Ponderal index (PI) vs birth weight centiles in the low-risk primigravid population: which is the better predictor of fetal wellbeing?

2.50
Hdl Handle:
http://hdl.handle.net/10147/248756
Title:
Ponderal index (PI) vs birth weight centiles in the low-risk primigravid population: which is the better predictor of fetal wellbeing?
Authors:
Cooley, S M; Donnelly, J C; Walsh, T; Kirkham, C; Gillan, J; Geary, M P
Affiliation:
Rotunda Hospital, Dublin, Ireland. smcooley@hotmail.com
Citation:
Ponderal index (PI) vs birth weight centiles in the low-risk primigravid population: which is the better predictor of fetal wellbeing? 2012, 32 (5):439-43 J Obstet Gynaecol
Journal:
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
Issue Date:
Jul-2012
URI:
http://hdl.handle.net/10147/248756
DOI:
10.3109/01443615.2012.667172
PubMed ID:
22663314
Abstract:
Our objective was to compare Ponderal index (PI) with birth weight centiles as predictors of perinatal morbidity and to determine which best reflects the presence of placental disease. We prospectively recruited 1,011 low-risk primigravidas and calculated PI and birth weight centiles following delivery. Perinatal morbidity was defined as: pre-term birth (PTB); fetal acidosis; an Apgar score <7 at 5 min or neonatal resuscitation. Placental disease was defined as chronic uteroplacental insufficiency (CUPI); villous dysmaturity; infection or vascular pathology. Ponderal index was statistically reduced (25.33 vs 27.79 p =0.001) and the incidence of infant birth weight <9th centile was statistically higher (11.1% vs 5.1%; p =0.004) in cases with PTB and in CUPI (26.23 vs 27.84; p =0.001 and 28.2.1% vs 10.4%; p =0.002). Both PI and infant birth weight centile <9th centile for gestational age correlate with PTB, however overall, both are poor predictors of neonatal and placental disease.
Item Type:
Article
Language:
en
MeSH:
Adult; Apgar Score; Birth Weight; Body Height; Body Mass Index; Body Weight; Female; Fetus; Gestational Age; Gravidity; Humans; Infant, Newborn; Placenta Diseases; Pregnancy; Pregnancy Outcome; Premature Birth; Prospective Studies; Risk Factors
ISSN:
1364-6893

Full metadata record

DC FieldValue Language
dc.contributor.authorCooley, S Men_GB
dc.contributor.authorDonnelly, J Cen_GB
dc.contributor.authorWalsh, Ten_GB
dc.contributor.authorKirkham, Cen_GB
dc.contributor.authorGillan, Jen_GB
dc.contributor.authorGeary, M Pen_GB
dc.date.accessioned2012-10-15T08:36:49Z-
dc.date.available2012-10-15T08:36:49Z-
dc.date.issued2012-07-
dc.identifier.citationPonderal index (PI) vs birth weight centiles in the low-risk primigravid population: which is the better predictor of fetal wellbeing? 2012, 32 (5):439-43 J Obstet Gynaecolen_GB
dc.identifier.issn1364-6893-
dc.identifier.pmid22663314-
dc.identifier.doi10.3109/01443615.2012.667172-
dc.identifier.urihttp://hdl.handle.net/10147/248756-
dc.description.abstractOur objective was to compare Ponderal index (PI) with birth weight centiles as predictors of perinatal morbidity and to determine which best reflects the presence of placental disease. We prospectively recruited 1,011 low-risk primigravidas and calculated PI and birth weight centiles following delivery. Perinatal morbidity was defined as: pre-term birth (PTB); fetal acidosis; an Apgar score <7 at 5 min or neonatal resuscitation. Placental disease was defined as chronic uteroplacental insufficiency (CUPI); villous dysmaturity; infection or vascular pathology. Ponderal index was statistically reduced (25.33 vs 27.79 p =0.001) and the incidence of infant birth weight <9th centile was statistically higher (11.1% vs 5.1%; p =0.004) in cases with PTB and in CUPI (26.23 vs 27.84; p =0.001 and 28.2.1% vs 10.4%; p =0.002). Both PI and infant birth weight centile <9th centile for gestational age correlate with PTB, however overall, both are poor predictors of neonatal and placental disease.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecologyen_GB
dc.subject.meshAdult-
dc.subject.meshApgar Score-
dc.subject.meshBirth Weight-
dc.subject.meshBody Height-
dc.subject.meshBody Mass Index-
dc.subject.meshBody Weight-
dc.subject.meshFemale-
dc.subject.meshFetus-
dc.subject.meshGestational Age-
dc.subject.meshGravidity-
dc.subject.meshHumans-
dc.subject.meshInfant, Newborn-
dc.subject.meshPlacenta Diseases-
dc.subject.meshPregnancy-
dc.subject.meshPregnancy Outcome-
dc.subject.meshPremature Birth-
dc.subject.meshProspective Studies-
dc.subject.meshRisk Factors-
dc.titlePonderal index (PI) vs birth weight centiles in the low-risk primigravid population: which is the better predictor of fetal wellbeing?en_GB
dc.typeArticleen
dc.contributor.departmentRotunda Hospital, Dublin, Ireland. smcooley@hotmail.comen_GB
dc.identifier.journalJournal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecologyen_GB
dc.description.provinceLeinsteren

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