Preterm newborn's postnatal growth patterns: how to evaluate them

Silveira, Rita de Cássia dos Santos; Procianoy, Renato S.

doi:10.1016/j.jped.2018.10.006

Cited by 22 publications

(15 citation statements)

References 42 publications

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“…Once the restriction from the intrauterine environment is lifted, their growth potential is stimulated to help them erase the prenatal deficit (14). Besides, seven SGA infants were overweight or obese at follow-up, and even one had a WAZ less than −1 SD at the same time because of the imbalance between height and weight gain, which suggests that the post−discharge growth assessment should focus on the complete nutrition assessment including height, weight, HC, and BMI, rather than one single measurement (16). Large birth weight and sustained increase in WAZ after discharge led to a high incidence (23.5%) of overweight/obesity in the LGA group.…”

Section: Discussionmentioning

confidence: 99%

Extrauterine growth restriction in preterm infants: Postnatal growth pattern and physical development outcomes at age 3–6 years

Lan

Fu²,

Zhang³

et al. 2022

Front. Pediatr.

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ObjectivesTo investigate the postnatal growth trajectories of preterm infants and evaluate the association between extrauterine growth restriction (EUGR) at discharge and adverse physical growth outcomes at age 3–6 years.MethodsPremature infants admitted to Shanghai Children’s Medical Center within 24 h after birth from 1 January 2016 to 31 December 2018 were enrolled. Neonatal complications, nutrition support, and anthropometric data were collected and analyzed to diagnose EUGR on different definitions at discharge. The weight and the height of each subject were collected by telephone investigation from 1 September 2021 to 31 November 2021 to access the incidences of overweight/obesity, short stature, and thinness at age 3–6 years.ResultsA total of 527 preterm infants were included in the final sample. The overall mean weight and height Z-scores were –0.37 ± 0.97 SD and –0.29 ± 1.18 SD at birth, and increased to –0.03 ± 1.11 SD and 0.13 ± 1.2 SD at follow-up, respectively. The logistic regression analysis indicated longitudinal EUGR on head circumference as the risk factor of overweight or obesity, cross-sectional EUGR on height as the risk factor of short stature, and delayed EN as the risk factor of thinness.ConclusionThe growth trajectories of the preterm newborns tended toward the normal direction. Longitudinal EUGR on the head circumference and cross-sectional EUGR on height at discharge were associated with adverse physical growth outcomes at age 3–6 years.

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Section: Discussionmentioning

confidence: 99%

Extrauterine growth restriction in preterm infants: Postnatal growth pattern and physical development outcomes at age 3–6 years

Lan

Fu²,

Zhang³

et al. 2022

Front. Pediatr.

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“…Referente ao prénatal, observou-se que, dentre os prontuários com o registro de pré-natal realizado, a maioria era de bebês com idade gestacional de 32 a 37 semanas. Estudos (9,14) realizados no Pará e Rio Grande do Sul mostraram que a ausência de pré-natal, ou número inadequado de sessões, aumentam as chances de parto prematuro. Visto isso, é importante a investigação de tal dado em casos de crianças prematuras, para viabilizar futuras correlações e fatores de risco para o desenvolvimento.…”

Section: Discussionunclassified

Perfil de prematuros em atendimento fonoaudiológico em um ambulatório de follow up

Teixeira

Britto

Escarce

et al. 2022

Audiol., Commun. Res.

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RESUMO Objetivo descrever o perfil de crianças pré-termo, segundo aspectos sociodemográficos, clínicos e assistenciais, e a associação com dados perinatais e pós-natais. Métodos estudo observacional descritivo transversal, aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Minas Gerais – CEP-UFMG, sob o Parecer 3.615.440, realizado por meio da análise de 749 prontuários de crianças pré-termo, atendidas no setor de Fonoaudiologia de ambulatório multidisciplinar de follow-up. Foram incluídos no estudo todos os prontuários do período de 2009 a 2019. Para as análises de associação foram utilizados os testes Qui-quadrado de Pearson e Kruskal-Wallis, sendo considerados como valores com significância estatística os que apresentaram valor de p≤0,05. Resultados verificou-se distribuição similar entre os sexos feminino e masculino e a maior parte das crianças com prematuridade moderada a tardia. A maioria dos pais apresentou ensino médio completo, com renda familiar de até dois salários mínimos (60,0%). Quanto aos aspectos clínicos, observou-se significância estatística (p≤0,001) na associação da idade gestacional com as seguintes variáveis: peso ao nascimento, estatura, perímetro cefálico, uso do Método Canguru, alimentação na alta, drogas ototóxicas, hemorragia intracraniana, sepse e icterícia. A maioria dos bebês (99,9%) realizou o Teste Guthrie com resultado adequado (95,3%). Da mesma forma, referente à realização da Triagem Auditiva Neonatal - (79,9%), com resultado adequado (89,4%). Conclusão a maioria das famílias era de baixa renda, com bebês apresentando prematuridade tardia. Observou-se significância estatística para as variáveis: tipo de parto, peso, estatura, perímetro cefálico, uso de drogas ototóxicas, hemorragia intracraniana, sepse e icterícia, com alterações predominantes em prematuros extremos.

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“…Also of importance is the relation between prolonged hospitalization and the repercussions for premature children's growth and development. To follow up premature newborns, it is fundamental to understand the individual history of each child, considering the duration of hospitalization, the received stimuli, and their family environment, as well as long-term results for neurological, cardiovascular, and metabolic development (25) . In this context, the nurse takes various attributions, responsibilities, technical dexterity, and skills which are indispensable to safely identify, evaluate, understand, and support newborns and their families during the critical period of hospitalization and in long-term health follow-up (10) .…”

Section: Discussionmentioning

confidence: 99%

Factors related to duration of hospitalization and death in premature newborns

Silva

Zilly

Ferreira

et al. 2021

Rev. esc. enferm. USP

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Objective: To analyze factors related to prolonged hospitalization and death in premature newborns in a border region. Method: Cross-sectional study, with retrospective data collection, which analyzed 951 medical records of premature newborns hospitalized between 2013 and 2017. The independent variables were maternal age, nationality, prenatal appointments, maternal intercurrences, gestational age, weight at birth, Apgar, complications; the dependent variables were days of hospitalization, discharge, death, and transference. The tests Pearson Chi-squared and Fisher’s Exact were employed. Results: Premature birth amounted to 10.3%; out of these, 43.3% were hospitalized. The prevalence of mortality was 21.3%. Few prenatal appointments, maternal intercurrences, low fifth minute Apgar, and the baby’s health complications increased days of hospitalization. Lower weight and gestational age, low Apgar and complications with the baby increased death. Conclusion: Understanding hospitalization aspects enabled the identification of factors that lead to complications to the premature newborn, which are relevant to efforts to overcome unfavorable outcomes and face challenges posed by the sequels throughout life. The integration between countries and their borders is a notorious condition to accelerate care processes and promote better outcomes.

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Preterm newborn's postnatal growth patterns: how to evaluate them

Cited by 22 publications

References 42 publications

Extrauterine growth restriction in preterm infants: Postnatal growth pattern and physical development outcomes at age 3–6 years

Extrauterine growth restriction in preterm infants: Postnatal growth pattern and physical development outcomes at age 3–6 years

Perfil de prematuros em atendimento fonoaudiológico em um ambulatório de follow up

Factors related to duration of hospitalization and death in premature newborns

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