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When analyzing implications of post-term pregnancy, the method of gestational age estimation is crucial.
Twenty-three NYC subjects, whose method of gestational age calculation is unknown, were not included in this analysis.
Perinatal death risk in prolonged and post-term pregnancies was strongly associated with SGA, independent of time period and method of gestational age estimation.
Table 4 shows ORs of perinatal death by gestational week, SGA status and method of gestational age estimation (LMP and ultrasound) in a sub-set of the total cohort (1999 2006).
We aimed at assessing gestational week specific perinatal mortality in small-for-gestational-age (SGA) and non-SGA term and post-term gestations, and specifically to evaluate whether the relation between post-term gestation and perinatal mortality differed before and after ultrasound was introduced as the standard method of gestational age estimation.
The main purpose of the current study was to assess the risk of perinatal death in SGA and non-SGA term and post-term gestations by gestational week, and specifically to evaluate whether the relation between post-term gestation and perinatal mortality was different in the time period before and after ultrasound was introduced as the standard method of gestational age estimation.
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The data recorded were method of delivery, gestational weeks at delivery, medical events during delivery, and the occurrence of complications post-partum.
Neonatal survival was significantly predicted by a 5-min Apgar score and neonatal morbidity, independent of pregestational maternal disease, obstetric complications, method of delivery, gestational age and birth weight in extreme preterm deliveries.
The objective of the study was to examine the rate of preterm birth in the United States using 2 different methods of gestational age assignment and determine which method more closely correlates with the known morbidities associated with preterm birth.
Other challenges include the need for addressing temporal changes in methods of gestational age ascertainment (menstrual-based versus ultrasound-based).
Gestational age was taken from the provided NCHS variable; this variable combines multiple methods of gestational estimation depending on available data.
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