Mean birthweight Small for gestational age Large for gestational age a b s t r a c t Objective: B... more Mean birthweight Small for gestational age Large for gestational age a b s t r a c t Objective: Birthweight by gestational age charts enable fetal growth to be evaluated in a specific population. Given that maternal profile and obstetric practice have undergone a remarkable change over the past few decades in Spain, this paper presents new Spanish reference percentile charts stratified by gender, parity and type of delivery. They have been prepared with data from the 2010–2014 period of the Spanish Birth Statistics Bulletin. Methods: Reference charts have been prepared using the LMS method, corresponding to 1,428,769 single , live births born to Spanish mothers. Percentile values and mean birth weight are compared among newborns according to gender, parity and type of delivery. Results: Newborns to primiparous mothers show significantly lower birthweight than those born to mul-tiparous mothers (p < 0.036). Caesarean section was associated with a substantially lower birthweight in preterm births (p < 0.048), and with a substantially higher birthweight for full-term deliveries (p < 0.030). Prevalence of small for gestational age is significantly higher in newborns born by Caesarean section, both in primiparous (p < 0.08) and multiparous mothers (p < 0.027) and, conversely, the prevalence of large for gestational age among full-term births is again greater both in primiparous (p < 0.035) and in multiparous mothers (p < 0.007). Conclusions: Results support the consideration of establishing parity and type of delivery-specific birth-weight references. These new charts enable a better evaluation of the impact of the demographic, reproductive and obstetric trends currently in Spain on fetal growth. Objetivo: Las tablas de peso al nacer por edad gestacional permiten evaluar el crecimiento fetal en una población específica. Dado que el perfil materno y la práctica obstétrica han experimentado un sustancial cambio en las últimas décadas en Espã na, este trabajo propone nuevas tablas de referencia de percentiles estratificadas por sexo, paridad y tipo de parto, elaboradas con los datos del periodo 2010-2014 del Boletín Estadístico de Partos. Métodos: Las curvas de referencia han sido elaboradas mediante el método LMS, correspondientes a 1.428.769 nacidos vivos de partos simples y madres espã nolas. Se comparan los valores por percentiles y la media del peso al nacer, por sexo, paridad y tipo de parto. Resultados: Los nacidos de madres primíparas muestran un peso menor que los nacidos de multíparas (p < 0,036). Los nacidos pretérmino por cesárea tienen un peso menor que los nacidos pretérmino por parto vaginal (p < 0,048), mientras que ocurre lo contrario en los nacidos a término (p < 0,030). La preva-lencia de nacidos pequeños para la edad gestacional es mayor entre los nacidos por cesárea de madres tanto primíparas (p < 0,08) como multíparas (p < 0,027), y la prevalencia de nacidos grandes para la edad gestacional es mayor entre los nacidos a término de madres tanto primíparas (p < 0,035) como multíparas (p < 0,007). Conclusiones: Los resultados apoyan establecer referencias de peso al nacer por paridad y tipo de parto. Estas nuevas curvas permiten una mejor evaluación del impacto de las actuales tendencias demográficas, reproductivas y obstétricas en Espã na sobre el crecimiento fetal.
ABSTRACT This paper analyses the relationship between polygyny and female fertility in the provin... more ABSTRACT This paper analyses the relationship between polygyny and female fertility in the province of Marrakech (Morocco) taking into account the effect of the previous marital instability (number of marriages) and the possible association between female sterility and type of marriage. In the analysed population, polygyny increases in the small towns. Polygynously married women have a higher level of education and show a higher percentage of use of contraceptive methods than the monogamously married ones. Although polygynously married women initially show lower fertility, multivariate analysis carried out on the group of women between 35 and 49 years old show that there are no significant differences in fertility between monogamously and polygynously married women when the effect of the previous marital instability is considerer. Female sterility does not determine marital instability, although it does determine a significant increase in polygynous marriages among the women without children.
The determinants of modern contraceptive use in traditional populations are analysed in married w... more The determinants of modern contraceptive use in traditional populations are analysed in married women aged 30-44 living in the province of Marrakech (Morocco). Women who have never used contraception have smaller family sizes than those who do: the number of live children (or live births) is the variable with maximum predictive power on contraceptive use, while child mortality is the main inhibiting factor. The probability of contraceptive use increases with female age at marriage and decreases with the woman&#39;s age, indicating a generational change in reproductive behaviour. The socioeconomic variables education, employment and residence, have no significant independent predictive character on contraceptive use, although the interaction between education and residence does. The paper evaluates the hypothesis that traditional populations in the initial phase of their demographic transition resort to modern contraception in order to stop childbearing, when they have reached a desired number of children, rather than to space births or reduce their fertility.
ABSTRACT This paper analyses the relationship between polygyny and female fertility in the provin... more ABSTRACT This paper analyses the relationship between polygyny and female fertility in the province of Marrakech (Morocco) taking into account the effect of the previous marital instability (number of marriages) and the possible association between female sterility and type of marriage. In the analysed population, polygyny increases in the small towns. Polygynously married women have a higher level of education and show a higher percentage of use of contraceptive methods than the monogamously married ones. Although polygynously married women initially show lower fertility, multivariate analysis carried out on the group of women between 35 and 49 years old show that there are no significant differences in fertility between monogamously and polygynously married women when the effect of the previous marital instability is considerer. Female sterility does not determine marital instability, although it does determine a significant increase in polygynous marriages among the women without children.
