Evidence map›Paper›PMID 23262927›Full record

ArticleObstetrics and gynecology2013

Declines in birth weight and fetal growth independent of gestational length.

Naho Morisaki, M Sean Esplin, Michael W Varner, Erick Henry, Emily Oken

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
  2. Cohort profile: the Japan Birth Cohort Consortium.International journal of epidemiology · 2026
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  7. Review
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  19. Catov et al. Respond to "Troubling Trends in Birth Weight".American journal of epidemiology · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Naho MorisakiDepartment of Epidemiology, Harvard School of Public Health, Cambridge, Massachusetts, USA. naho_morisaki@post.harvard.edu
M Sean Esplin
Michael W Varner
Erick Henry
Emily Oken

Funding

Patient-oriented Research in Maternal Perinatal Overnutrition and Child AdiposityK24HD069408 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI OKEN, EMILY · 2011 to 2015
$844k
NICHD NIH HHS K24 HD069408
6 · The paper itself

Abstract

objectiveTo estimate whether the decrease in birth weight of term singletons in the United States and elsewhere over the past decade, despite trends in common maternal characteristics expected to contribute toward an increase, is attributable to the simultaneous decrease in gestational length.

methodsUsing data from Intermountain Healthcare, where a successful initiative reduced the number of early-term (37-38 weeks) elective deliveries, we examined trends in birth weight, being small for gestational age (SGA), and being large for gestational age (LGA) among 219,694 singleton neonates born between July 2000 and December 2008 at 37-41 weeks of gestation.

resultsOver the 8.5 years, births through scheduled deliveries at 37-38 weeks decreased (9.7-4.4%), but overall scheduled deliveries increased (29-34%) and mean gestational age at birth (39.1 weeks) did not change. Mean birth weight (3,410-3,383 g) and LGA status (9.0-7.4%) both decreased, whereas SGA increased (7.5-8.2%). In multivariable analyses adjusting for maternal and newborn characteristics, birth weight decreased (-36 g; 95% confidence interval [CI] -31 to -42), especially among neonates born at 37-38 weeks of gestation (-40 g; 95% CI -30 to -49) or among those with medical indications for urgent deliveries (-48 g; 95% CI -34 to -63). Odds of being LGA decreased (0.77; 95% CI 0.73-0.82) and odds of being SGA increased (1.12; 95% CI 1.06-1.19).

conclusionEven in a population in which gestational length did not change, birth weight and fetal growth declined. Decrease not only in gestational length but also in fetal growth is likely to be contributing to the widely observed recent decrease in birth weight. LEVEL OF EVIDENCE: I.

Indexed as

Birth WeightFetal DevelopmentGestational AgeAdultBody Mass IndexDelivery, ObstetricFemaleHumansIdahoInfant, NewbornInfant, Small for Gestational AgePregnancyUtahYoung Adult

Identifiers

PMID23262927
PMCPMC3977951

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.