What is the estimated birth weight of a male infant at 37 weeks + 5 days gestation who is at the 64th percentile for weight?

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Estimated Birth Weight at 64th Percentile for Male Infant at 37+5 Weeks

A male infant at 37 weeks + 5 days gestation at the 64th percentile for weight would weigh approximately 3,100-3,200 grams (3.1-3.2 kg).

Weight Assessment Using WHO Growth Standards

The WHO Child Growth Standards provide the most appropriate reference for determining birth weight percentiles, as they were derived from international samples of healthy infants and use rigorous statistical methodologies including the Box-Cox power exponential method to accommodate various distributions 1.

Key Considerations for Late Preterm Infants

  • Gestational age matters significantly: At 37 weeks + 5 days, this infant is technically term (≥37 weeks) but very close to the late preterm category (34-36 weeks), which carries increased risk for neonatal morbidity and mortality 2.

  • The 64th percentile indicates above-average weight: This places the infant between the 50th percentile (median) and the 85th percentile, suggesting healthy fetal growth without concerning macrosomia 1.

  • Weight range estimation: Based on standard growth curves, the 50th percentile at term is approximately 3,000 grams, while the 85th percentile approaches 3,500 grams. The 64th percentile falls proportionally between these values at approximately 3,100-3,200 grams 1.

Clinical Implications

  • This weight suggests appropriate intrauterine growth for gestational age, which is associated with better neonatal outcomes compared to small-for-gestational-age or large-for-gestational-age infants 2.

  • Level of care considerations: Even at this gestational age with appropriate weight, close monitoring is warranted as infants born at 35-37 weeks remain at risk for complications including respiratory distress, hypoglycemia, and temperature instability 2.

References

Research

WHO Child Growth Standards based on length/height, weight and age.

Acta paediatrica (Oslo, Norway : 1992). Supplement, 2006

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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