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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/32198
Title: National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010
Authors: Anne C.C. Lee
Joanne Katz
Hannah Blencowe
Simon Cousens
Naoko Kozuki
Joshua P. Vogel
Linda Adair
Abdullah H. Baqui
Zulfiqar A. Bhutta
Laura E. Caulfield
Parul Christian
Siân E. Clarke
Majid Ezzati
Wafaie Fawzi
Rogelio Gonzalez
Lieven Huybregts
Simon Kariuki
Patrick Kolsteren
John Lusingu
Tanya Marchant
Mario Merialdi
Aroonsri Mongkolchati
Luke C. Mullany
James Ndirangu
Marie Louise Newell
Jyh Kae Nien
David Osrin
Dominique Roberfroid
Heather E. Rosen
Ayesha Sania
Mariangela F. Silveira
James Tielsch
Anjana Vaidya
Barbara A. Willey
Joy E. Lawn
Robert E. Black
Johns Hopkins Bloomberg School of Public Health
Brigham and Women's Hospital
London School of Hygiene & Tropical Medicine
University of Western Australia
Organisation Mondiale de la Sante
The University of North Carolina at Chapel Hill
The Aga Khan University
Imperial College London
Harvard School of Public Health
Pontificia Universidad Catolica de Chile
Universiteit Gent
Prins Leopold Instituut voor Tropische Geneeskunde
Centers for Disease Control and Prevention, Kenya
National Institute Medical Research
Mahidol University
University of KwaZulu-Natal
UCL Institute of Child Health
Universidad de los Andes, Santiago
Universidade Federal de Pelotas
George Washington University School of Public Health and Health Services
Save the Children USA
Keywords: Medicine
Issue Date: 1-Sep-2013
Citation: The Lancet Global Health. Vol.1, No.1 (2013)
Abstract: Background: National estimates for the numbers of babies born small for gestational age and the comorbidity with preterm birth are unavailable. We aimed to estimate the prevalence of term and preterm babies born small for gestational age (term-SGA and preterm-SGA), and the relation to low birthweight (<2500 g), in 138 countries of low and middle income in 2010. Methods: Small for gestational age was defined as lower than the 10th centile for fetal growth from the 1991 US national reference population. Data from 22 birth cohort studies (14 low-income and middle-income countries) and from the WHO Global Survey on Maternal and Perinatal Health (23 countries) were used to model the prevalence of term-SGA births. Prevalence of preterm-SGA infants was calculated from meta-analyses. Findings: In 2010, an estimated 32·4 million infants were born small for gestational age in low-income and middle-income countries (27% of livebirths), of whom 10·6 million infants were born at term and low birthweight. The prevalence of term-SGA babies ranged from 5·3% of livebirths in east Asia to 41·5% in south Asia, and the prevalence of preterm-SGA infants ranged from 1·2% in north Africa to 3·0% in southeast Asia. Of 18 million low-birthweight babies, 59% were term-SGA and 41% were preterm-SGA. Two-thirds of small-for-gestational-age infants were born in Asia (17·4 million in south Asia). Preterm-SGA babies totalled 2·8 million births in low-income and middle-income countries. Most small-for-gestational-age infants were born in India, Pakistan, Nigeria, and Bangladesh. Interpretation: The burden of small-for-gestational-age births is very high in countries of low and middle income and is concentrated in south Asia. Implementation of effective interventions for babies born too small or too soon is an urgent priority to increase survival and reduce disability, stunting, and non-communicable diseases. Funding: Bill & Melinda Gates Foundation by a grant to the US Fund for UNICEF to support the activities of the Child Health Epidemiology Reference Group (CHERG). © 2013 Lee et al.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84886445962&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/32198
ISSN: 2214109X
Appears in Collections:Scopus 2011-2015

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