What are the causes for low birthweight in Japan? A single hospital-based study
Low-birthweight (LBW;
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| Veröffentlicht in: | PloS one 2021-06, Vol.16 (6), p.e0253719-e0253719 |
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| creator | Kasuga, Yoshifumi Ikenoue, Satoru Tamagawa, Masumi Oishi, Maki Endo, Toyohide Sato, Yu Iida, Miho Sato, Yasunori Tanaka, Mamoru Ochiai, Daigo |
| description | Low-birthweight (LBW; |
| doi_str_mv | 10.1371/journal.pone.0253719 |
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A single hospital-based study</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Kasuga, Yoshifumi ; Ikenoue, Satoru ; Tamagawa, Masumi ; Oishi, Maki ; Endo, Toyohide ; Sato, Yu ; Iida, Miho ; Sato, Yasunori ; Tanaka, Mamoru ; Ochiai, Daigo</creator><creatorcontrib>Kasuga, Yoshifumi ; Ikenoue, Satoru ; Tamagawa, Masumi ; Oishi, Maki ; Endo, Toyohide ; Sato, Yu ; Iida, Miho ; Sato, Yasunori ; Tanaka, Mamoru ; Ochiai, Daigo</creatorcontrib><description>Low-birthweight (LBW; <2,500 g) babies are at a higher risk of poor educational achievement, disability, and metabolic diseases than normal-birthweight babies in the future. However, reliable data on factors that contribute to LBW have not been considered previously. Therefore, we aimed to examine the distribution of the causes for LBW. A retrospective review of cases involving 4,224 babies whose mothers underwent perinatal care at Keio University Hospital between 2013 and 2019 was conducted. The LBW incidence was 24% (1,028 babies). Of the 1,028 LBW babies, 231 babies were from multiple pregnancies. Of the 797 singleton LBW babies, 518 (65%) were born preterm. Obstetric complications in women with preterm LBW babies included premature rupture of membrane or labor onset (31%), hypertensive disorders of pregnancy (HDP, 64%), fetal growth restriction (24%), non-reassuring fetal status (14%), and placental previa/vasa previa (8%). Of the 279 term LBW babies, 109 (39%) were small for gestational age. Multiple logistic regression analyses revealed the following factors as LBW risk factors in term neonates: low pre-pregnancy maternal weight, inadequate gestational weight gain, birth at 37 gestational weeks, HDP, anemia during pregnancy, female sex, and neonatal congenital anomalies. HDP was an LBW risk factor not only in preterm births but also in term births. Our results suggest that both modifiable and non-modifiable factors are causes for LBW. It may be appropriate to consider a heterogeneous rather than a simple classification of LBW and to evaluate future health risks based on contributing factors.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0253719</identifier><identifier>PMID: 34161392</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Anemia ; Biology and Life Sciences ; Birth weight ; Birth weight, Low ; Blood pressure ; Body mass index ; Complications ; Congenital anomalies ; Congenital defects ; Diabetes ; Fetus ; Fetuses ; Gestational age ; Growth ; Gynecology ; Health aspects ; Health care ; Health risks ; Hospitals ; Infants ; Medicine and Health Sciences ; Metabolic disorders ; Neonates ; Newborn babies ; Obstetrics ; Physiological aspects ; Placenta ; Pregnancy ; Premature birth ; Premature labor ; Preventive medicine ; Public health ; Risk analysis ; Risk factors ; Small for gestational age ; Trends ; Weight ; Womens health</subject><ispartof>PloS one, 2021-06, Vol.16 (6), p.e0253719-e0253719</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Kasuga et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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A single hospital-based study</title><title>PloS one</title><description>Low-birthweight (LBW; <2,500 g) babies are at a higher risk of poor educational achievement, disability, and metabolic diseases than normal-birthweight babies in the future. However, reliable data on factors that contribute to LBW have not been considered previously. Therefore, we aimed to examine the distribution of the causes for LBW. A retrospective review of cases involving 4,224 babies whose mothers underwent perinatal care at Keio University Hospital between 2013 and 2019 was conducted. The LBW incidence was 24% (1,028 babies). Of the 1,028 LBW babies, 231 babies were from multiple pregnancies. Of the 797 singleton LBW babies, 518 (65%) were born preterm. Obstetric complications in women with preterm LBW babies included premature rupture of membrane or labor onset (31%), hypertensive disorders of pregnancy (HDP, 64%), fetal growth restriction (24%), non-reassuring fetal status (14%), and placental previa/vasa previa (8%). Of the 279 term LBW babies, 109 (39%) were small for gestational age. Multiple logistic regression analyses revealed the following factors as LBW risk factors in term neonates: low pre-pregnancy maternal weight, inadequate gestational weight gain, birth at 37 gestational weeks, HDP, anemia during pregnancy, female sex, and neonatal congenital anomalies. HDP was an LBW risk factor not only in preterm births but also in term births. Our results suggest that both modifiable and non-modifiable factors are causes for LBW. It may be appropriate to consider a heterogeneous rather than a simple classification of LBW and to evaluate future health risks based on contributing factors.