A Bayesian latent variable mixture model for longitudinal fetal growth.
Journal Article (Journal Article)
Fetal growth restriction is a leading cause of perinatal morbidity and mortality that could be reduced if high-risk infants are identified early in pregnancy. We propose a Bayesian model for aggregating 18 longitudinal ultrasound measurements of fetal size and blood flow into three underlying, continuous latent factors. Our procedure is more flexible than typical latent variable methods in that we relax the normality assumptions by allowing the latent factors to follow finite mixture distributions. Using mixture distributions also permits us to cluster individuals with similar observed characteristics and identify latent classes of subjects who are more likely to be growth or blood flow restricted during pregnancy. We also use our latent variable mixture distribution model to identify a clinically meaningful latent class of subjects with low birth weight and early gestational age. We then examine the association of latent classes of intrauterine growth restriction with latent classes of birth outcomes as well as observed maternal covariates including fetal gender and maternal race, parity, body mass index, and height. Our methods identified a latent class of subjects who have increased blood flow restriction and below average intrauterine size during pregnancy. These subjects were more likely to be growth restricted at birth than a class of individuals with typical size and blood flow.
Full Text
Duke Authors
Cited Authors
- Slaughter, JC; Herring, AH; Thorp, JM
Published Date
- December 2009
Published In
Volume / Issue
- 65 / 4
Start / End Page
- 1233 - 1242
PubMed ID
- 19432784
Pubmed Central ID
- PMC3717393
Electronic International Standard Serial Number (EISSN)
- 1541-0420
International Standard Serial Number (ISSN)
- 0006-341X
Digital Object Identifier (DOI)
- 10.1111/j.1541-0420.2009.01188.x
Language
- eng