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    Clitoral size in term newborns in Kumasi, Ghana

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    Author
    Asafo-Agyei, SB; Ameyaw, E; Chanoine, J-P; Zacharin, M; Nguah, SB
    Date
    2017-06-06
    Source Title
    International Journal of Pediatric Endocrinology
    Publisher
    BIOMED CENTRAL LTD
    University of Melbourne Author/s
    Zacharin, Margaret
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Asafo-Agyei, S. B., Ameyaw, E., Chanoine, J. -P., Zacharin, M. & Nguah, S. B. (2017). Clitoral size in term newborns in Kumasi, Ghana. INTERNATIONAL JOURNAL OF PEDIATRIC ENDOCRINOLOGY, 2017 (1), https://doi.org/10.1186/s13633-017-0045-y.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257599
    DOI
    10.1186/s13633-017-0045-y
    Abstract
    BACKGROUND: Data on normative clitoral sizes in newborns is relatively sparse and racial/ethnic differences have also been reported. This study was performed to establish norms for clitoral size in term Ghanaian female newborns. METHODS: This was a cross-sectional study of all apparently well full-term newborns of postnatal age < 48 h and birth weight between 2.5 and 4.0 kg delivered at Komfo Anokye Teaching Hospital between May and September, 2014. Anthropometric and genital parameters were documented for study subjects as well as parental socio-demographic indices. RESULTS: In 612 newborn females studied, the mean (±SD) clitoral length (MCL) and the mean (±SD) clitoral width (MCW) were 4.13 ± 1.6 mm and 4.21 ± 1.1 mm, respectively. MCL was inversely related to birth weight (r = -0.62; p < 0.001 ) while MCW was inversely related to both gestational age (r = -0.1; p = 0.02 ) and birth weight (r = -0.54; p < 0.001 ). Babies with a clitoris that was completely covered by the labia majora had relatively lower clitoral sizes (p < 0.001) than those who had a partially covered or prominent clitoris. Neither MCL nor MCW differed significantly by birth length or maternal tribe. CONCLUSIONS: Clitoral size varies with birth weight and gestational age. Babies with a completely covered clitoris are unlikely to warrant detailed clitoral measurements for clitoromegaly.

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