Short maternal stature and gestational weight gain among refugee and migrant women birthing appropriate for gestational age term newborns: a retrospective cohort on the Myanmar-Thailand border, 2004–2016
| Autor: | Ahmar Hashmi, Aung Myat Min, Ma Ner, Lay Lay Wah, Rose McGready, Elsi Win, François Nosten, Mary Ellen Gilder, Prakaykaew Charunwatthana, Mu Wah, Sue J. Lee, Nay Win Tun, Verena I. Carrara |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population Gestational Age Myanmar maternal health lcsh:Infectious and parasitic diseases Cohort Studies 03 medical and health sciences 0302 clinical medicine cohort study Humans Medicine lcsh:RC109-216 030212 general & internal medicine education Original Research Retrospective Studies Transients and Migrants Refugees education.field_of_study lcsh:R5-920 030219 obstetrics & reproductive medicine business.industry Obstetrics Health Policy Infant Newborn Public Health Environmental and Occupational Health Gestational age Retrospective cohort study Thailand medicine.disease Gestational Weight Gain nutrition child health Small for gestational age Female medicine.symptom Underweight business lcsh:Medicine (General) Body mass index Weight gain Cohort study |
| Zdroj: | BMJ Global Health, Vol 6, Iss 2 (2021) BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | IntroductionTo examine the interactions between short maternal stature, body mass index (BMI) and gestational weight gain (GWG) among appropriate for gestational age (AGA) term newborns in a population of refugees and migrants in Southeast Asia.MethodsThis is a retrospective cohort study from 2004 to 2016, including women delivering term, singleton newborns, with first trimester height, weight and gestation dated by ultrasound and a last body weight measured within 4 weeks of birth. AGA newborns were those not classified as small for gestational age or large for gestational age by either INTERGROWTH-21st or Gestation Related Optimal Weight standards. The influence of maternal stature on GWG in delivering an AGA newborn was analysed, with GWG compared with existing National Academy of Medicine (NAM) recommendations.Results4340 women delivered AGA newborns. Mean maternal height (SD) was 151.5 cm (5.13), with 58.5% of women considered too short by INTERGROWTH-21st standards. Only one in four women (26.5%, 1150/4340) had GWG within NAM recommendations. Women of shorter stature had a significantly lower mean GWG compared with taller women in underweight and normal BMI categories (pConclusionThese results suggest that short maternal stature can be an important predictor of GWG and should be considered with prepregnancy BMI. Limited-resource settings and special populations need robust GWG recommendations that reflect height and BMI. |
| Databáze: | OpenAIRE |
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