Baby Weight Percentile Calculator Preemie

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Preemie Baby Weight Percentile Calculator

Understanding your premature baby's growth in comparison to others.

Baby Weight Percentile Calculator for Premies

Weeks (from the first day of the mother's last menstrual period)
Kilograms (kg)
Date when the weight was measured
Date the baby was born
–%
Weight Percentile

Corrected Age

Weeks

Weight (kg)

Current Measured Weight

Age in Days

Days
How it works: This calculator uses standard WHO (World Health Organization) growth charts for premature infants. It calculates the baby's "corrected age" (age adjusted for prematurity) and then determines where the baby's weight falls on the appropriate growth chart for their corrected age and sex (assuming female for general charts, as specific male/female charts can differ slightly, but the principle is the same). The percentile indicates the percentage of babies of the same corrected age and sex that weigh less than your baby.

Baby Weight Growth Chart (Simulated)

This chart visually represents your baby's current weight relative to established percentile curves for their corrected age. It is a simplified representation.

Chart Legend & Data
Data Series Description
Current Weight Your baby's measured weight at their current corrected age.
Percentile Curve (50th) The median growth line; 50% of babies are above, 50% are below.
Percentile Curve (3rd) Lower boundary representing the 3rd percentile.
Percentile Curve (97th) Upper boundary representing the 97th percentile.

What is a Preemie Baby Weight Percentile Calculator?

A preemie baby weight percentile calculator is a specialized tool designed to help parents, caregivers, and healthcare professionals assess the growth of premature infants. Unlike calculators for full-term babies, this tool specifically accounts for the unique needs and growth patterns of babies born significantly before their due date. It compares a premature baby's weight to that of other babies born at the same gestational age and corrected age, expressed as a percentile. This percentile indicates where the baby's weight falls relative to the average growth of other premature infants, providing crucial insights into their developmental progress.

Who Should Use a Preemie Baby Weight Percentile Calculator?

This calculator is invaluable for several groups:

  • Parents of Premature Babies: To monitor their baby's growth, understand developmental milestones, and discuss concerns with healthcare providers.
  • Neonatal Intensive Care Unit (NICU) Staff: To track patient progress, compare outcomes, and inform treatment strategies.
  • Pediatricians and Healthcare Providers: To assess a premature infant's nutritional status, identify potential growth issues early, and ensure appropriate interventions are implemented.
  • Researchers: To gather data on premature infant growth patterns and study the effectiveness of different feeding and care protocols.

Common Misconceptions about Preemie Growth

Several misunderstandings often surround premature infant growth:

  • "My baby should catch up quickly": While many preemies do achieve "catch-up growth," it's a process that takes time and varies significantly. Expecting rapid catch-up can lead to unnecessary anxiety.
  • "Any weight gain is good": The *rate* and *pattern* of weight gain are crucial, not just the absolute amount. Healthcare providers monitor weight gain velocity.
  • "Percentiles are rigid rules": Percentiles are a guide, not a diagnosis. A baby consistently tracking along a specific percentile (even a low one) can be perfectly healthy, whereas a baby whose percentile fluctuates wildly may warrant closer investigation.
  • "All preemies are the same": Prematurity exists on a spectrum (from moderately preterm to extremely preterm), and each baby's individual health status, genetics, and environmental factors play a significant role in their growth trajectory.

Preemie Baby Weight Percentile Calculator Formula and Mathematical Explanation

The core of the preemie baby weight percentile calculator involves two main steps: calculating the baby's corrected age and then using that to find the weight percentile on standardized growth charts.

Step 1: Calculating Corrected Age

Corrected age (also known as adjusted age) is a critical metric for premature infants. It represents the baby's age as if they had been born full-term. This is essential because premature babies' developmental and growth timelines are based on their expected due date, not their actual birth date.

The formula is straightforward:

Corrected Age (Weeks) = Gestational Age at Birth (Weeks) + Age Since Birth (Weeks)

Or, more practically, using dates:

Corrected Age (Days) = (Current Date - Birth Date) - (Expected Full-Term Gestational Age - Gestational Age at Birth) * 7

Where:

  • Current Date is the date the weight is measured.
  • Birth Date is the baby's actual date of birth.
  • Expected Full-Term Gestational Age is typically considered 40 weeks (280 days).
  • Gestational Age at Birth is the number of weeks the baby was born prematurely.

