TY - JOUR
T1 - The smaller firstborn
T2 - exploring the association of parity and fetal growth
AU - Melamed, Ben
AU - Aviram, Amir
AU - Barg, Moshe
AU - Mei-Dan, Elad
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023.
PY - 2024/7
Y1 - 2024/7
N2 - Purpose: To investigate the association of parity with a range of neonatal anthropometric measurements in a cohort of uncomplicated term singleton pregnancies. Methods: Retrospective cohort study of patients with a singleton term birth at a single tertiary center (2014–2020) was carried out. The primary exposure was parity. The following neonatal anthropometric measures were considered: birthweight, head circumference, length, ponderal index, and neonatal body mass index (BMI). Results: A total of 8134 patients met the study criteria, 1949 (24.0%) of whom were nulliparous. Compared with multiparous patients, infants of nulliparous patients had a lower mean percentile for birthweight (43.1 ± 26.4 vs. 48.3 ± 26.8 percentile, p < 0.001), head circumference (44.3 ± 26.4 vs. 48.1 ± 25.5 percentile, p < 0.001), length (52.6 ± 25.1 vs. 55.5 ± 24.6 percentile, p < 0.001), ponderal index (34.4 ± 24.0 vs. 37.6 ± 24.2 percentile, p < 0.001), and BMI (39.1 ± 27.1 vs. 43.9 ± 27.3 percentile, p < 0.001). In addition, infants of nulliparous patients had higher odds of having a small (< 10th percentile for gestational age) birthweight (aOR 1.32 [95% CI 1.12–1.56]), head circumference (aOR 1.54 [95% CI 1.29–1.84]), length (aOR 1.50 [95% CI 1.16–1.94]), ponderal index (aOR 1.30 [95% CI 1.12–1.51]), and body mass index (aOR 1.42 [95% CI 1.22–1.65]). Most neonatal anthropometric measures increased with parity until a parity of 2, where it seemed to reach a plateau. Conclusion: Parity has an independent impact on a wide range of neonatal anthropometric measures, suggesting that parity is associated with both fetal skeletal growth and body composition. In addition, the association of parity with fetal growth does not follow a continuous relationship but instead reaches a plateau after the second pregnancy.
AB - Purpose: To investigate the association of parity with a range of neonatal anthropometric measurements in a cohort of uncomplicated term singleton pregnancies. Methods: Retrospective cohort study of patients with a singleton term birth at a single tertiary center (2014–2020) was carried out. The primary exposure was parity. The following neonatal anthropometric measures were considered: birthweight, head circumference, length, ponderal index, and neonatal body mass index (BMI). Results: A total of 8134 patients met the study criteria, 1949 (24.0%) of whom were nulliparous. Compared with multiparous patients, infants of nulliparous patients had a lower mean percentile for birthweight (43.1 ± 26.4 vs. 48.3 ± 26.8 percentile, p < 0.001), head circumference (44.3 ± 26.4 vs. 48.1 ± 25.5 percentile, p < 0.001), length (52.6 ± 25.1 vs. 55.5 ± 24.6 percentile, p < 0.001), ponderal index (34.4 ± 24.0 vs. 37.6 ± 24.2 percentile, p < 0.001), and BMI (39.1 ± 27.1 vs. 43.9 ± 27.3 percentile, p < 0.001). In addition, infants of nulliparous patients had higher odds of having a small (< 10th percentile for gestational age) birthweight (aOR 1.32 [95% CI 1.12–1.56]), head circumference (aOR 1.54 [95% CI 1.29–1.84]), length (aOR 1.50 [95% CI 1.16–1.94]), ponderal index (aOR 1.30 [95% CI 1.12–1.51]), and body mass index (aOR 1.42 [95% CI 1.22–1.65]). Most neonatal anthropometric measures increased with parity until a parity of 2, where it seemed to reach a plateau. Conclusion: Parity has an independent impact on a wide range of neonatal anthropometric measures, suggesting that parity is associated with both fetal skeletal growth and body composition. In addition, the association of parity with fetal growth does not follow a continuous relationship but instead reaches a plateau after the second pregnancy.
KW - Growth
KW - Multiparity
KW - Nulliparity
KW - Parity
KW - Vascular
KW - Vascularity
KW - Weight
UR - http://www.scopus.com/inward/record.url?scp=85174596791&partnerID=8YFLogxK
U2 - 10.1007/s00404-023-07249-5
DO - 10.1007/s00404-023-07249-5
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C2 - 37848678
AN - SCOPUS:85174596791
SN - 0932-0067
VL - 310
SP - 93
EP - 102
JO - Archives of Gynecology and Obstetrics
JF - Archives of Gynecology and Obstetrics
IS - 1
ER -