Document Detail

Growth of very low birth-weight Indian infants during hospital stay.
MedLine Citation:
PMID:  20453269     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To evaluate the growth pattern of Very Low Birth Weight (VLBW) infants (birthweight <1500 g) during hospital stay and to compare the growth of Small for gestational age (SGA) and Appropriate for gestational age (AGA) infants.
STUDY DESIGN: Prospective observational study. SETTING. Level III Neonatal Intensive Care Unit (NICU) in Northern India.
PARTICIPANTS: A cohort of 97 VLBW infants, admitted to NICU at Sir Ganga Ram Hospital, from 1 January, 2007 to 31 July, 2008. INTERVENTION/MEASUREMENT: Weight, length and head circumference (HC) were serially measured from birth till discharge and respective Z scores were calculated as per data from Fentons references. Growth was also assessed by superimposing these trends on Ehrenkranzs postnatal growth charts.
RESULTS: The mean Z scores for weight, length and HC at birth were -1.17, -1.09 and -0.54, respectively. These decreased to -2.16, -2.24 and -1.35, respectively by discharge. Both SGA and AGA infants exhibited a decrease of approximately 1 Z score in all parameters. On postnatal charts, growth of infants remained at or above respective reference lines, except in those below 1000 g at birth. Average daily weight gain after regaining birth weight was 15.18 ± 1.7 g/kg/d, whereas the increase in HC and length were 0.48 ± 0.2 cm/week and 0.60 ± 0.4 cm/week, respectively. These increments when compared to the intrauterine growth rates, indicated discrepant growth trends.
CONCLUSIONS: VLBW infants suffered significant growth lag during NICU stay and exhibited disproportionately slow growth of HC and length.
Satish Saluja; Manoj Modi; Avneet Kaur; Anil Batra; Arun Soni; Pankaj Garg; Neelam Kler
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Publication Detail:
Type:  Journal Article     Date:  2010-03-15
Journal Detail:
Title:  Indian pediatrics     Volume:  47     ISSN:  0974-7559     ISO Abbreviation:  Indian Pediatr     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-04     Completed Date:  2011-02-23     Revised Date:  2011-09-16    
Medline Journal Info:
Nlm Unique ID:  2985062R     Medline TA:  Indian Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  851-6     Citation Subset:  IM    
Department of Neonatology, Centre for Child Health, Sir Ganga Ram Hospital, New Delhi, India.
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MeSH Terms
Enteral Nutrition
Infant, Newborn
Infant, Small for Gestational Age / growth & development
Infant, Very Low Birth Weight / growth & development*
Intensive Care Units, Neonatal*
Weight Gain
Comment In:
Indian Pediatr. 2010 Oct;47(10):843-4   [PMID:  21048237 ]
Indian Pediatr. 2011 Jul 7;48(7):569-70; author reply 570-1   [PMID:  21813928 ]

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