{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T08:18:00Z","timestamp":1758269880792},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T00:00:00Z","timestamp":1366588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"a Golden Casket Research Grant"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The study aims to describe the cohort of women and babies who are classified as small\u2010for\u2010gestational age (<jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>) at term by both an Australian customised birthweight model (<jats:styled-content style=\"fixed-case\">CBM<\/jats:styled-content>) and a commonly used population\u2010based standard, and to investigate and compare the utility of these models in identifying babies at risk of experiencing adverse outcomes<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Routinely collected data on 54\u2009890 singleton\u2010term births at the <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ater <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>others' <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospitals, <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>risbane, with birthweight less than 4000\u2009g between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 1997 and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2008, was extracted. Each birth was classified as <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> (&lt;10th centile) or not <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> by either and\/or both methods: population\u2010based standards (SGA<jats:sub>pop<\/jats:sub>) and <jats:styled-content style=\"fixed-case\">CBM<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SGA<jats:sub>cust<\/jats:sub><\/jats:styled-content>). Babies classified as <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content><jats:sub>pop<\/jats:sub>, <jats:styled-content style=\"fixed-case\">SGA<jats:sub>cust<\/jats:sub><\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">SGA<jats:sub>both<\/jats:sub><\/jats:styled-content> were compared with those not classified as <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> by both methods using relative risk and 95% confidence interval, and those only classified as <jats:styled-content style=\"fixed-case\">SGA<jats:sub>cust<\/jats:sub><\/jats:styled-content> were compared with those only classified as <jats:styled-content style=\"fixed-case\">SGA<jats:sub>pop<\/jats:sub><\/jats:styled-content>. Maternal demographics, maternal risk factors for fetal growth restriction, pregnancy and labour complications and adverse neonatal outcomes are reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u2003A total of 4768 (8.7%) births were classified as <jats:styled-content style=\"fixed-case\">SGA<jats:sub>pop<\/jats:sub><\/jats:styled-content>, while 6479 (11.8%) were <jats:styled-content style=\"fixed-case\">SGA<jats:sub>cust<\/jats:sub><\/jats:styled-content> of whom 4138 (63.9%) were also classified as <jats:styled-content style=\"fixed-case\">SGA<jats:sub>pop<\/jats:sub><\/jats:styled-content>. Maternal risk factors such as smoking and hypertension were statistically higher for the <jats:styled-content style=\"fixed-case\">SGA<jats:sub>cust<\/jats:sub><\/jats:styled-content> group when compared with <jats:styled-content style=\"fixed-case\">SGA<jats:sub>pop<\/jats:sub><\/jats:styled-content>. For the majority of adverse neonatal outcomes, a trend was noted to increased identification using the <jats:styled-content style=\"fixed-case\">CBM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">CBM<\/jats:styled-content> provides a modest improvement when compared to a population\u2010based standard to identity term infants at birth who are at risk of adverse neonatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12189","type":"journal-article","created":{"date-parts":[[2013,4,23]],"date-time":"2013-04-23T08:25:01Z","timestamp":1366705501000},"page":"380-387","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Customised birthweight models: Do they increase identification of at\u2010risk infants?"],"prefix":"10.1111","volume":"49","author":[{"given":"Kristen","family":"Gibbons","sequence":"first","affiliation":[{"name":"Clinical Research Support Unit Mater Medical Research Institute"},{"name":"Mothers' and Babies Research Theme Mater Medical Research Institute"},{"name":"School of Population Health University of Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Chinese University of Hong Kong  Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[{"name":"Mothers' and Babies Research Theme Mater Medical Research Institute"},{"name":"University of Queensland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kassam","family":"Mahomed","sequence":"additional","affiliation":[{"name":"University of Queensland"},{"name":"Department of Obstetrics and Gynaecology Ipswich Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn","family":"Gardener","sequence":"additional","affiliation":[{"name":"University of Queensland"},{"name":"Maternal Fetal Medicine Unit  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter H","family":"Gray","sequence":"additional","affiliation":[{"name":"Mothers' and Babies Research Theme Mater Medical Research Institute"},{"name":"Division of Neonatology Mater Mothers' Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Mater Mothers' Hospital  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Rossouw","sequence":"additional","affiliation":[{"name":"Mothers' and Babies Research Theme Mater Medical Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(72)90683-7"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2003.233"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.86.5.707"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2004.053892"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00602.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.152.12.1225"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.2.301"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2006-2017"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200606000-00009"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1982.tb04626.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90748-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1995.06030168.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01219.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"28 e21","DOI":"10.1016\/j.ajog.2009.04.034","article-title":"Adverse pregnancy outcome and association with small for gestational age birthweight by customized and population\u2010based percentiles","volume":"201","author":"Gardosi J","year":"2009","journal-title":"Am. 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