Publication:
National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010

Issued Date

2013-09-01

Resource Type

Article

ISSN

2214109X

DOI

10.1016/S2214-109X(13)70006-8

Other identifier(s)

2-s2.0-84886445962

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

The Lancet Global Health. Vol.1, No.1 (2013)

Suggested Citation

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 National and regional estimates of term and preterm babies born small for gestational age in 138 low-income and middle-income countries in 2010. The Lancet Global Health. Vol.1, No.1 (2013). doi:10.1016/S2214-109X(13)70006-8 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32198

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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

Author(s)

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

Other Contributor(s)

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

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.

Keyword(s)

Medicine

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URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/32198

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