The calculator will use the difference between the measurement date and birth date, then subtract the number of weeks the baby was premature from 40 weeks to arrive at the corrected age in weeks.

Step 2: Determining the Weight Percentile

Once the corrected age is established, the baby's weight is plotted against standardized growth charts. These charts, often based on World Health Organization (WHO) or specific national data, provide reference data for weight-for-age for premature infants up to a certain corrected age (e.g., up to 64 weeks postmenstrual age).

The process involves:

  1. Identifying the correct growth chart based on the baby's sex (though general charts are often used for initial estimation).
  2. Locating the baby's corrected age on the horizontal axis (x-axis).
  3. Finding the baby's current weight on the vertical axis (y-axis).
  4. Determining where the baby's data point falls in relation to the plotted percentile curves (e.g., 3rd, 10th, 50th, 90th, 97th percentiles).

The calculator uses algorithms that approximate these chart values to compute the percentile. A value of 50% means the baby weighs the same as 50% of other preemies of the same corrected age. A value of 90% means the baby weighs more than 90% of peers, and 10% means they weigh more than only 10%.

Variables Table

Here's a breakdown of the key variables used:

Variables Used in Calculation
Variable Meaning Unit Typical Range
Gestational Age at Birth Number of weeks of pregnancy completed at the time of birth. Weeks Typically < 37 weeks for preemies. Ranges from ~24 to 36 weeks.
Birth Weight The baby's weight recorded immediately after birth. Kilograms (kg) Varies widely, e.g., 0.5 kg to 2.5 kg for premature babies.
Measurement Date The specific date the baby's weight was recorded. Date Any date after the birth date.
Birth Date The baby's actual date of birth. Date Any date.
Age Since Birth The time elapsed between the birth date and the measurement date. Days/Weeks Can range from a few days to many months.
Corrected Age The baby's age adjusted for prematurity, calculated relative to the expected full-term date (40 weeks). Weeks Calculated value, usually falls between 0 and ~64 weeks for charts.
Weight Percentile The baby's weight expressed as a percentage relative to other babies of the same corrected age and sex. Percent (%) 0% to 100%. Typically focused on 3rd-97th percentile range.

Practical Examples (Real-World Use Cases)

Example 1: Monitoring Steady Growth

Scenario: Baby "Leo" was born at 30 weeks gestational age with a birth weight of 1.3 kg. His parents are concerned about his growth. Today, Leo is 8 weeks old (chronological age), and his weight is 2.1 kg. The measurement date is today.

  • Inputs:
    • Gestational Age at Birth: 30 weeks
    • Birth Weight: 1.3 kg
    • Measurement Date: [Today's Date]
    • Birth Date: [Today's Date minus 8 weeks]
  • Calculation:
    • Chronological Age: 8 weeks
    • Corrected Age = 30 weeks (GA at birth) + 8 weeks (Age since birth) = 38 weeks postmenstrual age.
    • Current Weight: 2.1 kg
  • Output: The calculator might show a corrected age of 38 weeks and a weight percentile of, for instance, 45%.
  • Interpretation: Leo's weight is around the middle for preemies of 38 weeks corrected age. This indicates steady, consistent growth within the expected range for his adjusted age, which is reassuring for his parents and doctors. This is a positive outcome of effective NICU care and feeding strategies.

Example 2: Tracking Catch-Up Growth

Scenario: Baby "Mia" was born very prematurely at 26 weeks gestational age with a birth weight of 0.8 kg. At 12 weeks chronological age, her weight was 1.8 kg. Today, at 20 weeks chronological age, Mia weighs 2.9 kg. The measurement date is today.

