Epidemiology of perinatal mortality: Birthweight, crown -heel length, gestational age, and weight -for -height

Studies suggest that slim infants (low weight-for-height) experienced higher mortality rates than average or high weight-for-height infants (Miller and Hassanein, 1973; Hoffman, Meirik, and Bakketeig, 1984). In this study, the 1980 National Natality Survey and the National Fetal Mortality Survey were used to examine the association of weight, height and perinatal mortality. All singleton births to white married mothers, between 18 and 34 years of age and of parity less than 4, for whom both mother's and hospital questionnaires were completed in those two surveys (3796 live births and 2043 fetal deaths) were selected for analysis. Overall, low weight and height infants had excess mortality rates. However, after adjustment for low birthweight and preterm birth status, low weight and height infants had only slightly higher mortality rates than their medium or high weight and height counterparts. The current study consists of relatively well-educated white married mothers of optimal reproductive age and low parity. Therefore, lower than expected mortality rates for slim infants may be attributed to these favorable demographic factors in this sample as compared with previous studies, or because of advances in perinatal medicine, slim infants may be prevented from achieving the high mortality seen in earlier studies. ^

Median grain size and distribution of sand in ODP Hole 108-660A (Fig. 5)

50 m of Middle Eocene pure radiolarian ooze were drilled at ODP Site 660 in the equatorial East Atlantic, 80 km northeast of the Kane Gap. The oozes comprise a 10 m high and 2 km broad mound of seismic reverberations, covered by manganese-rich sediment, and contain trace amounts of sponge spicules and diatoms, negligible organic carbon (0.15%), clay, and variable amounts of pyrite. The yellow to pale brown silty sediments are relatively coarse-grained (30-45% coarser than 6 µm), little bioturbated, and commonly massive or laminated on a cm-scale. The unlithified radiolarian ooze may indicate an interval of high oceanic productivity, probably linked to a palaeoposition of Site 660 close to the equatorial upwelling belt during Middle Eocene time. The absence of organic matter, however, and both the laminated bedding and the mound-like structure of the deposit on the lower slope of a continental rise indicate deposition by relatively intense contour currents of oxygen-rich deep water, which passed through the Kane Gap, winnowed the fine clay fraction, and prevented the preservation of organic carbon. The ooze may be either a contourite-lag deposit, or a contourite accumulation of displaced radiolarians, originating south of the Kane Gap and being deposited in its northern lee, thus documenting the passage of a strong cross-equatorial bottom-water current formed near Antarctica. These Eocene contourites may be an analogue for ancient radiolarites in the Tethyan Ocean.