</description><subject>Anemia</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Birth weight, Low</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Complications</subject><subject>Congenital anomalies</subject><subject>Congenital defects</subject><subject>Diabetes</subject><subject>Fetus</subject><subject>Fetuses</subject><subject>Gestational age</subject><subject>Growth</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health risks</subject><subject>Hospitals</subject><subject>Infants</subject><subject>Medicine and Health Sciences</subject><subject>Metabolic disorders</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Obstetrics</subject><subject>Physiological aspects</subject><subject>Placenta</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Premature labor</subject><subject>Preventive medicine</subject><subject>Public health</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Small for gestational age</subject><subject>Trends</subject><subject>Weight</subject><subject>Womens health</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7jr6DwQDgujFjEnz0eZGGRY_RhYG_LwMp2k6zZBpxiR13X9v61TZyl5ILhJOnvOenJM3yx4TvCK0IC_3vg8duNXRd2aFcz7E5J3snEiaL0WO6d0b57PsQYx7jDkthbifnVFGBKEyP8-231pICIJBqTVIQx9NRI0PyPkrVNmQ2itjd21CtkMf4Ajda7RG0XY7Z1Dr49EmcMsKoqlRTH19_TC714CL5tG0L7Ivb998vni_vNy-21ysL5e6oDwtKSGCG5bXVaNLxpmuiKiKKs85xljWGuOmFA3luIIC6pqLnDPGBTRMl6XUmC6yJyfdo_NRTbOIasQYk1yOxOZE1B726hjsAcK18mDV74APOwUhWe2MKkAWlWS4hAozClVpCBe6lKYhTV7UxaD1aqrWVwdTa9OlAG4mOr_pbKt2_ocq85zw4RsW2fNJIPjvvYlJHWzUxjnojO9P7y4LKdiIPv0Hvb27idrB0IDtGj_U1aOoWgshiOSYj1qrW6hh1eZg9WCcxg7xWcKLWcLAJPMz7QZfRLX59PH_2e3XOfvsBtsacKmN3vXJ-i7OQXYCdfAxBtP8HTLBavT9n2mo0fdq8j39BXOI8cg</recordid><startdate>20210623</startdate><enddate>20210623</enddate><creator>Kasuga, Yoshifumi</creator><creator>Ikenoue, Satoru</creator><creator>Tamagawa, Masumi</creator><creator>Oishi, Maki</creator><creator>Endo, Toyohide</creator><creator>Sato, Yu</creator><creator>Iida, Miho</creator><creator>Sato, Yasunori</creator><creator>Tanaka, Mamoru</creator><creator>Ochiai, Daigo</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2395-9591</orcidid></search><sort><creationdate>20210623</creationdate><title>What are the causes for low birthweight in Japan? 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risks</topic><topic>Hospitals</topic><topic>Infants</topic><topic>Medicine and Health Sciences</topic><topic>Metabolic disorders</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Obstetrics</topic><topic>Physiological aspects</topic><topic>Placenta</topic><topic>Pregnancy</topic><topic>Premature birth</topic><topic>Premature labor</topic><topic>Preventive medicine</topic><topic>Public health</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Small for gestational age</topic><topic>Trends</topic><topic>Weight</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasuga, Yoshifumi</creatorcontrib><creatorcontrib>Ikenoue, Satoru</creatorcontrib><creatorcontrib>Tamagawa, Masumi</creatorcontrib><creatorcontrib>Oishi, Maki</creatorcontrib><creatorcontrib>Endo, Toyohide</creatorcontrib><creatorcontrib>Sato, Yu</creatorcontrib><creatorcontrib>Iida, Miho</creatorcontrib><creatorcontrib>Sato, 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Japan? A single hospital-based study</atitle><jtitle>PloS one</jtitle><date>2021-06-23</date><risdate>2021</risdate><volume>16</volume><issue>6</issue><spage>e0253719</spage><epage>e0253719</epage><pages>e0253719-e0253719</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Low-birthweight (LBW; <2,500 g) babies are at a higher risk of poor educational achievement, disability, and metabolic diseases than normal-birthweight babies in the future. However, reliable data on factors that contribute to LBW have not been considered previously. Therefore, we aimed to examine the distribution of the causes for LBW. A retrospective review of cases involving 4,224 babies whose mothers underwent perinatal care at Keio University Hospital between 2013 and 2019 was conducted. The LBW incidence was 24% (1,028 babies). Of the 1,028 LBW babies, 231 babies were from multiple pregnancies. Of the 797 singleton LBW babies, 518 (65%) were born preterm. Obstetric complications in women with preterm LBW babies included premature rupture of membrane or labor onset (31%), hypertensive disorders of pregnancy (HDP, 64%), fetal growth restriction (24%), non-reassuring fetal status (14%), and placental previa/vasa previa (8%). Of the 279 term LBW babies, 109 (39%) were small for gestational age. Multiple logistic regression analyses revealed the following factors as LBW risk factors in term neonates: low pre-pregnancy maternal weight, inadequate gestational weight gain, birth at 37 gestational weeks, HDP, anemia during pregnancy, female sex, and neonatal congenital anomalies. HDP was an LBW risk factor not only in preterm births but also in term births. Our results suggest that both modifiable and non-modifiable factors are causes for LBW. It may be appropriate to consider a heterogeneous rather than a simple classification of LBW and to evaluate future health risks based on contributing factors.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>34161392</pmid><doi>10.1371/journal.pone.0253719</doi><tpages>e0253719</tpages><orcidid>https://orcid.org/0000-0003-2395-9591</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Anemia Biology and Life Sciences Birth weight Birth weight, Low Blood pressure Body mass index Complications Congenital anomalies Congenital defects Diabetes Fetus Fetuses Gestational age Growth Gynecology Health aspects Health care Health risks Hospitals Infants Medicine and Health Sciences Metabolic disorders Neonates Newborn babies Obstetrics Physiological aspects Placenta Pregnancy Premature birth Premature labor Preventive medicine Public health Risk analysis Risk factors Small for gestational age Trends Weight Womens health |
| title | What are the causes for low birthweight in Japan? A single hospital-based study |
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