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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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Dependence of neonatal small and large for gestational age rates on maternal height and weight – an analysis of the German Perinatal Survey

Manfred Voigt1 / Niels Rochow1 / Klaus Jährig2 / Sebastian Straube3 / Sven Hufnagel4 / Gerhard Jorch5

1Institute for Perinatal Auxology, Klinikum Südstadt, Rostock, Germany

2Rössing, Germany

3Department of Occupational and Social Medicine, University of Göttingen, Germany

4Department of Obstetrics and Gynecology, University of Rostock, Germany

5Department of Pediatrics, University of Magdeburg, Germany

Corresponding author: Sebastian Straube, BM BCh, MA (Oxon), DPhil Department of Occupational and Social Medicine University of Göttingen Waldweg 37 B, D-37073 Göttingen Germany Tel.: +49 551 39 8044 Fax: +49 551 39 6184

Citation Information: Journal of Perinatal Medicine. Volume 38, Issue 4, Pages 425–430, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/jpm.2010.059, May 2010

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Neonatal anthropometric data reflect intrauterine development and correlate with postnatal outcome. Therefore, classification of neonates by body dimensions, using gestational age-adjusted population percentiles, is clinically practiced. However, neonatal anthropometric variables are also influenced by maternal constitution and the extent of this influence is currently unknown. We analyzed small for gestational age (SGA) and large for gestational age (LGA) rates according to maternal height and weight. We used data of about 2.3 million singleton pregnancies from the German Perinatal Survey of 1995–2000. A close correlation between maternal and neonatal anthropometric data was found; SGA rates were inversely proportional and LGA rates were directly proportional to maternal height, weight, and body mass index. Neonates of small and light mothers (<155 cm, <50 kg) had, according to the presently used classification scheme, an SGA rate of 25.3% and an LGA rate of 1.7%, respectively. Newborns to tall and heavy women (>179 cm, >89 kg) had a much lower SGA rate (3.1%) and a much higher LGA rate (30.6%). Neonatal body length and head circumference depended on maternal stature in a similar way. Some neonates who are “appropriate” for their gestational age in that they achieve their genetically determined growth potential are therefore apparently misclassified as SGA or LGA.

Keywords: LGA rate; maternal stature; neonatal development; perinatal survey; SGA rate

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