Mean birthweight Small for gestational age Large for gestational age a b s t r a c t Objective: B... more Mean birthweight Small for gestational age Large for gestational age a b s t r a c t Objective: Birthweight by gestational age charts enable fetal growth to be evaluated in a specific population. Given that maternal profile and obstetric practice have undergone a remarkable change over the past few decades in Spain, this paper presents new Spanish reference percentile charts stratified by gender, parity and type of delivery. They have been prepared with data from the 2010–2014 period of the Spanish Birth Statistics Bulletin. Methods: Reference charts have been prepared using the LMS method, corresponding to 1,428,769 single , live births born to Spanish mothers. Percentile values and mean birth weight are compared among newborns according to gender, parity and type of delivery. Results: Newborns to primiparous mothers show significantly lower birthweight than those born to mul-tiparous mothers (p < 0.036). Caesarean section was associated with a substantially lower birthweight in preterm births (p < 0.048), and with a substantially higher birthweight for full-term deliveries (p < 0.030). Prevalence of small for gestational age is significantly higher in newborns born by Caesarean section, both in primiparous (p < 0.08) and multiparous mothers (p < 0.027) and, conversely, the prevalence of large for gestational age among full-term births is again greater both in primiparous (p < 0.035) and in multiparous mothers (p < 0.007). Conclusions: Results support the consideration of establishing parity and type of delivery-specific birth-weight references. These new charts enable a better evaluation of the impact of the demographic, reproductive and obstetric trends currently in Spain on fetal growth. Objetivo: Las tablas de peso al nacer por edad gestacional permiten evaluar el crecimiento fetal en una población específica. Dado que el perfil materno y la práctica obstétrica han experimentado un sustancial cambio en las últimas décadas en Espã na, este trabajo propone nuevas tablas de referencia de percentiles estratificadas por sexo, paridad y tipo de parto, elaboradas con los datos del periodo 2010-2014 del Boletín Estadístico de Partos. Métodos: Las curvas de referencia han sido elaboradas mediante el método LMS, correspondientes a 1.428.769 nacidos vivos de partos simples y madres espã nolas. Se comparan los valores por percentiles y la media del peso al nacer, por sexo, paridad y tipo de parto. Resultados: Los nacidos de madres primíparas muestran un peso menor que los nacidos de multíparas (p < 0,036). Los nacidos pretérmino por cesárea tienen un peso menor que los nacidos pretérmino por parto vaginal (p < 0,048), mientras que ocurre lo contrario en los nacidos a término (p < 0,030). La preva-lencia de nacidos pequeños para la edad gestacional es mayor entre los nacidos por cesárea de madres tanto primíparas (p < 0,08) como multíparas (p < 0,027), y la prevalencia de nacidos grandes para la edad gestacional es mayor entre los nacidos a término de madres tanto primíparas (p < 0,035) como multíparas (p < 0,007). Conclusiones: Los resultados apoyan establecer referencias de peso al nacer por paridad y tipo de parto. Estas nuevas curvas permiten una mejor evaluación del impacto de las actuales tendencias demográficas, reproductivas y obstétricas en Espã na sobre el crecimiento fetal.
ABSTRACT This paper analyses the relationship between polygyny and female fertility in the provin... more ABSTRACT This paper analyses the relationship between polygyny and female fertility in the province of Marrakech (Morocco) taking into account the effect of the previous marital instability (number of marriages) and the possible association between female sterility and type of marriage. In the analysed population, polygyny increases in the small towns. Polygynously married women have a higher level of education and show a higher percentage of use of contraceptive methods than the monogamously married ones. Although polygynously married women initially show lower fertility, multivariate analysis carried out on the group of women between 35 and 49 years old show that there are no significant differences in fertility between monogamously and polygynously married women when the effect of the previous marital instability is considerer. Female sterility does not determine marital instability, although it does determine a significant increase in polygynous marriages among the women without children.
The determinants of modern contraceptive use in traditional populations are analysed in married w... more The determinants of modern contraceptive use in traditional populations are analysed in married women aged 30-44 living in the province of Marrakech (Morocco). Women who have never used contraception have smaller family sizes than those who do: the number of live children (or live births) is the variable with maximum predictive power on contraceptive use, while child mortality is the main inhibiting factor. The probability of contraceptive use increases with female age at marriage and decreases with the woman&#39;s age, indicating a generational change in reproductive behaviour. The socioeconomic variables education, employment and residence, have no significant independent predictive character on contraceptive use, although the interaction between education and residence does. The paper evaluates the hypothesis that traditional populations in the initial phase of their demographic transition resort to modern contraception in order to stop childbearing, when they have reached a desired number of children, rather than to space births or reduce their fertility.
ABSTRACT This paper analyses the relationship between polygyny and female fertility in the provin... more ABSTRACT This paper analyses the relationship between polygyny and female fertility in the province of Marrakech (Morocco) taking into account the effect of the previous marital instability (number of marriages) and the possible association between female sterility and type of marriage. In the analysed population, polygyny increases in the small towns. Polygynously married women have a higher level of education and show a higher percentage of use of contraceptive methods than the monogamously married ones. Although polygynously married women initially show lower fertility, multivariate analysis carried out on the group of women between 35 and 49 years old show that there are no significant differences in fertility between monogamously and polygynously married women when the effect of the previous marital instability is considerer. Female sterility does not determine marital instability, although it does determine a significant increase in polygynous marriages among the women without children.
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