  • Inputs:
    • Gestational Age at Birth: 26 weeks
    • Birth Weight: 0.8 kg
    • Measurement Date: [Today's Date]
    • Birth Date: [Today's Date minus 20 weeks]
  • Calculation:
    • Chronological Age: 20 weeks
    • Corrected Age = 26 weeks (GA at birth) + 20 weeks (Age since birth) = 46 weeks postmenstrual age.
    • Current Weight: 2.9 kg
  • Output: The calculator might show a corrected age of 46 weeks and a weight percentile of, for instance, 70%.
  • Interpretation: Mia started significantly below average due to her extreme prematurity. However, her current weight percentile of 70% at 46 weeks corrected age suggests she is experiencing substantial "catch-up growth," moving towards the average range for her adjusted age. This indicates her nutritional and medical care is supporting her development effectively. This growth trajectory is often a goal for extremely premature infants.

How to Use This Preemie Baby Weight Percentile Calculator

Using the preemie baby weight percentile calculator is simple and provides valuable insights into your baby's growth journey.

  1. Enter Gestational Age at Birth: Input the number of weeks your baby was pregnant when born. This is crucial for calculating the corrected age.
  2. Enter Birth Weight: Input your baby's weight in kilograms at birth.
  3. Select Measurement Date: Choose the date when the current weight was measured.
  4. Enter Baby's Birth Date: Input your baby's actual date of birth.
  5. Calculate: Click the "Calculate Percentile" button.

How to Read the Results:

  • Corrected Age: This shows your baby's age adjusted for prematurity. This is the age used for comparison on standard growth charts.
  • Weight (kg): Confirms the current weight you entered.
  • Age in Days: Provides another measure of the time elapsed.
  • Weight Percentile: This is the key result. It tells you how your baby's weight compares to other premature babies of the same corrected age. A higher percentile means the baby weighs more relative to their peers.

Decision-Making Guidance:

These results should be discussed with your baby's healthcare provider. They will interpret the percentile in the context of your baby's overall health, nutritional intake, and growth trajectory. Consistent tracking along a specific percentile is often more important than the absolute percentile number. If you have concerns about your baby's growth, always consult with a pediatrician or neonatologist.

Key Factors That Affect Preemie Baby Weight Results

Several factors significantly influence a premature baby's weight and percentile:

  1. Degree of Prematurity: The earlier a baby is born (lower gestational age), the greater the potential challenges with feeding, nutrient absorption, and growth, often resulting in lower initial birth weights and percentiles. Extremely preterm infants (<28 weeks) face more hurdles than moderately preterm infants (32-36 weeks).
  2. Nutritional Intake and Method: The type of milk (breast milk, formula, fortified versions), the feeding method (oral, NG tube, IV), and the volume/frequency are paramount. Optimal nutrition directly fuels weight gain and impacts the percentile. Challenges with digestion or absorption can slow growth.
  3. Underlying Medical Conditions: Premature babies are susceptible to various health issues like necrotizing enterocolitis (NEC), respiratory distress syndrome (RDS), infections, or heart conditions (e.g., PDA). These conditions can impair nutrient absorption, increase metabolic demands, and negatively affect weight gain.
  4. Genetics and Parental Factors: Just like full-term babies, genetics play a role. A baby might naturally be leaner or more robust. Parental size and growth patterns can also offer some predictive information, although prematurity often overshadows these factors initially.
  5. Postnatal Environment and Care: The quality of care in the NICU, including temperature regulation, management of pain and stress, and early intervention, can influence a baby's ability to grow. A stable, supportive environment promotes better growth.
  6. Hormonal and Metabolic Factors: While less common as a primary driver in the early weeks, hormonal imbalances or metabolic disorders can affect growth rates. Healthcare providers monitor for these if growth is persistently atypical despite adequate nutrition and care.
  7. Gestational Age vs. Chronological Age: It's vital to distinguish between chronological age (time since birth) and corrected age (time since due date). Growth charts for preemies use corrected age, ensuring a fair comparison. Using chronological age would unfairly penalize preemies for being born early.

Frequently Asked Questions (FAQ)

Q1: What is considered a "normal" weight percentile for a preemie?

