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Risk scores for predicting small for gestational age infants in Japan: The TMM birthree cohort studyIwama, Noriyuki; Obara, Taku; Ishikuro, Mami; Murakami, Keiko; Ueno, Fumihiko; Noda, Aoi; Onuma, Tomomi; Matsuzaki, Fumiko; Hoshiai, Tetsuro; Saito, Masatoshi; Metoki, Hirohito; Sugawara, Junichi; Yaegashi, Nobuo; Kuriyama, Shinichi
Scientific reports, 05/2022, Letnik: 12, Številka: 1Journal Article
This study aimed to construct a prediction model for small-for-gestational-age (SGA) infants in Japan by creating a risk score during pregnancy. A total of 17,073 subjects were included in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study, a prospective cohort study. A multiple logistic regression model was used to construct risk scores during early and mid-gestational periods (11-17 and 18-21 weeks of gestation, respectively). The risk score during early gestation comprised the maternal age, height, body mass index (BMI) during early gestation, parity, assisted reproductive technology (ART) with frozen-thawed embryo transfer (FET), smoking status, blood pressure (BP) during early gestation, and maternal birth weight. The risk score during mid-gestation also consisted of the maternal age, height, BMI during mid-gestation, weight gain, parity, ART with FET, smoking status, BP level during mid-gestation, maternal birth weight, and estimated fetal weight during mid-gestation. The C-statistics of the risk scores during early- and mid-gestation were 0.658 (95% confidence interval CI: 0.642-0.675) and 0.725 (95% CI: 0.710-0.740), respectively. In conclusion, the predictive ability of the risk scores during mid-gestation for SGA infants was acceptable and better than that of the risk score during early gestation.
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