Brueton M J
Acta Paediatr Scand. 1975 May;64(3):537-40. doi: 10.1111/j.1651-2227.1975.tb03876.x.
The management of low birthweight infants in the developing world is complicated by the lack of criteria for distinguishing between preterm and small gestational age newborns. Clinical gestational age assessment has been applied to 850 normal singleton neonates in a rural Nigerian community. The technique used was sufficiently accurate to enable centile curves for birthweight and gestational age to be constructed. Comparison with a European community showed that in the African babies weight gain was reduced in late pregnancy and had ceased by 40 weeks gestation but that the median birthweight was less at each week of gestation studied. The preparation and use of such reference curves for birthweight and gestational age for the study of the reasons for these differences is discussed.
发展中国家低出生体重婴儿的管理因缺乏区分早产儿和小于胎龄新生儿的标准而变得复杂。临床孕周评估已应用于尼日利亚农村社区的850例正常单胎新生儿。所采用的技术足够准确，能够构建出生体重和孕周的百分位数曲线。与欧洲社区的比较表明，非洲婴儿在妊娠晚期体重增加减少，在妊娠40周时停止增加，但在所研究的每个孕周，其出生体重中位数都较低。本文讨论了为研究这些差异的原因而准备和使用此类出生体重和孕周参考曲线的情况。