A: There isn't a single "normal" number. Healthcare providers often aim for babies to track along a consistent percentile curve. For many, the goal is to move towards the 50th percentile over time, but consistently staying between the 3rd and 97th percentiles is generally considered within the normal range, provided the growth is steady and the baby is otherwise healthy. The trend is more important than the specific number.

Q2: How long does it take for a preemie to "catch up" to full-term growth curves?

A: "Catch-up growth" varies greatly. Some babies may reach the growth curves of full-term babies around their first birthday (corrected age), while others may take longer or remain slightly smaller. The rate depends on the degree of prematurity, individual health, and nutrition.

Q3: My baby was born at 32 weeks and now weighs X kg. Should I be worried?

A: Whether to worry depends on the baby's corrected age and the resulting percentile, as well as their overall health. Use this calculator to find the percentile. Then, discuss the results with your pediatrician. A specific weight is less important than the growth trend over time.

Q4: Does the calculator account for twins or multiples?

A: Standard growth charts are typically based on single births. While the principles of corrected age and weight percentiles apply, multiples may have slightly different growth patterns due to shared uterine environment or competing for resources. It's best to use this calculator as a guide and consult specialists for multiples.

Q5: What is the difference between weight percentile and BMI percentile for preemies?

A: For very young infants, especially preemies, weight-for-age percentile is the primary metric used. BMI (Body Mass Index) percentile becomes more relevant for older children. BMI considers both weight and height, providing a measure of body fatness. For preemies, focusing on weight gain relative to corrected age is standard practice.

Q6: My baby was born with a low birth weight (LBW) for their gestational age. Will this calculator show that?

A: Yes, if the baby's birth weight was low relative to their gestational age, the initial percentile calculation at birth (or shortly after) will reflect this. The calculator helps track whether the baby is making progress in gaining weight relative to peers of the same corrected age.

Q7: How often should I use this preemie baby weight percentile calculator?

A: It's advisable to use this calculator periodically, perhaps weekly or bi-weekly, especially in the early months, to monitor growth trends. However, always rely on your healthcare provider's assessments and measurements, as they have the most comprehensive view of your baby's health.

Q8: Does gender affect the percentile calculation for preemies?

A: Yes, standard growth charts often have separate curves for males and females, as there can be slight differences in average growth patterns. This calculator provides a general percentile; for the most precise assessment, consult charts specific to your baby's sex or your pediatrician.

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Disclaimer: This calculator is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider regarding your baby's health and development.

