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

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. "


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

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