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

Autor: Erchick DJ; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Hazel EA; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Katz J; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Lee ACC; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Diaz M; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Wu LSF; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Yoshida S; Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland., Bahl R; Department of Maternal, Newborn, Child and Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland., Grandi C; Argentine Society of Paediatrics, Ciudad Autónoma de Buenos Aires, Argentina., Labrique AB; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Rashid M; IntraHealth International, Dhaka, Bangladesh., Ahmed S; Projahnmo Research Foundation, Dhaka, Bangladesh., Roy AD; Projahnmo Research Foundation, Dhaka, Bangladesh., Haque R; JiVitA Maternal and Child Health Research Project, Rangpur, Bangladesh., Shaikh S; JiVitA Maternal and Child Health Research Project, Rangpur, Bangladesh., Baqui AH; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Saha SK; Child Health Research Foundation, Dhaka, Bangladesh., Khanam R; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Rahman S; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden., Shapiro R; Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Zash R; Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA., Silveira MF; Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil., Buffarini R; Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil., Kolsteren P; Department of Food Technology, Safety and Health, Ghent University, Ghent, Belgium., Lachat C; Department of Food Technology, Safety and Health, Ghent University, Ghent, Belgium., Huybregts L; Department of Food Technology, Safety and Health, Ghent University, Ghent, Belgium.; Poverty, Health and Nutrition Division, International Food Policy Research Institute, Washington, DC, USA., Roberfroid D; Medicine Department, Faculty of Medicine, University of Namur, Namur, Belgium., Zeng L; Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China., Zhu Z; Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, China., He J; Division of Birth Cohort Study, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, China., Qiu X; Division of Birth Cohort Study, Guangzhou Women and Children's Medical Centre, Guangzhou Medical University, Guangzhou, China., Gebreyesus SH; Department of Nutrition and Dietetics, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia., Tesfamariam K; Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium., Bekele D; Department of Obstetrics and Gynecology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Chan G; Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Baye E; Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Workneh F; Addis Continental Institute of Public Health, Addis Ababa, Ethiopia., Asante KP; Kintampo Health Research Centre, Research and Development Division, Kintampo, Ghana., Kaali EB; Kintampo Health Research Centre, Research and Development Division, Kintampo, Ghana., Adu-Afarwuah S; Department of Nutrition and Food Science, University of Ghana, Accra, Ghana., Dewey KG; Institute for Global Nutrition, Department of Nutrition, University of California, Davis, California, USA., Gyaase S; Department of Statistics, Kintampo Health Research Centre, Kintampo, Ghana., Wylie BJ; Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA., Kirkwood BR; Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK., Manu A; Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.; University of Ghana School of Public Health, Accra, Ghana., Thulasiraj RD; Aravind Eye Care System, Madurai, India., Tielsch J; Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA., Chowdhury R; Centre for Health Research and Development, Society for Applied Studies, Delhi, India., Taneja S; Centre for Health Research and Development, Society for Applied Studies, Delhi, India., Babu GR; Department of Population Medicine, College of Medicine, QU Health, Qatar University, Doha, Qatar., Shriyan P; Indian Institute of Public Health, Public Health Foundation of India, Bengaluru, India., Ashorn P; Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland., Maleta K; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Ashorn U; Center for Child, Adolescent and Maternal Health Research, Faculty of Medicine and Health Technology, Tampere University and Tampere University Hospital, Tampere, Finland., Mangani C; School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi., Acevedo-Gallegos S; National Institute of Perinatology, Maternal-Fetal Medicine Department, Mexico City, Mexico., Rodriguez-Sibaja MJ; National Institute of Perinatology, Maternal-Fetal Medicine Department, Mexico City, Mexico., Khatry SK; Nepal Nutrition Intervention Project - Sarlahi (NNIPS), Kathmandu, Nepal., LeClerq SC; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.; Nepal Nutrition Intervention Project - Sarlahi (NNIPS), Kathmandu, Nepal., Mullany LC; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Jehan F; Department of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan., Ilyas M; The Aga Khan University, Karachi, Pakistan., Rogerson SJ; Department of Infectious Diseases, University of Melbourne, Doherty Institute, Melbourne, Victoria, Australia., Unger HW; Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia., Ghosh R; Institute for Global Health Sciences, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA., Musange S; School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Ramokolo V; HIV and Other Infectious Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa.; Gertrude H Sergievsky Center, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, New York, USA., Zembe-Mkabile W; Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.; College Graduate of Studies, University of South Africa, Johannesburg, South Africa., Lazzerini M; Institute for Maternal and Child Health - IRCCS 'Burlo Garofolo', WHO Collaborating Centre for Maternal and Child Health, Trieste, Italy., Rishard M; University Obstetrics Unit, De Soysa Hospital for Women, Colombo, Sri Lanka.; Department of Obstetrics & Gynaecology, University of Colombo, Colombo, Sri Lanka., Wang D; Department of Global and Community Health, College of Public Health, George Mason University, Fairfax, Virginia, USA., Fawzi WW; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA., Minja DTR; National Institute for Medical Research, Tanga Centre, Tanga, Tanzania., Schmiegelow C; Centre for Medical Parasitology, Department for Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark., Masanja H; Ifakara Health Institute, Dar es Salaam, Tanzania., Smith E; Department of Global Health, Milken Institute School of Public Health, Washington, DC, USA., Lusingu JPA; National Institute for Medical Research, Dar es Salaam, Tanzania., Msemo OA; National Institute for Medical Research, Dar es Salaam, Tanzania., Kabole FM; Ministry of Health Zanzibar, Zanzibar, Tanzania., Slim SN; Ministry of Health Zanzibar, Zanzibar, Tanzania., Keentupthai P; College of Medicine and Public Health, Ubon Ratchathani University, Ubon Ratchathani, Thailand., Mongkolchati A; ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand., Kajubi R; Infectious Diseases Research Collaboration, Kampala, Uganda., Kakuru A; Infectious Diseases Research Collaboration, Kampala, Uganda., Waiswa P; Department of Health Policy Planning and Management, Makerere University School of Public Health, New Mulago Hospital Complex, Kampala, Uganda.; Division of Global Health, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden., Walker D; Institute for Global Health Sciences and Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, California, USA., Hamer DH; Department of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.; Section of Infectious Diseases, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA., Semrau KEA; Ariadne Labs, Brigham and Women's Hospital and Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Division of Global Health Equity & Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Chaponda EB; Department of Biological Sciences, School of Natural Sciences, University of Zambia, Lusaka, Zambia., Chico RM; Department of Disease Control, Faculty of Infectious & Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK., Banda B; Research Unit for Environmental Sciences and Management, North-West University, Potchefstroom, South Africa., Musokotwane K; Health Specialist PMTCT and Pediatric AIDS, UNICEF, Lusaka, Zambia., Manasyan A; University of Alabama at Birmingham, Birmingham, Alabama, USA., Pry JM; Centre for Infectious Disease Research in Zambia, Lusaka, Zambia., Chasekwa B; Zvitambo Institute for Maternal and Child Health Research, Harare, Zimbabwe., Humphrey J; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Black RE; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2023 May 08. Date of Electronic Publication: 2023 May 08.
DOI: 10.1111/1471-0528.17510
Abstrakt: Objective: To examine prevalence of novel newborn types among 541 285 live births in 23 countries from 2000 to 2021.
Design: Descriptive multi-country 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.
(© 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.)
Databáze: MEDLINE