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Purpose of Investigation: The purpose is to identify factors related to postpartum hemorrhage (PPH) that are evaluated during regular prenatal check-ups. Materials and Methods: Obstetric and neonatal data were collected retrospectively for 1,922 women with singleton pregnancies who delivered vaginally. Results: Overweight women exhibited more severe PPH cases compared to normal PPH (p = 0.04). Of pre-pregnancy body mass index (BMI), gestational weight gain (GWG), gestational week of delivery, and neonatal body weight, neonatal body weight showed a significantly elevated risk for severe PPH (adjusted OR = 1.156, p < 0.001). Infant body weight was correlated positively with pre-pregnancy BMI, GWG, and gestational week of delivery (r = 0.194, r = 0.189 and r = 0.364, respectively). Pre-pregnancy BMI, GWG, and gestational week of delivery were associated with neonatal body weight (adjusted B = 0.169, 1.206 and 1.181, respectively; p < 0.001). Conclusion: Management of maternal body weight induces a safe delivery through controlling neonatal body weight. Content: Severe postpartum hemorrhage is associated with neonatal body weight which is influenced by maternal body mass index and weight gain.

Objective: The objective of this study is to examine the effect of low-glucose value on the 1-h 50-g glucose challenge test (GCT) on neonatal body weight in low-risk Asian singleton pregnant women.Method: We retrospectively analyzed women who delivered a singleton neonate at term at a tertiary center and underwent GCT at 24-28 weeks of gestation between June 2001 and June 2015. The low GCT group was defined as <75 mg/dL and 75-139 mg/dL were control. We compared these two groups of maternal characteristics, small for gestational age neonate (SGA), large for gestational age neonate (LGA), low-birth weight, and macrosomia. The χ2 test, Fisher's exact test, and Student's t test were used.Results: There were 313 low GCT groups and 4611 control. The low GCT group were younger, had lower prepregnancy body weight, higher stature, and lower prepregnancy body mass index (BMI). After adjusting these variables, the low GCT group had a lower rate of LGA and a higher rate of SGA. Neonatal body weight is more influenced by maternal physique than by low GCT result (standardized coefficient (β); GCT 0.071, height 0.188, prepregnancy BMI 0.143).Conclusions: Neonatal body weight was only slightly influenced by low GCT result, but markedly influenced by maternal physique, such as height and prepregnancy BMI. [ABSTRACT FROM AUTHOR]

There are a limited number of studies on secular changes in the neonatal period, and the majority of them concern research related to childhood and puberty The objective of our study was to carry out a comparative analysis of body weight and length at birth in neonates born in Wrocław in subsequent decades since 1950 to find out if these parameters are subject to secular trend, and what values they attained during the studied period of 50 years. The study was carried out in the 1950s, 1960s, 1970s, 1980s, 1990s and in 2000 to analyse changes in body length, body weight and Rohrer index over time. The sample studied consisted of 7510 neonates, 3882 males and 3628 females, born in Wroclaw. Secular changes were tested using one-way variance analysis. The values of F statistics were compared to the critical values of the F Snedecor distribution. Changes in the features of neonates in subsequent study years were analysed using the modified z-score. Data were normalised for standard deviation in decade increments. Results demonstrated very slight, though statistically insignificant increase in body weight at birth. Over the 50-year period the mean body weight of neonates was in the range of 3.3-3.4 kg, regardless of sex. Results demonstrated very slight, though statistically insignificant increase in body weight at birth. Over the 50-year period the mean body weight of neonates was in the range of 3.3-3.4 kg, regardless of sex. The acceleration in the body length of neonates caused a gradual decrease in the mean values of the Rohrer index. No secular trend in body weight was found in Wrocław neonates over the 50-year period between 1950 and 2000 With regard to body length at birth, four waves of deceleration and acceleration were found: period 1 (1950s): deceleration in the increase of the analysed body parameters of neonates; period 2 (1960s): acceleration in neonates' growth; period 3 (1970s and 1980s): economic crisis and political transformations in Poland; this is reflected by the stable mean values of body dimensions in neonates. The secular trend clearly decelerated, and period 4 (1990s and 2000) - very intense acceleration in both body weight and length and the Rohrer index. [ABSTRACT FROM AUTHOR]