Navigation Links
Many babies born to immigrants are being labeled too small incorrectly
Date:2/15/2012

TORONTO, Ont. -- One of the first things people ask new parents is how much does their baby weigh.

For some immigrant parents, especially South Asians, the question may be stressful. Many of their newborns are incorrectly diagnosed as being significantly underweight, meaning they could be at higher risk of developmental issues.

Researchers at St. Michael's Hospital say many of these infants are in fact the correct birthweight for their ethnic group and should not be compared to those of babies of Canadian-born mothers.

The researchers, led by Dr. Joel Ray, have developed the first "newborn weight curves" for specific ethnic groups across Canada. Birthweight curves are graphs used to plot how one baby's weight compares to others of the same age. A baby whose birthweight is in the lowest tenth percentile of the curve is deemed to be "small for gestational age" (SGA).

The new curves and his related research were published today in the Journal of Obstetrics and Gynaecology Canada.

Dr. Ray examined 760,000 live births in Ontario, which has 55 per cent of Canada's immigrants. He found that babies born to mothers from each region of the world, except Europe and other Western countries, had significantly lower birthweights up to 250 grams less -- than those for infants of Canadian-born mothers.

He found that 67 of every 1,000 babies born to parents from Africa or the Caribbean were at risk of being classified as significantly underweight if plotted on an outdated Canadian curve instead of the new world region-specific curve.

Even more troublesome was his finding that 116 of every 1,000 South Asian babies more than one in 10 -- were at risk of being misclassified under the Canadian curve.

"That's unacceptable in my mind," said Dr. Ray. "There are all these parents who are very excited about having a baby, and now they might have concerns their baby is not big enoughsomething that it not true and not especially welcoming."

Dr. Ray also examined how many babies were being incorrectly labeled as too heavy, or in the ninetieth percentile in birthweight. When correctly diagnosed, these babies may need to be delivered early; thus, a misdiagnosis may result in unnecessary elective cesarean sections.

The current Canadian curve misses as many as six in 10 Southeast Asian/Pacific and South Asian babies who are big compared to others in their ethnic groups.

Birthweight is important not just for parents' peace of mind. It is also one of the essential yardsticks used to measure a baby's progress or failure to thrive in its first days and weeks.

"Our findings have potential impact in several ways," Dr. Ray said. "The number of new immigrant parents and infants affected is sizable, meaning that there is a large target group in need of new birthweight curves."

Secondly, recent immigrants may not understand the implications of having a significantly underweight infant and may lack the linguistic, social, financial or transportation resources to effectively follow-up with pediatric care.

"By implementing our modified birthweight charts, a large number of newborns will be spared an unnecessarily prolonged stay in hospital, special biochemical and genetic testing, and follow-up with a general or developmental pediatrician," Dr. Ray said. "This lowers the burden on not only the child and their parent, but also on limited in-hospital and pediatric clinic resources within the ever-busy GTA. "


'/>"/>
Contact: Leslie Shepherd
shepherdl@smh.ca
416-864-6094
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. Prevention Is Key Research Goal for Premature Babies, Scientists Say
2. Two Babies Born a Year Apart After Ovary Transplant
3. Naptime Helps Babies Remember New Things
4. Pioneering treatment reduces disability in premature babies with serious brain hemorrhage
5. 1 in 5 At-Risk U.S. Babies Doesnt Get Hepatitis B Vaccine
6. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Louisiana is 46th Among All States in Maternal Mortality
7. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Georgia is 50th Among All States in Maternal Mortality
8. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Maryland is 48th Among All States in Maternal Mortality
9. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; District of Columbia is 51st Among All States in Maternal Mortality
10. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Arkansas is 44th Among All States in Maternal Mortality
11. New, National Amnesty International Report Finds Appalling U.S. Death Rate for Women Having Babies, Systemic Failures and Shocking Disparities in Maternal Health Care System; Delaware is 42nd Among All States in Maternal Mortality
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
(Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
(Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
Breaking Medicine Technology: