PDF(Pubmed)
Abstract：
BACKGROUND: The rising number of newborns requiring neonatal intensive care unit (NICU) care poses immediate threats to their health and places emotional and financial burdens on families and healthcare systems. This study investigates the direct effect of maternal short stature on NICU admission in Sabah, Malaysia.
METHODS: A longitudinal study at Hospital Wanita Dan Kanak-Kanak Sabah (HWKKS) from 2018 to 2022 included 254 Malaysian women with singleton pregnancies and neonates born after the 37th week, excluding significant disorders, smoking/alcohol use, fetal death, and malformations. Birth weight, gestational age, and neonatal condition were recorded. The association between maternal height, low birth weight (LBW), and NICU admission was analyzed.
RESULTS: LBW prevalence was 15.35%, with an average participant height of 147.37 cm. Maternal stature was significantly associated with LBW, with the shortest quartile (Q1) having the highest risk. LBW was significantly associated with NICU admission, with LBW newborns at a sixfold higher risk. Maternal height was also significantly associated with NICU admission, with Q1 having the highest risk. The receiver operating characteristic (ROC) curve suggested combining Q1 and Q2 for the best prediction of NICU admission, indicating that shorter mothers face a higher risk of neonates requiring NICU care.
CONCLUSIONS: Maternal short stature could be a valuable predictor of LBW and NICU admission risk. It may be a screening tool to assess these risks in healthcare settings. However, further research is needed to explore this association\'s underlying mechanisms and potential interventions.
METHODS: A longitudinal study at Hospital Wanita Dan Kanak-Kanak Sabah (HWKKS) from 2018 to 2022 included 254 Malaysian women with singleton pregnancies and neonates born after the 37th week, excluding significant disorders, smoking/alcohol use, fetal death, and malformations. Birth weight, gestational age, and neonatal condition were recorded. The association between maternal height, low birth weight (LBW), and NICU admission was analyzed.
RESULTS: LBW prevalence was 15.35%, with an average participant height of 147.37 cm. Maternal stature was significantly associated with LBW, with the shortest quartile (Q1) having the highest risk. LBW was significantly associated with NICU admission, with LBW newborns at a sixfold higher risk. Maternal height was also significantly associated with NICU admission, with Q1 having the highest risk. The receiver operating characteristic (ROC) curve suggested combining Q1 and Q2 for the best prediction of NICU admission, indicating that shorter mothers face a higher risk of neonates requiring NICU care.
CONCLUSIONS: Maternal short stature could be a valuable predictor of LBW and NICU admission risk. It may be a screening tool to assess these risks in healthcare settings. However, further research is needed to explore this association\'s underlying mechanisms and potential interventions.
摘要：
背景：需要新生儿重症监护病房（NICU）护理的新生儿数量的增加对其健康构成了直接威胁，并给家庭和医疗保健系统带来了情感和经济负担。这项研究调查了产妇身材矮小对沙巴NICU入院的直接影响，马来西亚。
方法：2018年至2022年在WanitaDanKanak-KanakSabah（HWKKS）医院进行的一项纵向研究包括254名马来西亚妇女，这些妇女在第37周后出生，排除重大疾病，吸烟/饮酒，胎儿死亡,和畸形。出生体重,胎龄,并记录新生儿状况。产妇身高之间的关联，低出生体重（LBW），并对NICU入院情况进行分析。
结果：LBW患病率为15.35%，参与者的平均身高为147.37厘米。母亲的身材与LBW显著相关，最短的四分位数(Q1)风险最高。LBW与NICU入院显着相关，LBW新生儿风险高6倍。产妇身高也与NICU入院显着相关，Q1风险最高。接收器工作特性（ROC）曲线建议将Q1和Q2结合起来，以最好地预测NICU的入院情况。这表明较矮的母亲面临更高的新生儿需要NICU护理的风险。
结论：产妇身材矮小可能是LBW和NICU入院风险的一个有价值的预测指标。它可能是评估医疗保健环境中这些风险的筛查工具。然而,需要进一步的研究来探索这种关联的潜在机制和潜在的干预措施.
方法：2018年至2022年在WanitaDanKanak-KanakSabah（HWKKS）医院进行的一项纵向研究包括254名马来西亚妇女，这些妇女在第37周后出生，排除重大疾病，吸烟/饮酒，胎儿死亡,和畸形。出生体重,胎龄,并记录新生儿状况。产妇身高之间的关联，低出生体重（LBW），并对NICU入院情况进行分析。
结果：LBW患病率为15.35%，参与者的平均身高为147.37厘米。母亲的身材与LBW显著相关，最短的四分位数(Q1)风险最高。LBW与NICU入院显着相关，LBW新生儿风险高6倍。产妇身高也与NICU入院显着相关，Q1风险最高。接收器工作特性（ROC）曲线建议将Q1和Q2结合起来，以最好地预测NICU的入院情况。这表明较矮的母亲面临更高的新生儿需要NICU护理的风险。
结论：产妇身材矮小可能是LBW和NICU入院风险的一个有价值的预测指标。它可能是评估医疗保健环境中这些风险的筛查工具。然而,需要进一步的研究来探索这种关联的潜在机制和潜在的干预措施.
