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Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards

Morkuniene, Ruta; Tutkuviene, Janina; Cole, Tim J; Jakimaviciene, Egle Marija; Isakova, Jelena; Bankauskiene, Agne; Drazdiene, Nijole; (2022) Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards. Scientific Reports , 12 , Article 11057. 10.1038/s41598-022-15128-3. Green open access

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Abstract

Neonatal head circumference (HC) not only represents the brain size of Homo sapiens, but is also an important health risk indicator. Addressing a lack of comparative studies on head size and its variability in term and preterm neonates from different populations, we aimed to examine neonatal HC by gestation according to a regional reference and a global standard. Retrospective analysis of data on neonatal HC obtained from the Lithuanian Medical Birth Register from 2001 to 2015 (423 999 newborns of 24-42 gestational weeks). The varying distribution by gestation and sex was estimated using GAMLSS, and the results were compared with the INTERGROWTH-21st standard. Mean HC increased with gestation in both sexes, while its fractional variability fell. The 3rd percentile matched that for INTERGROWTH-21st at all gestations, while the 50th and 97th percentiles were similar up to 27 weeks, but a full channel width higher than INTERGROWTH-21st at term. INTERGROWTH-21st facilitates the evaluation of neonatal HC in early gestations, while in later gestations, the specific features of neonatal HC of a particular population tend to be more precisely represented by regional references.

Type: Article
Title: Neonatal head circumference by gestation reflects adaptation to maternal body size: comparison of different standards
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41598-022-15128-3
Publisher version: https://doi.org/10.1038/s41598-022-15128-3
Language: English
Additional information: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Birth Weight, Body Size, Cephalometry, Female, Gestational Age, Humans, Infant, Newborn, Male, Pregnancy, Reference Standards, Retrospective Studies
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10152046
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