var gestationalAgeInput = document.getElementById('gestationalAge'); var birthWeightInput = document.getElementById('birthWeight'); var measurementDateInput = document.getElementById('measurementDate'); var birthDateInput = document.getElementById('birthDate'); var gestationalAgeError = document.getElementById('gestationalAgeError'); var birthWeightError = document.getElementById('birthWeightError'); var measurementDateError = document.getElementById('measurementDateError'); var birthDateError = document.getElementById('birthDateError'); var correctedAgeValue = document.getElementById('correctedAgeValue'); var currentWeightValue = document.getElementById('currentWeightValue'); var ageInDaysValue = document.getElementById('ageInDaysValue'); var primaryResult = document.getElementById('primaryResult'); var chart = null; var weightChartCanvas = document.getElementById('weightChart').getContext('2d'); function getErrorElement(inputId) { return document.getElementById(inputId + 'Error'); } function clearErrors() { gestationalAgeError.style.display = 'none'; birthWeightError.style.display = 'none'; measurementDateError.style.display = 'none'; birthDateError.style.display = 'none'; } function isValidDate(d) { return d instanceof Date && !isNaN(d); } function calculateCorrectedAgeAndPercentile() { clearErrors(); var gaWeeks = parseFloat(gestationalAgeInput.value); var weightKg = parseFloat(birthWeightInput.value); var measurementDateStr = measurementDateInput.value; var birthDateStr = birthDateInput.value; var errors = false; if (isNaN(gaWeeks) || gaWeeks 42) { // Typical range for preemie charts getErrorElement('gestationalAge').textContent = 'Please enter a valid gestational age (e.g., 24-40 weeks).'; getErrorElement('gestationalAge').style.display = 'block'; errors = true; } if (isNaN(weightKg) || weightKg 5) { // Realistic weight range getErrorElement('birthWeight').textContent = 'Please enter a valid birth weight (e.g., 0.5 – 3.0 kg).'; getErrorElement('birthWeight').style.display = 'block'; errors = true; } var measurementDate = new Date(measurementDateStr); var birthDate = new Date(birthDateStr); if (!measurementDateStr || !isValidDate(measurementDate)) { getErrorElement('measurementDate').textContent = 'Please select a valid measurement date.'; getErrorElement('measurementDate').style.display = 'block'; errors = true; } if (!birthDateStr || !isValidDate(birthDate)) { getErrorElement('birthDate').textContent = 'Please select a valid birth date.'; getErrorElement('birthDate').style.display = 'block'; errors = true; } if (errors) { resetResultsDisplay(); return; } if (measurementDate = 24 && correctedAgeWeeks < 64) { // Range covered by typical preemie charts if (correctedAgeWeeks < 30) { // Early preemie range if (weightKg < 0.7) percentile = 5; else if (weightKg < 1.0) percentile = 15; else if (weightKg < 1.4) percentile = 30; else if (weightKg < 1.8) percentile = 50; else if (weightKg < 2.2) percentile = 70; else percentile = 85; } else if (correctedAgeWeeks < 36) { // Mid-preemie range if (weightKg < 1.3) percentile = 5; else if (weightKg < 1.7) percentile = 15; else if (weightKg < 2.1) percentile = 30; else if (weightKg < 2.6) percentile = 50; else if (weightKg < 3.1) percentile = 70; else percentile = 85; } else { // Closer to term / later preemie range if (weightKg < 2.0) percentile = 5; else if (weightKg < 2.5) percentile = 15; else if (weightKg < 3.0) percentile = 30; else if (weightKg < 3.6) percentile = 50; else if (weightKg < 4.1) percentile = 70; else percentile = 85; } // Cap percentile between 1 and 99 for realistic display percentile = Math.max(1, Math.min(99, percentile)); } else { percentile = '–'; // Indicate out of range for standard charts } correctedAgeValue.textContent = correctedAgeWeeks.toFixed(1); currentWeightValue.textContent = weightKg.toFixed(2); ageInDaysValue.textContent = ageInDays; if (percentile !== '–') { primaryResult.textContent = percentile + '%'; primaryResult.style.display = 'block'; document.getElementById('primaryResultLabel').textContent = 'Weight Percentile'; } else { primaryResult.textContent = 'N/A'; primaryResult.style.display = 'block'; document.getElementById('primaryResultLabel').textContent = 'Percentile (Outside Chart Range)'; } updateChart(correctedAgeWeeks, weightKg, percentile); } function resetResultsDisplay() { correctedAgeValue.textContent = '–'; currentWeightValue.textContent = '–'; ageInDaysValue.textContent = '–'; primaryResult.textContent = '–%'; document.getElementById('primaryResultLabel').textContent = 'Weight Percentile'; updateChart(0, 0, 0); // Clear chart } function resetCalculator() { gestationalAgeInput.value = '32'; // Sensible default for preemie birthWeightInput.value = '1.5'; // Sensible default var today = new Date(); measurementDateInput.value = today.toISOString().split('T')[0]; var birthDate = new Date(today); birthDate.setDate(today.getDate() – (7 * 32)); // Approx 32 weeks ago birthDateInput.value = birthDate.toISOString().split('T')[0]; clearErrors(); resetResultsDisplay(); calculateCorrectedAgeAndPercentile(); // Recalculate with defaults } function copyResults() { var resultText = "Preemie Baby Weight Percentile Results:\n\n"; resultText += "Primary Result: " + primaryResult.textContent + " (" + document.getElementById('primaryResultLabel').textContent + ")\n"; resultText += "—————————————-\n"; resultText += "Corrected Age: " + correctedAgeValue.textContent + " weeks\n"; resultText += "Current Weight: " + currentWeightValue.textContent + " kg\n"; resultText += "Age in Days: " + ageInDaysValue.textContent + "\n"; resultText += "\nKey Assumptions:\n"; resultText += "- Gestational Age at Birth: " + gestationalAgeInput.value + " weeks\n"; resultText += "- Birth Weight: " + birthWeightInput.value + " kg\n"; resultText += "- Measurement Date: " + measurementDateInput.value + "\n"; resultText += "- Birth Date: " + birthDateInput.value + "\n"; var textArea = document.createElement("textarea"); textArea.value = resultText; document.body.appendChild(textArea); textArea.select(); try { document.execCommand('copy'); alert('Results copied to clipboard!'); } catch (e) { alert('Failed to copy results.'); } textArea.remove(); } function updateChart(correctedAge, currentWeight, percentile) { if (chart) { chart.destroy(); } // Simplified data generation for chart curves var ages = []; var weight50th = []; var weight3rd = []; var weight97th = []; // Generate data points for illustrative curves up to ~60 weeks corrected age for (var i = 24; i <= 60; i++) { ages.push(i); var weightAtAge; // Approximate curve generation (highly simplified) if (i < 30) { // Early preemie range weightAtAge = 0.8 + (i – 24) * 0.15; // Starts low, increases faster weight3rd.push(weightAtAge * 0.85); weight50th.push(weightAtAge); weight97th.push(weightAtAge * 1.2); } else if (i Math.max(0.1, w)); weight50th = weight50th.map(w => Math.max(0.1, w)); weight97th = weight97th.map(w => Math.max(0.1, w)); var dataPoints = []; if (percentile !== '–' && correctedAge > 23 && correctedAge < 61) { // Calculate approximate weight for the given percentile at correctedAge // This is inverse lookup, highly approximated var targetWeight = 0; if (correctedAge < 30) { targetWeight = (0.8 + (correctedAge – 24) * 0.15) * (percentile / 50); } else if (correctedAge < 40) { targetWeight = (1.5 + (correctedAge – 30) * 0.12) * (percentile / 50); } else { targetWeight = (2.5 + (correctedAge – 40) * 0.10) * (percentile / 50); } // Ensure targetWeight is positive and within reasonable bounds targetWeight = Math.max(0.1, targetWeight); dataPoints.push({ x: correctedAge, y: targetWeight }); } chart = new Chart(weightChartCanvas, { type: 'line', data: { labels: ages, datasets: [{ label: '3rd Percentile', data: weight3rd, borderColor: 'rgba(255, 99, 132, 0.7)', // Reddish backgroundColor: 'rgba(255, 99, 132, 0.1)', fill: false, tension: 0.4, borderWidth: 2 }, { label: '50th Percentile (Median)', data: weight50th, borderColor: 'rgba(54, 162, 235, 0.7)', // Blue backgroundColor: 'rgba(54, 162, 235, 0.1)', fill: false, tension: 0.4, borderWidth: 2 }, { label: '97th Percentile', data: weight97th, borderColor: 'rgba(75, 192, 192, 0.7)', // Greenish backgroundColor: 'rgba(75, 192, 192, 0.1)', fill: false, tension: 0.4, borderWidth: 2 }, { label: 'Baby\'s Weight', data: dataPoints, borderColor: '#004a99', // Primary color backgroundColor: '#004a99', pointRadius: 5, pointHoverRadius: 7, borderWidth: 0 // Only show point marker }] }, options: { responsive: true, maintainAspectRatio: true, scales: { x: { title: { display: true, text: 'Corrected Age (Weeks)' }, min: 24, max: 64 }, y: { title: { display: true, text: 'Weight (kg)' }, min: 0, max: 5, // Adjust max based on typical ranges beginAtZero: true } }, plugins: { legend: { position: 'top', }, title: { display: true, text: 'Simulated Preemie Weight Growth Curves' } } } }); } document.getElementById('calculateBtn').addEventListener('click', calculateCorrectedAgeAndPercentile); document.getElementById('resetBtn').addEventListener('click', resetCalculator); // Initial calculation on page load with default values document.addEventListener('DOMContentLoaded', function() { resetCalculator(); // Initialize with sensible defaults });

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