Roshan J Selvaratnam|Euan Wallace|Rory Wolfe|Peter J. Anderson|Mary?Ann Davey
Association Between Iatrogenic Delivery for Suspected Fetal Growth Restriction and Childhood School Outcomes
Monash University|Government of Victoria|Monash University|Government of Victoria|Monash University|Monash University|Murdoch Children's Research Institute|Monash University|Government of Victoria
timely delivery infants suspected fetal growth restriction fgr balance preventing stillbirth minimizing prematurity particularly many infants suspected fgr normal growthto explore association iatrogenic delivery suspected fgr childhood school outcomesa retrospective wholepopulation cohort study linking perinatal data births 32 weeks gestation january 1 2003 december 31 2013 developmental educational test scores preparatory school school grades 3 5 7 victoria australia followup concluded 2019suspicion nonsuspicion fgr presence absence iatrogenic delivery defined early induction labor cesarean delivery prior labor suspected fgr presence absence small gestational age sgathe coprimary outcomes bottom 10th percentile 2 5 developmental domains school entry national minimum standard 2 5 educational domains grades 3 5 7in birth population 705 937 infants mean gestation birth 391 sd 15 weeks mean birth weight 3426 sd 517 grams birth population linked 181 902 children developmental results 425 717 children educational results compared infants severe sga birth weight 3rd percentile suspected fgr infants severe sga delivered suspected fgr born earlier mean gestation 379 weeks vs 394 weeks also significantly increased risk poor developmental outcome school entry 162 vs 127 absolute difference 35 95 ci 0565 adjusted odds ratio aor 136 95 ci 107174 poor educational outcomes grades 3 5 7 example grade 7 134 vs 105 absolute difference 29 95 ci 0455 aor 133 95 ci 104170 significant difference infants normal growth birth weight 10th percentile delivered suspected fgr suspected fgr developmental outcome 86 vs 81 absolute difference 05 95 ci 11 20 aor 117 95 ci 095145 educational outcome grade 3 5 7 despite born earlier mean gestation 380 weeks vs 391 weeksin exploratory study conducted victoria australia iatrogenic delivery infants severe sga due suspected fgr associated poorer school outcomes compared infants severe sga suspected fgr iatrogenic delivery infants normal growth due suspected fgr associated poorer school outcomes compared infants normal growth suspected fgr