Four- to seven-year evaluation in two groups of small-for-gestational age infants

Winer, Eve K.; Tejani, Nergesh; Atluru, Vijaya L.; DiGiuseppe, Raymond; Borofsky, Leatrice G.

doi:10.1016/0002-9378(82)90085-0

Cited by 44 publications

(9 citation statements)

References 8 publications

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“…inteIlectual development of SGA-children has been found to be better in those born through early intervention, particularly if maternal toxemia was present (29).…”

Section: Discussionmentioning

confidence: 99%

“…Variations in reported outcomes of infants smaIl for gestational age seem considerably dependent on gestational age, choice of birthweight delineation as weIl as limitations to certain etiologies of intrauterine growth retardation (8,29). The results of the present study are representative for SGA-infants with a gestational age of less than about 34 weeks due to our birthweight limitation of less than 1501 g. Children born with a birthweight under 1501 g but with a gestational age of more than 33 weeks can be assumed to have suffered an extremely high degree of intrauterine growth retardation.…”

Section: Discussionmentioning

confidence: 99%

“…Long-term developmental outcome of SGAinfants has been the subject of many studies, most of which dealt with infants born at term (1). Severe neurological handicaps such as cerebral palsy (CP) or severe mental retardation were not found in a considerable percentage of these infants (2,22,27,28,29). However, in such long-term foIlow-up studies of term-born SGA-infants, symptoms of minimal brain dysfunction and disturbances of speech development (11) as weIl as learning difficulties at school age (23) have been detected more often than in term-born controls appropriate for gestational age (AGA).…”

Section: Introductionmentioning

confidence: 99%

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Development and Perinatal Risk Factors of Very Low-Birthweight-Infants. Small Versus Appropriate for Gestational Age

1992

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371 long-term surviving very low-birth-weight (VLBW) infants born between July 1983 and June 1986 with a birthweight under 1501 g were followed-up. This sample amounted to 91% of such infants of six neonatal intensive care units in Hamburg (Germany). A neurological examination and a developmental evaluation using the Griffith Developmental Scale were carried out at the age of 18 to 20 months, corrected for gestational age. Ninety-six of the 371 infants were small for gestational age (SGA), 275 appropriate for gestational age (AGA). Striking differences between these two groups were found concerning perinatal risk factors and neurological outcome. Maternal risk factors associated with intrauterine growth retardation such as maternal toxemia and signs of fetal stress were found in a high percentage of the mothers of SGA-children, factors associated with premature labor and chorioamnionitis in mothers of AGA-children. Cerebral palsy was detected in only 7% of the SGA-children but 17.5% of the AGA-children. The difference in the development of cerebral palsy was attributed mainly to different postconceptual ages of the SGA- and AGA-children. In general, minor neurological abnormalities were detected in as many as 30% of SGA- and only 15.3% of AGA-children. None of the SGA-children over 33 weeks of gestational age developed cerebral palsy, but 25% minor neurological abnormalities. As to cerebral palsy the prognosis of SGA-infants with a very low birthweight is not different from AGA-infants with a similar gestational age. Regarding the development of minor neurological abnormalities, however, intrauterine growth retardation seems to be a risk factor independent from gestational age.

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“…inteIlectual development of SGA-children has been found to be better in those born through early intervention, particularly if maternal toxemia was present (29).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development and Perinatal Risk Factors of Very Low-Birthweight-Infants. Small Versus Appropriate for Gestational Age

1992

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“…Diabetes mellitus and intrauterine growth retardation during pregnancy can result in up to a 40% reduction in neonatal brain iron concentration (7,8). In addition, infants of diabetic mothers and intrauterine growth-retarded infants demonstrate electrophysiologic indices of abnormal recognition memory processing as newborns and at 6 mo of age (9,10), and are at higher risk for poorer long-term neurocognitive outcomes (11,12).…”

mentioning

confidence: 99%

Perinatal Iron Deficiency Decreases Cytochrome c Oxidase (CytOx) Activity in Selected Regions of Neonatal Rat Brain

et al. 2000

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“…Winer et al 20 relatam que os recém-nascidos de mães hipertensas apresentam menores pesos corpóreos ao nascimento em relação àqueles provenientes de mães normais. No presente estudo, observamos que os recém-nascidos do grupo RN-N e os do RN-H apresentaram os menores pesos corpóreos em relação ao grupo controle, demonstrando a influência da nefrectomia unilateral e da hipertensão sobre esse parâmetro.…”

Section: Resultsunclassified

Hipertensão Arterial Experimental e Prenhez em Ratas: Repercussões sobre o Peso, Comprimento e Órgãos dos Recém-nascidos

Dias¹,

Trindade²,

Rudge³

2000

Rev. Bras. Ginecol. Obstet.

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Objetivo: estudar as repercussões da hipertensão arterial sobre o peso e comprimento corpóreo e sobre o peso do fígado e do cérebro de recém-nascidos (RN). Métodos: foram utilizadas 82 ratas virgens da raça Wistar em idade de reprodução. Após a indução da hipertensão arterial experimental (modelo Goldblatt I: 1 rim-1 clipe) as ratas foram sorteadas para compor os quatro grandes grupos experimentais (controle (C), manipulação (M), nefrectomia (N) e hipertensão (H). A seguir, as ratas foram distribuídas por sorteio em 8 subgrupos, sendo quatro grupos prenhes e quatro grupos não-prenhes. Após acasalamento dos quatro grupos prenhes, obtivemos com o nascimento dos recém-nascidos os seguintes grupos: RN-C, RN-M, RN-N e RN-H, respectivamente controle, manipulação, nefrectomia e hipertensão. Resultados: quanto ao peso e comprimento corpóreo dos recém-nascidos observamos que os grupos RN-N e RN-H apresentaram os menores pesos

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Four- to seven-year evaluation in two groups of small-for-gestational age infants

Cited by 44 publications

References 8 publications

Development and Perinatal Risk Factors of Very Low-Birthweight-Infants. Small Versus Appropriate for Gestational Age

Development and Perinatal Risk Factors of Very Low-Birthweight-Infants. Small Versus Appropriate for Gestational Age

Perinatal Iron Deficiency Decreases Cytochrome c Oxidase (CytOx) Activity in Selected Regions of Neonatal Rat Brain

Hipertensão Arterial Experimental e Prenhez em Ratas: Repercussões sobre o Peso, Comprimento e Órgãos dos Recém-nascidos

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