title: Implementation of the INTERGROWTH-21st Project in Kenya.
abstract: The African site in the INTERGROWTH-21(st) Project was Parklands, a wealthy suburb of Nairobi, Kenya, with a largely middle-to-high socio-economic status population. There are three hospitals with obstetric units in Parklands, with approximately 4300 births per year. The Newborn Cross-Sectional Study (NCSS) sample was drawn from all three hospitals, covering 100% of births in this target population. The Fetal Growth Longitudinal Study (FGLS) sample was recruited from antenatal clinics serving these hospitals, using the eligibility criteria in the INTERGROWTH-21(st) protocol. Special activities to raise awareness of the study included securing media coverage and distributing leaflets in antenatal clinic waiting rooms. FGLS required women to be recruited in the first trimester; therefore, a major challenge at this study site was the high background frequency of first antenatal consultations in the second trimester. The problem was overcome by the study awareness campaign, as a result of which more women started attending antenatal care earlier in pregnancy.
authors.affiliation: Faculty of Health Sciences, Aga Khan University, Nairobi, Kenya Department of Obstetrics & Gynaecology, MP Shah Hospital, Nairobi, Kenya Nuffield Department of Obstetrics & Gynaecology, and Oxford Maternal & Perinatal Health Institute, Green Templeton College, University of Oxford, Oxford, UK.
authors.forename: M
authors.initials: M
authors.lastname: Carvalho
authors.forename: S
authors.initials: S
authors.lastname: Vinayak
authors.forename: R
authors.initials: R
authors.lastname: Ochieng
authors.forename: V
authors.initials: V
authors.lastname: Choksey
authors.forename: N
authors.initials: N
authors.lastname: Musee
authors.forename: W
authors.initials: W
authors.lastname: Stones
authors.forename: He
authors.initials: H
authors.lastname: Knight
authors.forename: L
authors.initials: L
authors.lastname: Cheikh Ismail
mesh_terms: D001837:Body Weights and Measures; D002657:Child Development; D002985:Clinical Protocols; D003430:Cross-Sectional Studies / Q000379:methods; D005260:Female; D047109:Fetal Development; D057238:Growth Charts; D006801:Humans; D007223:Infant; D007231:Infant, Newborn / Q000254:growth & development*; D007234:Infant, Premature / Q000254:growth & development; D007630:Kenya; D008137:Longitudinal Studies / Q000379:methods; D015337:Multicenter Studies as Topic / Q000379:methods*; D018579:Patient Selection; D011247:Pregnancy; D011641:Public Relations; D012107:Research Design; D016216:Ultrasonography, Prenatal
keywords: Fetal growth; INTERGROWTH-21st; nutrition; standards