TY - JOUR
T1 - Vulnerable newborn types
T2 - Analysis of population-based registries for 165 million births in 23 countries, 2000–2021
AU - Suárez-Idueta, Lorena
AU - Yargawa, Judith
AU - the National Vulnerable Newborn Prevalence Collaborative Group and Vulnerable Newborn Measurement Core Group
AU - Blencowe, Hannah
AU - Bradley, Ellen
AU - Okwaraji, Yemisrach B.
AU - Pingray, Veronica
AU - Gibbons, Luz
AU - Gordon, Adrienne
AU - Warrilow, Kara
AU - Paixao, Enny S.
AU - Falcão, Ila Rocha
AU - Lisonkova, Sarka
AU - Wen, Qi
AU - Mardones, Francisco
AU - Caulier-Cisterna, Raúl
AU - Velebil, Petr
AU - Jírová, Jitka
AU - Horváth-Puhó, Erzsebet
AU - Sørensen, Henrik Toft
AU - Sakkeus, Luule
AU - Abuladze, Lili
AU - Gissler, Mika
AU - Heidarzadeh, Mohammad
AU - Moradi-Lakeh, Maziar
AU - Yunis, Khalid A.
AU - Al Bizri, Ayah
AU - Karalasingam, Shamala D.
AU - Jeganathan, Ravichandran
AU - Barranco, Arturo
AU - Broeders, Lisa
AU - van Dijk, Aimée E.
AU - Huicho, Luis
AU - Quezada-Pinedo, Hugo Guillermo
AU - Cajachagua-Torres, Kim Nail
AU - Alyafei, Fawziya
AU - AlQubaisi, Mai
AU - Cho, Geum Joon
AU - Kim, Ho Yeon
AU - Razaz, Neda
AU - Söderling, Jonas
AU - Smith, Lucy K.
AU - Kurinczuk, Jennifer
AU - Lowry, Estelle
AU - Rowland, Neil
AU - Wood, Rachael
AU - Monteath, Kirsten
AU - Pereyra, Isabel
AU - Pravia, Gabriella
AU - Ohuma, Eric O.
AU - Black, Robert E.
N1 - Funding Information:
Children's Investment Fund Foundation, prime grant 1803‐02535. The funders had no role in the study design, data collection, analysis or interpretation of the paper.
Publisher Copyright:
© 2023 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
PY - 2023/5
Y1 - 2023/5
N2 - Objective: To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021. Design: Population-based, multi-country analysis. Setting: National data systems in 23 middle- and high-income countries. Population: Liveborn infants. Methods: Country teams with high-quality data were invited to be part of the Vulnerable Newborn Measurement Collaboration. We classified live births by six newborn types based on gestational age information (preterm <37 weeks versus term ≥37 weeks) and size for gestational age defined as small (SGA, <10th centile), appropriate (10th–90th centiles), or large (LGA, >90th centile) for gestational age, according to INTERGROWTH-21st standards. We considered small newborn types of any combination of preterm or SGA, and term + LGA was considered large. Time trends were analysed using 3-year moving averages for small and large types. Main outcome measures: Prevalence of six newborn types. Results: We analysed 165 017 419 live births and the median prevalence of small types was 11.7% – highest in Malaysia (26%) and Qatar (15.7%). Overall, 18.1% of newborns were large (term + LGA) and was highest in Estonia 28.8% and Denmark 25.9%. Time trends of small and large infants were relatively stable in most countries. Conclusions: The distribution of newborn types varies across the 23 middle- and high-income countries. Small newborn types were highest in west Asian countries and large types were highest in Europe. To better understand the global patterns of these novel newborn types, more information is needed, especially from low- and middle-income countries.
AB - Objective: To examine the prevalence of novel newborn types among 165 million live births in 23 countries from 2000 to 2021. Design: Population-based, multi-country analysis. Setting: National data systems in 23 middle- and high-income countries. Population: Liveborn infants. Methods: Country teams with high-quality data were invited to be part of the Vulnerable Newborn Measurement Collaboration. We classified live births by six newborn types based on gestational age information (preterm <37 weeks versus term ≥37 weeks) and size for gestational age defined as small (SGA, <10th centile), appropriate (10th–90th centiles), or large (LGA, >90th centile) for gestational age, according to INTERGROWTH-21st standards. We considered small newborn types of any combination of preterm or SGA, and term + LGA was considered large. Time trends were analysed using 3-year moving averages for small and large types. Main outcome measures: Prevalence of six newborn types. Results: We analysed 165 017 419 live births and the median prevalence of small types was 11.7% – highest in Malaysia (26%) and Qatar (15.7%). Overall, 18.1% of newborns were large (term + LGA) and was highest in Estonia 28.8% and Denmark 25.9%. Time trends of small and large infants were relatively stable in most countries. Conclusions: The distribution of newborn types varies across the 23 middle- and high-income countries. Small newborn types were highest in west Asian countries and large types were highest in Europe. To better understand the global patterns of these novel newborn types, more information is needed, especially from low- and middle-income countries.
UR - http://www.scopus.com/inward/record.url?scp=85158986532&partnerID=8YFLogxK
U2 - 10.1111/1471-0528.17505
DO - 10.1111/1471-0528.17505
M3 - Article
C2 - 37156241
AN - SCOPUS:85158986532
SN - 1470-0328
JO - BJOG: An International Journal of Obstetrics and Gynaecology
JF - BJOG: An International Journal of Obstetrics and Gynaecology
ER -