Intrauterine growth retardation is not the same as small for gestational age

1990 ◽  
Vol 162 (6) ◽  
pp. 1642 ◽  
Author(s):  
Robert C. Goodlin
Keyword(s):  
Gestational Age ◽  
Growth Retardation ◽  
Small For Gestational Age ◽  
Intrauterine Growth Retardation ◽  
Intrauterine Growth

Small for gestational age foetus

2014 ◽  
Vol 155 (33) ◽  
pp. 1301-1305
Author(s):  
Norbert Pásztor ◽  
Zoltán Kozinszky ◽  
Attila Pál
Keyword(s):  
Gestational Age ◽  
Growth Retardation ◽  
Small For Gestational Age ◽  
Intrauterine Growth Retardation ◽  
Pathological Condition ◽  
Labour Induction ◽  
Clinical Aspects ◽  
Optimal Timing ◽  
Screening Methods ◽  
Intrauterine Growth

A small for gestational age foetus is defined by the foetal weight below the 10th centile for the corresponding gestational age. However, the vast majority of these cases has no apparent underlying abnormality, while in other cases a serious causative pathological condition can be identified. The detection, follow-up and treatment of an intrauterine growth retarded, compromised foetus has great obstetric and neonatologic relevance. In this review, the causes, clinical aspects and screening methods of intrauterine growth retardation are summarized based on the most recent international guidelines. Furthermore, recommendations regarding the monitoring and the optimal timing of the labour induction of pregnancies complicated with intrauterine growth retardation are discussed. Orv. Hetil., 2014, 155(33), 1301–1305.

Growth and Development of Full-Term Nonasphyxiated Small-for-Gestational-Age Newborns: Follow-up Through Adolescence

PEDIATRICS ◽  
1983 ◽  
Vol 71 (3) ◽  
pp. 376-382 ◽  
Author(s):  
Michael Westwood ◽  
Michael S. Kramer ◽  
Diane Munz ◽  
Joan M. Lovett ◽  
Gordon V. Watters
Keyword(s):  
Socioeconomic Status ◽  
Gestational Age ◽  
Growth Retardation ◽  
Small For Gestational Age ◽  
Growth And Development ◽  
Intrauterine Growth Retardation ◽  
Full Term ◽  
Physical Growth ◽  
Intrauterine Growth ◽  
Parental Height

Previous studies of growth and development in small-for-gestational-age (SGA) infants have been plagued by several methodologic defects, including a lack of control for socioeconomic status and parental height and an inability to distinguish among the effects of prematurity, neonatal asphyxia, and intrauterine growth retardation. An attempt has been made to overcome these defects in a study of 33 full-term, nonasphyxiated small-for-gestational-age neonates born between 1960 and 1966 and 33 matched control infants of normal birth weight. The infants were followed up and compared for physical growth and sexual, neurologic, and cognitive development at ages 13 to 19 years. Significant deficits in height, weight, and head circumference were found among the SGA cohort, even after statistical adjustment for differences in socioeconomic status and parental height. Sexual development and bone age were not delayed in the SGA group, however, indicating that the deficits in growth are permanent. On neurologic and cognitive testing, the SGA group had trends toward lower scores but scores were well within the normal range. It is concluded that full-term nonasphyxiated SGA infants have an impaired potential for physical growth, but a good prognosis for neurologic and cognitive development. Previous findings of more severe cognitive deficits are attributed to a failure to distinguish the effects of isolated intrauterine growth retardation from effects due to asphyxia.

Predicting infant temperament from neonatal reactivity for AGA/SGA twin pairs

Twin Research ◽  
1998 ◽  
Vol 1 (2) ◽  
pp. 65-70 ◽  
Author(s):  
Marilyn L Riese
Keyword(s):  
Gestational Age ◽  
Growth Retardation ◽  
Small For Gestational Age ◽  
Intrauterine Growth Retardation ◽  
Infant Temperament ◽  
Social Orientation ◽  
Group Differences ◽  
Intrauterine Growth ◽  
Appropriate For Gestational Age ◽  
Bull's Eye

AbstractThe predictive relation between neonatal reactivity and 12-, 18-, and 24-month temperament was assessed for 22 appropriate-for-gestational-age (AGA)/small-for-gestational-age (SGA) twin pairs. Neonatal reactivity included ratings of visual and auditory orienting responses to a bull's-eye, rattle, bell, voice, and face plus voice combined, as well as alertness. Infant temperament ratings were made of emotional tone, activity, attentiveness, and social orientation to staff during ageappropriate activities in the laboratory. There were no group differences in the neonatal or infant ratings. For AGA twins, a pattern of predictive correlations was obtained between neonatal reactivity and temperament at each age. A similar predictive pattern was not observed for the SGA twins. Group differences in rates of maturation related to stresses associated with intrauterine growth retardation influenced the significance of the neonatal variables for later temperament development.

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