Morbidity Patterns of Late Preterm Babies Born Small for Gestation

被引：5
|
作者：
Mallick, Achinta Kumar [1 ]
Venkatnarayan, Kannan [2 ]
Thapar, Rajeev Kumar [3 ]
Tewari, Vishal Vishnu [2 ]
Shaw, Subhash Chandra [4 ]
机构：
[1] Mil Hosp Kirkee, Dept Pediat, Pune, Maharashtra, India
[2] Command Hosp, Dept Pediat, Pune 411040, Maharashtra, India
[3] Command Hosp, Dept Pediat, Lucknow, Uttar Pradesh, India
[4] Armed Forces Med Coll, Dept Pediat, Pune, Maharashtra, India
来源：
INDIAN JOURNAL OF PEDIATRICS | 2019年 / 86卷 / 07期
关键词：
Late preterm; Small for gestation; Appropriate for gestation; MORTALITY; OUTCOMES; INFANTS; GROWTH; CARE; RISK;
D O I：
10.1007/s12098-019-02925-4
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
ObjectiveTo compare hypoglycemia and the other early neonatal morbidities (from birth till hospital discharge) of late preterm babies born small for gestational age (LP SGA) with their appropriate for age (LP AGA) counterparts.MethodsLP SGA and LP AGA, as defined by Fenton charts, were prospectively followed-up to assess development of predefined morbidities, mortality and readmission rates at one month. All live inborn late preterm babies (34(0/7) to 36(6/7) weeks, n=238) were included.ResultsLP SGA babies(n=72) as compared to LP AGA babies (n=166) were at higher risk for developing at least one predefined neonatal morbidity before hospital discharge [RR 1.93 (1.6-2.3; p<0.001)]. These included hypoglycemia, hypothermia, respiratory morbidity needing support, jaundice needing treatment, feeding difficulties, birth asphyxia, and sepsis; besides, significant rates of readmissions and duration of hospital stay.ConclusionsBeing born small for gestation age acts an additional jeopardizing factor in late preterm babies.
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收藏
页码：578 / 583
页数：6
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