TY - JOUR
T1 - High birth weight in a suburban hospital in Cameroon
T2 - An analysis of the clinical cut-off, prevalence, predictors and adverse outcomes
AU - Choukem, Simeon Pierre
AU - Njim, Tsi
AU - Atashili, Julius
AU - Hamilton-Shield, Julian P.
AU - Mbu, Robinson
PY - 2016/6/29
Y1 - 2016/6/29
N2 - Background and aims: High birth weight (HBW) increases the risk of maternal and fetal morbidity and mortality. Its prevalence and adverse outcomes may be reduced if risk factors are identified and managed during pregnancy. The cut-off value for HBW remains debatable. The objectives of this study were to identify the optimal cut-off value and determine the prevalence, predictors and adverse outcomes of HBW in a suburban area of Cameroon. Design: A 6-year retrospective register analysis and a 3-month prospective phase. Setting: A secondary care level (regional) hospital in the city of Buea (southwest region of Cameroon). Participants: Women who delivered in this hospital over a 6-year period (retrospective phase) and consenting pregnant mothers and their infants (singletons, born at >28 weeks gestation) (prospective phase). Outcome measures: 90th centile of birth weights; prevalence of HBW defined as birth weight above the 90th centile; sociodemographic, maternal and obstetrical factors associated with HBW; maternal and neonatal adverse outcomes of HBW. Results: Of the 4941 newborns reviewed in registers, the 90th centile of birth weights was 3850 g. Using this new cut-off, we obtained a prevalence of 14.0% for HBW in the 200 newborns included in the prospective phase. This was significantly higher than the prevalence (9.5%) yielded when the traditional cut-off of 4000 g was used (p=0.003). None of the factors assessed was independently associated with HBW. Newborns with HBW were more likely to have shoulder dystocia (p
AB - Background and aims: High birth weight (HBW) increases the risk of maternal and fetal morbidity and mortality. Its prevalence and adverse outcomes may be reduced if risk factors are identified and managed during pregnancy. The cut-off value for HBW remains debatable. The objectives of this study were to identify the optimal cut-off value and determine the prevalence, predictors and adverse outcomes of HBW in a suburban area of Cameroon. Design: A 6-year retrospective register analysis and a 3-month prospective phase. Setting: A secondary care level (regional) hospital in the city of Buea (southwest region of Cameroon). Participants: Women who delivered in this hospital over a 6-year period (retrospective phase) and consenting pregnant mothers and their infants (singletons, born at >28 weeks gestation) (prospective phase). Outcome measures: 90th centile of birth weights; prevalence of HBW defined as birth weight above the 90th centile; sociodemographic, maternal and obstetrical factors associated with HBW; maternal and neonatal adverse outcomes of HBW. Results: Of the 4941 newborns reviewed in registers, the 90th centile of birth weights was 3850 g. Using this new cut-off, we obtained a prevalence of 14.0% for HBW in the 200 newborns included in the prospective phase. This was significantly higher than the prevalence (9.5%) yielded when the traditional cut-off of 4000 g was used (p=0.003). None of the factors assessed was independently associated with HBW. Newborns with HBW were more likely to have shoulder dystocia (p
UR - http://www.scopus.com/inward/record.url?scp=84978174633&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2016-011517
DO - 10.1136/bmjopen-2016-011517
M3 - Article (Academic Journal)
C2 - 27357199
AN - SCOPUS:84978174633
SN - 2044-6055
VL - 6
JO - BMJ Open
JF - BMJ Open
IS - 6
M1 - 011517
ER -