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. 2015 Jan 6;187(1):E32–E40. doi: 10.1503/cmaj.140748

Table 4:

Adverse neonatal and obstetric outcomes among large-for-gestational-age (LGA) infants in nonimmigrant and immigrant groups according to whether weight classification was defined by the Canadian birth-weight curve or by world region–specific birth-weight curves

Outcome LGA according to Canadian curve LGA according to world region–specific curves


Nonimmigrants
n = 72 955
Immigrants
n = 17 684
Immigrants v. nonimmigrants Immigrants
n = 31 966
Immigrants v. nonimmigrants





No. of events (rate per 1000) No. of events (rate per 1000) Crude OR (95% CI) Adjusted OR* (95% CI) No. of events (rate per 1000) Crude OR (95% CI) Adjusted OR* (95% CI)
Neonatal

Death 96 (1.3) 26 (1.5) 1.12 (0.72–1.72) 1.10 (0.70–1.72) 36 (1.1) 0.86 (0.58–1.26) 0.83 (0.56–1.24)

Hospital stay ≥ 7 d 2 481 (34.0) 626 (35.4) 1.04 (0.95–1.14) 0.97 (0.89–1.07) 894 (28.0) 0.82 (0.76–0.88) 0.76 (0.71–0.83)

Admission to NICU 10 470 (143.5) 3 354 (189.7) 1.40 (1.34–1.46) 1.32 (1.27–1.38) 5 263 (164.6) 1.18 (1.14–1.22) 1.11 (1.07–1.15)

Mechanical ventilation 2 243 (30.7) 528 (29.9) 0.97 (0.88–1.07) 0.94 (0.85–1.03) 791 (24.7) 0.80 (0.74–0.87) 0.77 (0.71–0.84)

Birth trauma 1 986 (27.2) 462 (26.1) 0.96 (0.87–1.06) 0.95 (0.85–1.05) 703 (22.0) 0.80 (0.74–0.88) 0.79 (0.72–0.86)

Obstetric

Third- or fourth-degree perineal laceration 2 454 (33.6) 776 (43.9) 1.32 (1.21–1.43) 1.41 (1.29–1.53) 1 420 (44.4) 1.34 (1.25–1.43) 1.40 (1.31–1.50)

Shoulder dystocia 6 401 (87.7) 1 601 (90.5) 1.04 (0.98–1.10) 1.02 (0.96–1.08) 2 312 (72.3) 0.81 (0.77–0.85) 0.79 (0.75–0.84)

Postpartum hemorrhage 4 181 (57.3) 854 (48.3) 0.84 (0.77–0.90) 0.87 (0.80–0.94) 1 419 (44.4) 0.76 (0.72–0.81) 0.79 (0.74–0.84)

Note: CI = confidence interval, NICU = neonatal intensive care unit, OR = odds ratio.

*

Adjusted for maternal age, parity, income quintile and year of delivery.