Maternal Anthropometry and Pregnancy Outcomes
WHO Collaborative Study (A)
WHO Bulletin Supplement, Vol 73, 1995
World Health Organization
ISBN-13    9789240687301 ISBN-10    9240687300
Order Number    10307301 Format    E-book collection (PDF)
Price    CHF    20.00 / US$    24.00 Developing countries:    CHF    14.00
English     1995        98   pages
Table of contents
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Translation(s) available
Reports the methodology and findings of a meta-analysis designed to determine the usefulness of commonly employed indicators for monitoring the outcome of pregnancy and predicting risks. The study assessed some 25 data sets on maternal anthropometry and pregnancy outcome from 20 countries, providing information on more than 111,000 births. One of the principal aims of the study was to quantify the extent to which anthropometric measurements are useful and efficient in predicting specific infant and maternal outcomes and complications of pregnancy. To assist programme managers and health workers, the study also aimed to suggest appropriate anthropometric indicators for field application, particularly in resource poor settings.
The opening sections of the report provide full details about the method, the study design, its objectives, and possible limitations to its findings. The first part of the analysis evaluated the inherent value of maternal weight, height, arm circumference, and body mass index as predictive of specific infant and maternal outcomes. Subsequent analysis considered indicator sensitivity and specificity so that these indicators could be ranked in order of preference for primary health care planners and workers. The main results are presented for three infant and three maternal outcomes: low birth weight, intrauterine growth retardation, preterm birth, assisted delivery, pre-eclampsia, and postpartum haemorrhage. Based on the analysis, specific reference curves for maternal weight gain were developed for populations with different characteristics, for use as tools to monitor pregnancy in the community and home. A concluding section, on service applications, discusses several practical considerations in the selection of indicators.