Implementation of the INTERGROWTH-21st Project in Italy

Authors

  • F Giuliani,

    1. Dipartimento di Scienze Pediatriche e dell'Adolescenza, SCDU Neonatologia, Università di Torino, Torino, Italy
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  • E Bertino,

    1. Dipartimento di Scienze Pediatriche e dell'Adolescenza, SCDU Neonatologia, Università di Torino, Torino, Italy
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  • M Oberto,

    1. Dipartimento di Ostetricia e Neonatologia, Università degli Studi di Torino, Azienda Ospedaliera OIRM-Sant'Anna, Torino, Italy
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  • P Di Nicola,

    1. Dipartimento di Scienze Pediatriche e dell'Adolescenza, SCDU Neonatologia, Università di Torino, Torino, Italy
    2. Nuffield Department of Obstetrics & Gynaecology, and Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
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  • G Gilli,

    1. Dipartimento di Scienze Pediatriche e dell'Adolescenza, SCDU Neonatologia, Università di Torino, Torino, Italy
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  • HE Knight,

    1. Nuffield Department of Obstetrics & Gynaecology, and Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
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  • L Cheikh Ismail,

    Corresponding author
    1. Nuffield Department of Obstetrics & Gynaecology, and Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK
    • Dipartimento di Scienze Pediatriche e dell'Adolescenza, SCDU Neonatologia, Università di Torino, Torino, Italy
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  • for the International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH-21st)


Correspondence: Dr L Cheikh Ismail, Nuffield Department of Obstetrics & Gynaecology, University of Oxford, Women's Centre, Level 3, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK. Email leila.cheikhismail@obs-gyn.ox.ac.uk

Abstract

Turin, Italy, was one of the two European sites for the INTERGROWTH-21st Project. The sample for the Newborn Cross-Sectional Study (NCSS) was drawn from two obstetric hospitals that together account for 79% of the city's approximately 12 000 births per year. Women were recruited for the Fetal Growth Longitudinal Study (FGLS) from ten antenatal clinics serving the city's largest obstetric hospital, Azienda Ospedaliera OIRM—S. Anna. Special activities to encourage participation and raise awareness of the project in this population included obtaining an endorsement from the coordinator of the city's antenatal care service, and disseminating information about the project to women through posters and leaflets in antenatal clinics. One of the major challenges at this site was the low recruitment rate in the early phase of FGLS because of the high prevalence of smoking and of women >35 years old in the population. The addition of six extra recruiting clinics served to increase the pool of potentially eligible women who could be screened and led to a marked improvement in the recruitment rate.

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