty Hlth & Nutr Div, Washington, DC 20036 USA

[15] Univ Namur, Dept Med, Fac Med, Namur, Belgium

[16] Xi An Jiao Tong Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Hlth Sci Ctr, Xian, Peoples R China

[17] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Div Birth Cohort Study, Guangzhou, Peoples R China

[18] Addis Ababa Univ, Sch Publ Hlth, Dept Nutr & Dietet, Addis Ababa, Ethiopia

[19] Univ Ghent, Fac Biosci Engn, Dept Food Technol Safety & Hlth, Ghent, Belgium

[20] Harvard TH Chan Sch Publ Hlth, Dept Obstet & Gynecol, Boston, MA USA

[21] St Pauls Hosp, Dept Obstet & Gynecol, Millennium Med Coll, Addis Ababa, Ethiopia

[22] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[23] Harvard Med Sch, Boston Childrens Hosp, Dept Pediat, Boston, MA 02115 USA

[24] Addis Continental Inst Publ Hlth, Addis Ababa, Ethiopia

[25] Kintampo Hlth Res Ctr, Div Res & Dev, Kintampo, Ghana

[26] Univ Ghana, Dept Nutr & Food Sci, Accra, Ghana

[27] Univ Calif Davis, Dept Nutr, Inst Global Nutr, Davis, CA 95616 USA

[28] Kintampo Hlth Res Ctr, Dept Stat, Kintampo, Ghana

[29] Columbia Univ, Med Ctr, Dept Obstet & Gynecol, New York, NY USA

[30] London Sch Hyg & Trop Med, Epidemiol & Populat Hlth, London, England

[31] Univ Ghana, Sch Publ Hlth, Accra, Ghana

[32] Aravind Eye Care Syst, Madurai, Tamil Nadu, India

[33] George Washington Univ, Milken Inst Sch Publ Hlth, Dept Global Hlth, Washington, DC USA

[34] Soc Appl Studies, Ctr Hlth Res & Dev, Delhi, India

[35] Publ Hlth Fdn India, Indian Inst Publ Hlth, Bengaluru, India

[36] Tampere Univ, Fac Med & Hlth Technol, Ctr Child Adolescent & Maternal Hlth Res, Tampere, Finland

[37] Tampere Univ Hosp, Tampere, Finland

[38] Kamuzu Univ Hlth Sci, Sch Global & Publ Hlth, Blantyre, Malawi

[39] Natl Inst Perinatol, Maternal Fetal Med Dept, Mexico City, DF, Mexico

[40] Nepal Nutr Intervent Project Sarlahi NNIPS, Kathmandu, Nepal

[41] Aga Khan Univ, Dept Paediat & Child Hlth, Karachi, Pakistan

[42] Aga Khan Univ, Karachi, Pakistan

[43] Univ Melbourne, Doherty Inst, Dept Infect Dis, Melbourne, Vic, Australia

[44] Charles Darwin Univ, Menzies Sch Hlth Res, Darwin, NT, Australia

[45] Univ Calif San Francisco, Dept Epidemiol & Biostat, Inst Global Hlth Sci, San Francisco, CA 94143 USA

[46] Univ Rwanda, Coll Med & Hlth Sci, Sch Publ Hlth, Kigali, Rwanda

[47] South African Med Res Council, HIV & Other Infect Dis Res Unit, Cape Town, South Africa

[48] Columbia Univ, Irving Med Ctr, Vagelos Coll Phys & Surg, Gertrude H Sergievsky Ctr, New York, NY USA

[49] South African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa

[50] Univ South Africa, Coll Grad Studies, Johannesburg, South Africa

来源：

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2023年

关键词：

low birthweight; newborn; preterm birth; small for gestational age; FOR-GESTATIONAL-AGE; MIDDLE-INCOME COUNTRIES; MORTALITY; RISK; PRETERM; INFANTS; WEIGHT; TERM;

D O I：

10.1111/1471-0528.17510

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To examine prevalence of novel newborn types among 541 285 live births in 23 countries from 2000 to 2021. Design: Descriptive multicountry secondary data analysis. Setting: Subnational, population--based birth cohort studies (n = 45) in 23 low-and middle-income countries (LMICs) spanning 2000-2021. Population: Liveborn infants. Methods: Subnational, population--based studies with high-quality birth outcome data from LMICs were invited to join the Vulnerable Newborn Measurement Collaboration. We defined distinct newborn types using gestational age (preterm [PT], term [T]), birthweight for gestational age using INTERGROWTH-21st standards (small for gestational age [SGA], appropriate for gestational age [AGA] or large for gestational age [LGA]), and birthweight (low birthweight, LBW [< 2500 g], nonLBW) as ten types (using all three outcomes), six types (by excluding the birthweight categorisation), and four types ( by collapsing the AGA and LGA categories). We defined small types as those with at least one classification of LBW, PT or SGA. We presented study characteristics, participant characteristics, data missingness, and prevalence of newborn types by region and study. Results: Among 541 285 live births, 476 939 (88.1%) had non--missing and plausible values for gestational age, birthweight and sex required to construct the newborn types. The median prevalences of ten types across studies were T+AGA+nonLBW (58.0%), T+LGA+nonLBW (3.3%), T+AGA+LBW (0.5%), T+SGA+nonLBW (14.2%), T+SGA+LBW (7.1%), PT+LGA+nonLBW (1.6%), PT+LGA+LBW (0.2%), PT+AGA+nonLBW (3.7%), PT+AGA+LBW (3.6%) and PT+SGA+LBW (1.0%). The median prevalence of small types (six types, 37.6%) varied across studies and within regions and was higher in Southern Asia (52.4%) than in Sub--Saharan Africa (34.9%). Conclusions: Further investigation is needed to describe the mortality risks associated with newborn types and understand the implications of this framework for local targeting of interventions to prevent adverse pregnancy outcomes in LMICs.

引用

页数：17

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