Newborn weight nomograms in selected low and middle-income countries
Document Type
Report
Department
Paediatrics and Child Health
Abstract
Growth impairment is common in low- and middle-income countries (LMIC) and may begin during early infancy, increasing morbidity and mortality. To ensure healthy infant growth, healthcare providers in high-income countries (HIC) track newborn weight change using tools developed and validated in HIC. To understand the utility of these tools for LMIC, we conducted a secondary analysis to compare weight trajectories in the first 5 days of life among newborns born in our LMIC cohort to an existing HIC newborn weight tool designed to track early weight change. Between April 2019 and March 2020, a convenience sample of 741 singleton healthy breastfeeding newborns who weighed ≥ 2000 g at birth were enrolled at selected health facilities in Guinea-Bissau, Nepal, Pakistan, and Uganda. Using a standardized protocol, newborn weights were obtained within 6 h of birth and at 1, 2, 3, 4, and 5 days, and nomograms depicting newborn weight change were generated. The trajectories of early newborn weight change in our cohort were largely similar to published norms derived from HIC infants, with the exceptions that initial newborn weight loss in Guinea-Bissau was more pronounced than HIC norms and newborn weight gain following weight nadir was more pronounced in Guinea-Bissau, Pakistan, and Uganda than HIC norms. These data demonstrate that HIC newborn weight change tools may have utility in LMIC settings
Publication (Name of Journal)
Scientific reports
DOI
10.1038/s41598-023-39773-4
Recommended Citation
Ginsburg, A. S.,
Jehan, F.,
Ariff, S.,
Nisar, M. I.,
Schaefer, E.,
Flaherman, V.,
Shrestha, A.,
Dongol, S.,
Laleau, V.,
de Sa, A. B.
(2023). Newborn weight nomograms in selected low and middle-income countries. Scientific reports, 13(1).
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/1418
Comments
Pagination are not provided by the author/publisher.