Document Detail


Fetal growth and postnatal growth failure in very-low-birthweight infants.
MedLine Citation:
PMID:  16511952     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To determine in a cohort of very-low-birthweight (VLBW) infants the incidence of postnatal growth failure and the influence of intrauterine growth and neonatal morbidities on the risk for severe postnatal growth failure (PNGF). METHODS: The study was based on analysis of data from the Israel Neonatal Network database on VLBW infants born between 1995 and 2001. Z-score was determined for weight at birth and discharge, and severe PNGF was defined as a decline in z-score of greater than 2. Univariate analysis and multi-linear regression determined the effect of fetal growth and neonatal morbidities on the risk for severe PNGF. RESULTS: Severe PNGF occurred in 10.6% of the cohort. The mean+/-SD birthweight (BW) z-score was -0.59+/-0.74, decreasing to -1.67+/-0.77 at discharge. The incidence of severe PNGF increased significantly with decreasing BW and gestational age. Each 1-unit increase in z-score BW was associated with a 2.37-fold increased risk for severe PNGF. Severe respiratory distress syndrome, patent ductus arteriosus, sepsis, necrotizing enterocolitis, and bronchopulmonary dysplasia were associated with severe PNGF. CONCLUSION: Severe PNGF among VLBW infants was markedly influenced by intrauterine growth as well as major morbidities. In the assessment of postnatal growth among VLBW infants, growth status at birth should be considered.
Authors:
Kyla-Anna Marks; Brian Reichman; Ayala Lusky; Ehud Zmora;
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  95     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-03-01     Completed Date:  2006-06-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  236-42     Citation Subset:  IM    
Affiliation:
Department of Neonatal Medicine, Soroka University Medical Centre, PO Box 151, Beersheva, Israel. kamarks@bgu.ac.il
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MeSH Terms
Descriptor/Qualifier:
Female
Fetal Growth Retardation / epidemiology*
Gestational Age
Growth Disorders / epidemiology*
Humans
Infant
Infant, Newborn
Infant, Very Low Birth Weight
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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